中西医结合治疗肝肾亏虚型骨质疏松性胸腰椎骨折的临床观察OA
Clinical Observation of Traditional Chinese and Western Medicine Combined Therapy for Osteoporotic Thoracolumbar Fracture with Liver and Kidney Deficiency
目的:探讨在中医"肝肾同源"理论指导下,运用中西医结合方法治疗肝肾亏虚型骨质疏松性胸腰椎骨折的临床疗效.方法:选取 2024 年 1 月至 2025 年 4 月收治的肝肾亏虚型骨质疏松性胸腰椎骨折患者 140 例,随机分为两组,观察组和对照组各 70 例.对照组采用术前塞来昔布口服镇痛+经皮椎体成形术+术后鲑降钙素鼻喷雾剂治疗,观察组采用术前手法复位+经皮椎体成形术+术后鲑降钙素鼻喷剂+口服钱氏补肝益肾壮骨方治疗.分析和比较两组患者治疗前后的中医证候评分、VAS 评分、骨代谢水平和骨密度变化,验证基于"肝肾同源"理论、从"肝肾并重"论治肝肾亏虚型骨质疏松性胸腰椎骨折的临床疗效.结果:两组术后中医证候评分、VAS 评分均较术前明显改善,差异有统计学意义(P<0.05),观察组术后中医证候评分、VAS评分较对照组改善更明显,差异有统计学意义(P<0.05);两组在改善骨代谢、提高骨密度方面均有疗效,差异有统计学意义(P<0.05),观察组调节骨代谢、提高骨密度较对照组改善更为明显,差异有统计学意义(P<0.05).结论:以"肝肾同源"理论为指导,经皮椎体成形术结合手法复位及钱氏补肝益肾壮骨方治疗肝肾亏虚型骨质疏松性胸腰椎骨折,可明显改善患者术后残余腰痛症状,调节骨代谢和提高骨密度,加快术后康复.
Objective:To investigate the clinical efficacy of combined Chinese and Western medicine treatment for osteopo-rotic thoracolbar fractures(OTF)associated with liver and kidney deficiency syndrome,guided by the traditional Chinese medicine theory of"liver and kidney of the same origin".Methods:A total of 140 patients with OTF of liver and kidney deficiency syndrome,treated from January 2024 to April 2025,were randomly assigned to two groups:70 patients in the observation group and 70 patients in the control group.The control group was treated with preoperative oral celecoxib forgesia percutaneous vertebroplasty(PVP)postoperative salmon calcitonin nasal spray,and the observation group was treated with preoperative manual reduction PVP postoperative salmon calonin nasal spray oral Qian's Bugan Yishen Zhuanggu decoction.The traditional Chinese medicine syndrome score,VAS score,bone metabolism and bone density change before and after treatment were analyzed and compared between the two groups of patients,and the clinical effica-cy of treating OTF with liver and kidney deficiency syndrome based on the"liver and kidney of the same origin"was veri-fied.Results:After the operation,the traditional Chinese medicine syndrome score and VAS score of the two groups were improved significantly compared with those before the operation(P<0.05),and the improvement of the traditional Chinese medicine syndrome score,and VAS score in the observation group was significantly greater than that in the control group(P<0.05);Both groups effectively improved bone metabolism and increased bone mineral density(P<0.5),and the improvement of the observation group in regula-ting bone metabolism and increasing bone mineral density was more significant than that of the control group(P<0.05).Conclusion:Guided by the theory of"liver and kidney of the same origin",PVP combined with manual reduction and Qian's Bugan Yishen Zhuanggu decoction can significantly improve the residual low back pain after surgery,regulate bone metabolism and improve bone density,and accelerate postoperative rehabilitation.
黄晓东;袁登荣;方弘伟;盛翔;于航;陈良飞
金华市中医医院(浙江 金华,321000)金华市中医医院(浙江 金华,321000)金华市中医医院(浙江 金华,321000)金华市中医医院(浙江 金华,321000)金华市中医医院(浙江 金华,321000)金华市中医医院(浙江 金华,321000)
医药卫生
骨质疏松性胸腰椎骨折经皮椎体成形术肝肾亏虚肝肾同源肝肾并重钱氏补肝益肾壮骨方
osteoporotic thoracolumbar fracturepercutaneous vertebroplastyliver and kidney deficiencyliver and kidney share the same originequal emphasis on liver and kidneyQian's Bugan Yishen Zhuanggu decoction
《中国中医骨伤科杂志》 2026 (4)
36-41,6
金华市中医药科技计划项目重大重点项目(2024ZD01)
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