PKP联合中成药治疗高龄陈旧性不稳定型骨质疏松腰椎骨折的疗效观察

目的:观察PKP联合中成药治疗高龄陈旧性不稳定型骨质疏松腰椎骨折的临床疗效。方法:选择2014年2月至2017年2月收治的40例高龄陈旧不稳定性骨质疏松性压缩骨折的患者为研究对象,按照随机数字表法将患者分为对照组和观察组,每组20例。对照组给予PKP治疗,观察组在对照组的基础上给予伤科接骨片。比较2组患者视觉模拟评分(Visual Analog Scale,VAS)、Oswestry功能障碍指数评分(ODI)、椎体高度恢复率。结果:治疗后,2组患者VAS评分和ODI评分显著低于治疗前,差异有统计学意义(P0.05);观察组显著低于对照组(P0.05)。2组患者椎体高度恢复了率显著高于治疗前,差异有统计学意义(P0.05);但是2组之间差异无统计学意义(P0.05)。结论:PKP联合中成药在治疗高龄陈旧不稳定性骨质疏松性腰椎压缩骨折临床疗效好,不仅具有良好的止痛效果,还能改善腰椎功能障碍,椎体高度恢复率方面也得肯定。

Observation on Clinical Effect of PKP and Chinese Patent Medicine in Treating Senile Patients with Old Osteoporotic Vertebral Compression Fractures

To observe the clinical effect of percutaneous kyphoplast (PKP) and Chinese patent medicine in the treatment of senile patients with old osteoporotic vertebral compression fractures.Methods:A total of 40 senile patients with old osteoporotic vertebral compression fractures who were admitted and treated in Qinhuangdao Orthopedic Hospital from February 2014 to February 2017 were selected and divided into control group and observation group, with 20 cases in each group.The control group was treated with PKP method, while the observation group was added Shangke Jiegu Tablet.Visual analogue scale (VAS), Oswestry dysfunction index score (ODI) and vertebral height compression of two groups were compared.Results:After treatment, the VAS score and ODI score of the two groups were significantly lower than that before treatment, and the difference was statistically significant (P<0.05).And that of observation group was significantly lower than that of control group (P<0.05).The recovery rate of vertebral body height of the two groups was significantly higher than that before treatment, and the difference was statistically significant (P<0.05), but there was no significant difference between the two groups (P>0.05).Conclusion:PKP with Chinese patent medicine in the treatment of senile patients with old osteoporotic vertebral compression fractures is effective, not only in pain relief, but can also improve the dysfunction of lumbar vertebra, with good recovery rate of vertebral body height