十七味归芍合剂联合PVP治疗骨质疏松性胸腰椎压缩性骨折临床观察OA
Clinical Observation on Shiqiwei Guishao Mixture Combined with Percutaneous Vertebroplasty in Treating Osteoporotic Vertebral Compression Fractures
目的 探究十七味归芍合剂联合经皮椎体成形术(PVP)治疗骨质疏松性胸腰椎压缩性骨折(OVCF)患者的临床效果.方法 选取2024年8月—2025年2月于安徽省太和县中医院接受PVP治疗的60例OVCF患者,按随机数字表法分为观察组与对照组,各30例.对照组行PVP手术,观察组采用十七味归芍合剂联合PVP治疗.对比2组腰椎功能评分、疼痛程度评分、骨密度及临床治疗效果.结果 治疗后,观察组视觉模拟评分法(VAS)及Oswestry功能障碍指数(ODI)评分明显降低,且低于对照组(P<0.05);观察组股骨大转子、股骨颈及腰椎骨密度值均高于对照组(P<0.05);观察组总有效率显著高于对照组(P<0.05).结论 十七味归芍合剂联合PVP可提升OVCF患者的临床疗效,改善腰椎功能,减轻疼痛,增强日常生活能力.
Objective To investigate the clinical efficacy of Shiqiwei Guishao mixture combined with percutaneous vertebroplasty(PVP)in the treatment of patients with osteoporotic vertebral compression fractures(OVCF).Methods A total of 60 OVCF patients who received PVP treatment at Taihe County Hospital of Traditional Chinese Medicine from August 2024 to February 2025 were enrolled and divided into an observation group and a control group using the random number table method,with 30 cases in each group.The control group underwent PVP,while the observation group received Shiqiwei Guishao mixture combined with PVP.The lumbar function scores,pain intensity scores,bone mineral density(BMD),and clinical therapeutic effect were compared between the two groups.Results After treatment,the visual analog scale(VAS)and Oswestry disability index(ODI)scores in the observation group decreased significantly and were lower than those in the control group(P<0.05).The bone mineral density values of the greater trochanter,femoral neck,and lumbar spine in the observation group were higher than those in the control group(P<0.05).The total effective rate in the observation group was significantly higher than the control group(P<0.05).Conclusion Shiqiwei Guishao mixture combined with PVP could improve clinical efficacyand lumbar function,alleviate pain,and enhance activities of daily living in patients with OVCF.
夏正宇;赵光辉
安徽中医药大学,安徽 合肥 230000安徽中医药大学附属太和县中医院骨二科,安徽 太和 236600
医药卫生
骨痿骨质疏松胸腰椎压缩性骨折经皮椎体成形术十七味归芍合剂
atrophic debility of bonesosteoporosisthoracolumbar compression fracturepercutaneous vertebroplastyShiqiwei Guishao mixture
《光明中医》 2026 (4)
76-80,5
安徽省合肥市安徽中医药大学科研基金项目(No.2023LCTH70)
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