中医药治疗胸腰椎骨折筋伤73例临床观察

为了解胸腰椎压缩程度、筋伤状况与腰背痛之间的关系。选择73例无神经损伤的胸腰椎骨折患者，采用中药内服外用、腰部垫枕和适时功能锻炼等治疗，以椎体的压缩程度、腰背臀痛点的压痛部位以及腰背疼痛程度为观察指标，评价治疗效果和分析探讨骨折、筋伤与腰背痛之间的关系。结果显示：腰背痛程度与胸腰椎的压缩程度不成正比，腰背疼痛程度的减轻和改善，与压缩椎体的恢复程度不成正比。说明胸腰椎发生压缩性骨折的同时，腰背部筋伤已客观存在，是引起伤后腰背痛的主要原因。注重早期筋伤治疗，有助于消除腰背疼痛、减少后遗腰背痛的发生。

Clinical observation on treating 73 cases of tendon injuries of thoracolumbar fractures in TCM

In order to learn the relation of thoracic and lumbar compression, tendon injury status and low back pain, selected 73 cases of no nerve damage in patients with thoracolumbar fractures to applying TCM oral and external use, bolster and timely fimctional exercise. Evaluated the treatment effect and analysed the relation of fractures, tendon injury and low back pain, according to vertebral body compression, pain point of waist back hip tenderness parts and low back pain. Results： Thoracic and lumbar back pain and the degree of compression is not proportional, and reduction and improvement of low back pain and the recovery degree of compressed vertebral body is not proportional. It showed that thoracic and lumbar occured compression fractures, at the time, lower back muscle injury has been an objective, which is the main reason to lead to back pain lower back injury. Focusing on early treatment of tendon injuries helps eliminate low back pain and reduce occurrence of low back pain.