胡明堂

摘  要：目的  分析益肾补骨汤对骨质疏松性胸腰椎压缩骨折患者术后的治疗效果。方法  回顾性分析2019年3月～2020年3月聊城市茌平区人民医院收治的54例骨质疏松性胸腰椎压缩骨折患者的临床资料作为本次研究的主体，根据治疗药物的不同将患者分为两组，对照组（27例）使用常规药物治疗，观察组（27例）使用常规药物联合益肾补骨汤治疗，对两种治疗方式的应用效果进行比较分析。结果  观察组治疗有效率高于对照组，差异有统计学意义（P<0.05）;观察组治疗后的疼痛程度轻于对照组，差异有统计学意义（P<0.05）;观察组上下部后凸角度及骨密度均小于對照组，差异有统计学意义（P<0.05）;观察组并发症发生率与对照组差异不显，差异无统计学意义（P>0.05）。结论  骨质疏松性胸腰椎压缩骨折患者手术治疗后服用益肾补骨汤进行治疗，能够显著减轻患者术后疼痛的症状，促进骨折的治愈，值得临床使用。

关键词：益肾补骨汤;骨质疏松性胸腰椎压缩骨折;疼痛;骨折恢复

中图分类号：R687.3    文献标识码：A    文章编号：1009-8011（2021）-13-0006-03

Effect of Yishen Bugu Decoction on postoperative pain and fracture recovery of patient with osteoporotic thoracolumbar compression fracture

HU Ming-tang

Abstract： Objective  To analyze the effect of Yishenbugu decoction on the postoperative treatment of osteoporotic thoracolumbar compression fracture. Methods  A retrospective analysis from March 2019 to March 2020 our hospital during the period of 54 patients with osteoporotic thoracolumbar compression fractures of the clinical data as the subjects of this study， according to different treatments of the 54 patients were divided into two groups， control group（27 cases） using conventional drug therapy， observation group（27 cases） using conventional drugs + benefit renal bone soup， analyzes the application effect of two kinds of treatments. Results  The effective rate of treatment in the observation group was higher than that in the control group， with statistical difference（P<0.05）. The degree of pain in the observation group after treatment was less than that in the control group， with statistical difference（P<0.05）. The Angle of kyphosis and bone mineral density of the upper and lower parts of the observation group were better than those of the control group， with statistically significant differences（P<0.05）. There was no statistically significant difference in the incidence of complications between the observation group and the control group（P>0.05）. Conclusion  In patients with osteoporotic thoracolumbar compression fractures， taking Yishen Psoru decoction after surgical treatment can significantly reduce postoperative pain symptoms and promote the fracture healing， which is worthy of clinical use.

Keywords： Yishen Bugu Decoction; osteoporotic thoracolumbar compression fracture; pain; fracture recovery

骨质疏松多是由人体钙质流失、骨量降低、骨脆性增加导致，其中胸腰椎压缩骨折是骨质疏松的常见并发症，多发于老年群体，胸腰椎压缩性骨折是脊柱骨折中的常见类型[1]。临床治疗骨质疏松性胸腰椎压缩骨折的方法包括保守治疗、外科手术及椎体成形术，保守治疗并不能有效根治疾病，同时患者还需要承受较大的痛苦;椎体成形术是目前临床有效根治该病的主要方式，但部分患者在术后仍然存在疼痛等症状，且该手术的术后并发症较多[2]。为改善患者预后，减轻疼痛，本研究使用中药汤剂益肾补骨汤治疗该病接受手术后的患者，并观察其治疗效果，具体报道如下。……