史立君　王靖　吴春雷

[摘要] 目的 分析并探讨中西医结合治疗疼痛性骨质疏松性脊柱骨折的临床效果，从而更好地指导临床治疗。方法 选取2013年1月～2016年6月在我院接受治疗的疼痛性骨质疏松性脊柱骨折患者120例。随机分为观察组与对照组，每组各60例。两组均给予常规的西医治疗，观察组在此基础上联合中药治疗。观察两组治疗效果。结果 观察组治疗有效率为90.00%，对照组为73.33%。观察组治疗有效率明显高于对照组（P<0.05）。治疗后，两组VAS评分均有明显改善，观察组改善更加明显（P<0.05）。治疗后，两组ADL评分均有明显改善，观察组改善更加明显（P<0.05）。治疗后，两组Barthel指数均有明显改善，观察组改善更加明显（P<0.05）。治疗后，两组WHOQOL-BREF评分均有明显改善，观察组改善更加明显（P<0.05）。 结论 中西医结合治疗疼痛性骨质疏松性脊柱骨折临床效果显著，值得临床推广。

[关键词] 骨质疏松；脊柱骨折；疼痛；中西医结合；疼痛评分

[中图分类号] R683.2 [文献标识码] B [文章编号] 1673-9701（2017）14-0117-04

[Abstract] Objective To analyze and discuss the clinical effect of integrated traditional Chinese and Western medicine in the treatment of painful osteoporotic spine fracture， so as to guide clinical treatment better. Methods 120 patients with painful osteoporotic spine fractures treated in our hospital from January 2013 to June 2016 were selected and randomly divided into observation group and control group， with 60 cases in each group. Both groups were given routine Western medicine treatment，and the observation group was given traditional Chinese medicine treatment based on the routine Western treatment. The treatment effect between the two groups was observed. Results The treatment effective rate was 90.00% in the observation group and 73.33% in the control group. The effective rate of the observation group was significantly higher than that of the control group（P<0.05）. After treatment， the VAS scores ，ADL scores，Barthel indexes and WHOQOL-BREF scores of the two groups were significantly improved， and the VAS scores ，ADL scores，Barthel indexes and WHOQOL-BREF scores of the observation group were improved more significantly（P<0.05）. Conclusion The combination of traditional Chinese and Western medicine in the treatment of painful osteoporotic spine fractures has significant clinical effect and deserves clinical promotion.

[Key words] Osteoporosis； Spinal fracture； Pain； Combination of traditional Chinese and Western medicine； Pain score

骨质疏松症是目前常见的多发病之一，多发于中老年人，其中骨质疏松性骨折是骨质疏松引发的最严重的病症[1]。而在骨质疏松性骨折中，脊柱骨折是最常見的一种类型，患者表现为慢性顽固性腰背疼痛、脊柱畸形等，逐渐对患者心肺健康造成明显影响[2]。临床中针对该病的药物治疗，西医主要以钙剂、维生素D及激素为主进行治疗，而中医则讲究腰痛主肾，药物则以肾补为主[3]。本次研究选取2013年1月～2016年6月在我院接受治疗的疼痛性骨质疏松性脊柱骨折120例，分析并探讨中西医结合治疗疼痛性骨质疏松性脊柱骨折的临床效果，从而更好地指导临床治疗。

1 资料与方法

1.1 一般资料

选取2013年1月～2016年6月在我院接受治疗的疼痛性骨质疏松性脊柱骨折120例。男37例，女83例。年龄48～78岁。病程1个月～4年。纳入标准[4]：①符合骨质疏松性骨折诊断标准；②签署知情同意者。排除标准：①脊柱结核者；……