骨松丸联合体外冲击波对骨质疏松性椎体骨折术后的康复疗效OA

Objective:To investigate the therapeutic value and safety of Gusong pills combined with extracorporeal shock wave therapy for rehabilitation in postoperative patients with osteoporotic vertebral fractures.Methods:To-tally,92 postoperative patients with osteoporotic vertebral fractures were randomly assigned to control croup 1(n=31),control group 2(n=29),and the combination group(n=32).The control group 1 received conventional treat-ment plus the hospital preparation Gusong pill.The control group 2 received conventional treatment plus radial ex-tracorporeal shock wave therapy.The combination group received conventional treatment,Gusong pill,and extra-corporeal shock wave therapy.All three groups were treated for 8 weeks.The response rate,Visual Analog Scale(VAS)score,Oswestry Disability Index(ODI)score,and bone mineral density(BMD)values were compared be-fore and after treatment among the groups.Results:After 8 weeks of treatment,the response rate in the combina-tion group was superior to that in both control group 1 and control group 2,and the difference was statistically sig-nificant(P＜0.05).After treatment,VAS and ODI scores significantly decreased in all three groups compared to pre-treatment levels(all P＜0.01),while BMD values increased(all P＜0.05).The combination group demonstra-ted significantly lower VAS and ODI scores and higher BMD values than the control group 1 and control group 2(P＜0.05 for all comparisons).There were no statistically significant differences in the incidence of adverse reac-tions among the three groups during the treatment period.Conclusion:The combination of Gusong pills and extra-corporeal shock wave therapy effectively alleviates pain,improves functional disability and TCM-related symptoms,and increases BMD in postoperative patients with osteoporotic vertebral fractures,with a high safety profile.