床头简易体位合手法治疗单纯胸腰段压缩骨折的对照研究

目的:为单纯性胸腰段骨折患者寻找一种简单且并发症少的保守治疗方法。方法:90例单纯性胸腰段压缩骨折病人随机分为对照组与治疗组各45例,对照组采用垫枕+手法复位+垫枕维持与腰背肌功能锻炼治疗,治疗组采用床头简易体位+手法复位、体位加垫枕维持与腰背肌功能锻炼治疗,治疗前后分别摄片对比,对伤椎高度和Cobb角的变化进行比较,并观察卧床治疗期间的并发症与下床活动情况。结果:治疗后,两组治疗后的椎体高度比与后凸Cobb角与治疗前比较,差异均有统计学意义(P0.01),治疗组治疗后的椎体高度比与后凸Cobb角与对照组相比,差异均有统计学意义(P0.05)。治疗组卧床期间的并发症(呼吸道感染与头晕)比对照组少(P0.05),下床活动情况(头晕与行走)更佳(P0.05)。随访6～34月,两组疗效经过Ridit分析,差异均有统计学意义(P0.05)。结论:床头简易体位复位合手法复位在胸腰椎段骨折中有较肯定的治疗作用,并发症少,下床恢复活动快,值得推广。

Control study of Thoracic-lumbar Vertebral Compression Fracture treated by Manual Reduction with Simple Bedside Position

Objective:To explore a simple conservative treatment for simple thoracic-lumbar vertebral compression fracture with few complications.Methods:Ninety patients with simple thoracic-lumbar vertebral compression fracture were evenly randomized into control group,who were received lumbar pad,manipulative reduction plus functional exercise,and treatment group,who were treated with proper bedside position,manipulative reduction,lumbar pad and functional exercise of the lumbar muscle.After treatment,the curative ef...