补肾健脾汤对老年椎体压缩性骨折行球囊扩张椎体后凸成形术患者术后恢复及预后的影响

Effect of Bushen Jianpi Decoction on postoperative recovery and prognosis of elderly patients with vertebral compression fracture after kyphoplasty by balloon dilatation

  • 摘要:
      目的  探讨补肾健脾汤对老年椎体压缩性骨折行球囊扩张椎体后凸成形术(PKP)患者术后恢复及预后的影响。
      方法  选择100例老年椎体压缩性骨折患者作为研究对象,根据随机数表法将其分为对照组、观察组,各50例。2组均于外院(三甲医院)行PKP术,对照组术后给予常规西药治疗,观察组术后给予补肾健脾汤治疗。比较2组治疗后的效果,治疗前和治疗6个月后的疼痛评分、活动功能评分、Cobb角、椎体前缘丢失高度。
      结果  观察组的治疗总有效率(96.00%)显著高于对照组(78.00%)(P < 0.05)。治疗前, 2组疼痛评分、活动功能评分、Cobb角、椎体前缘丢失高度差异无统计学意义(P>0.05); 治疗后,观察组疼痛评分、活动功能评分、椎体前缘丢失高度均显著低于对照组, Cobb角显著小于对照组(P < 0.05)。
      结论  补肾健脾汤能促进老年椎体压缩性骨折行PKP患者术后恢复好,疗效显著,患者预后良好。

     

    Abstract:
      Objective  To investigate the effect of Bushen Jianpi Decoction on postoperative recovery and prognosis of elderly patients with vertebral compression fracture after percutaneous kyphoplasty (PKP) by balloon dilatation.
      Methods  A total of 100 elderly patients with vertebral compression fractures admitted to our hospital were selected. According to the random number table method, the patients were divided into control group and observation group, with 50 cases in each group. Patients in both groups were treated with PKP in other grade three class A hospitals. The control group was treated with routine western medicine after operation, while the observation group was treated with Bushen Jianpi Decoction after operation. After treatment, the treatment efficacy, pain scores, motor function scores, Cobb angle and the height of anterior vertebral body loss were compared between the two groups before treatment and 6 months after treatment.
      Results  The total effective rate of the observation group was significantly higher than that of the control group (96.00% vs. 78.00%, P < 0.05). Before treatment, there were no significant differences in pain score, motor function scores, Cobb angle and height of anterior vertebral loss between the two groups (P>0.05). After treatment, the pain score, motor function score and the height of anterior vertebral loss in the observation group were significantly lower than those in the control group, and the Cobb angle was significantly smaller than that in the control group (P < 0.05).
      Conclusion  Bushen Jianpi Decoction has better recovery, remarkable curative efficacy and favorable prognosis for elderly patients with vertebral compression fracture after PKP operation.

     

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