余坤贵

DOI：10.16662/j.cnki.1674-0742.2019.35.178

[摘要] 目的 胸腰椎體骨折行腰椎间断牵引、手法复位配合中药治疗效果分析。方法 方便选取2018年2月—2019年2月该院诊治胸腰椎体骨折80例患者资料，按随机数表分两组，对照组予手法复位、腰椎间断牵引方案，研究组予以手法复位、腰椎间断牵引、配合中药方案。分析两组临床疗效、疼痛度及不良事件情况。结果 治疗后，研究组SI（5.37±1.25）、Cobb角（6.57±1.65）°及椎体前缘的高度压缩（21.51±2.95）%，均比对照组少，比较差异有统计学意义（t=6.471、6.552、11.724，P<0.05）;研究组疼痛度（1.35±0.46）分比对照组少，差异有统计学意义（t=9.048，P<0.05）;研究组发生腹胀、尿潴留等不良事件7.50%比对照组少，比较差异有统计学意义（χ2=9.038，P<0.05）。结论 胸腰椎体骨折行腰椎间断牵引、手法复位配合中药治疗，能改善患者临床疗效指标，缓解其疼痛度，降低不良事件发生，具一定临床应用价值。

[关键词] 胸腰椎体骨折;手法复位;腰椎间断牵引;中药;临床疗效;疼痛度

[中图分类号] R274          [文献标识码] A          [文章编号] 1674-0742（2019）12（b）-0178-03

Clinical Analysis of Traditional Chinese Medicine in the Treatment of Thoracolumbar Vertebral Fractures

YU Kun-gui

Department of Orthopaedics， the First Hospital of China Merchants Economic and Technological Development Zone， Zhangzhou， Fujian Province， 363122 China

[Abstract] Objective To analyze the effect of lumbar intervertebral traction and manual reduction combined with traditional Chinese medicine for thoracolumbar vertebral fractures. Methods Convenient selected eighty patients with thoracolumbar vertebral fractures were enrolled in the hospital from February 2018 to February 2019. The data were divided into two groups according to the random number table. The control group was treated with manual reduction and lumbar intervertebral traction. The study group was treated with manual reduction and lumbar vertebrae. Intermittent traction， with Chinese medicine program. The clinical efficacy， pain and adverse events of the two groups were analyzed. Results After treatment， the study group had a SI （5.37±1.25）， a Cobb angle （6.57±1.65）°， and a high degree of compression （21.51±2.95）% of the vertebral body leading edge， which were less  than the control group. The difference was statistically significant （t=6.471、6.552、11.724，P<0.05）; The pain degree of the study group （1.35±0.46）points was less than that of the control group， and the difference was statistically significant（t=9.048，P<0.05）. The study group had 7.50% of adverse events such as abdominal distension and urinary retention than the control group， and the difference was Statistical significance （χ2=9.038，P<0.05）. Conclusion Thoracic and lumbar vertebral fractures with lumbar intervertebral traction and manual reduction combined with traditional Chinese medicine can improve the clinical efficacy index， relieve the pain and reduce the occurrence of adverse events， and have certain clinical application value.

[Key words] Thoracolumbar vertebral fractures; Manual reduction; Lumbar intervertebral traction; Chinese medicine; Clinical efficacy; Pain

胸腰椎椎体骨折属于临床骨科常见病，主要指的是因外力作用下胸腰椎的椎体发生连续破坏[1]。胸腰椎椎体骨折临床表现为外伤局部剧烈疼痛、压痛感、肢体麻木、呼吸困难、腹痛等，嚴重影响患者正常生活质量[2]。对胸腰椎椎体骨折疾病患者，临床通常采用手术及牵引、康复训练等。近年来，中医学被广泛应用于临床中[3-4]。为提高患者疗效，该研究对2018年2月—2019年2月该院诊治胸腰椎体骨折40例患者应用手法复位、腰椎间断牵引方，配合中药方案效果分析，报道如下。

1  资料与方法

1.1  一般资料

方便选取该院诊治胸腰椎体骨折80例患者资料，签署知情相关同意书，研究符合医学伦理会批准，纳入标准：确诊为胸腰椎体骨折者，发病时间10 d内，资料完整，主动配合患者;排除标准：严重的肝肾病，心理精神病，中途退出者，妊娠者;按随机数表分两组，每组40例，对照组男性26例，女……