综合疗法治疗老年腰椎间盘突出症合并骨质疏松的临床研究

目的 探讨综合疗法治疗老年腰椎间盘突出症合并骨质疏松患者的疗效,观察抗骨质疏松治疗在老年腰椎间盘突出症合并骨质疏松患者治疗中的作用.方法 60例老年腰椎间盘突出合并骨质疏松患者随机分为治疗组和对照组各30例,对照组采用腰椎牵引及物理因子治疗(包括干扰电疗法、微波治疗).治疗组在对照组治疗方法的基础上配合治疗骨质疏松的药物及脉冲电磁场(骨质疏松治疗仪)治疗.结果 治疗组治疗后的疼痛目测类比评分法(visual analogous scale,VAS)分值低于对照组(P<0.01).两组患者下腰痛评分比较,治疗前、后组内差异均有统计学意义(P<0.01),但治疗组治疗后的下腰痛评分优于对照组(P<0.01).两组患者的改善指数间差异有统计学意义(P<0.01).结论 配合抗骨质疏松治疗的综合疗法能提高老年腰椎间盘突出合并骨质疏松患者治疗的疗效.

A clinical research of comprehensive therapy for the treatment of elderly lumbar disc herniation patients combined with osteoporosis

Objective To investigate the efficacy of comprehensive therapy for the treatment of elderly lumbar disc herniation patients combined with osteoporosis and to observe the role of anti-osteoporosis therapy on elderly lumbar disc herniation patients combined with osteoporosis. Methods Sixty senile patients with lumbar disc herniation and osteoporosis were randomly divided into two groups: treatment group and control group. Patients in both groups were treated with comprehensive therapy, including traction and physiotherapy (interferential electrotheraphy and microwave diathermy). Patients in the treatment group were also treated with drugs for osteoporosis and pulsed electromagnetic fields simultaneously. Results Visual analogous scale (VAS) after treatment in the treatment group was significantly lower than that in the control group (P<0.01). There was significant difference in the lower back pain score of patients in two groups after treatment (P<0.01). The lower back pain score of patients after the treatment in the treatment group was significant superior than that in the control group (P<0.01). There was significant difference between the two groups on the index of improvement (P<0.01). Conclusion Comprehensive therapy combined with anti-osteoporosis therapy is effective for the treatment of senile lumbar disc herniation patients combined with osteoporosis.