[1]黄义专.早期两次手法整复治疗胸腰椎压缩骨折的临床研究[J].西部中医药,2020,33(08):126-128.[doi:10.12174/j.issn.1004-6852.2020.08.34]
 HUANG Yizhuan.Clinical Study on Treating Thoracolumbar Compression Fracture with Early Twice Manipulative Reduction[J].Western Journal of Traditional Chinese Medicine,2020,33(08):126-128.[doi:10.12174/j.issn.1004-6852.2020.08.34]
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早期两次手法整复治疗胸腰椎压缩骨折的临床研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年08期
页码:
126-128
栏目:
出版日期:
2020-08-15

文章信息/Info

Title:
Clinical Study on Treating Thoracolumbar Compression Fracture with Early Twice Manipulative Reduction
文章编号:
1004-6852(2020)08-0126-03
作者:
黄义专
成都体育学院附属体育医院,四川 成都 610041
Author(s):
HUANG Yizhuan
Sport Hospital Attached to CDSU, Chengdu 610041, China
关键词:
压缩骨折胸椎腰椎手法整骨临床研究
Keywords:
compression fracture thoracic vertebra lumbar vertebra manipulative reduction clinical study
分类号:
R683.1
DOI:
10.12174/j.issn.1004-6852.2020.08.34
文献标志码:
B
摘要:
目的:观察早期两次手法整复治疗胸腰椎压缩骨折的临床疗效。方法:将120例患者随机分为两组,每组60例。对照组采用常规早期单次手法整复、配合骨折分期用药、局部理疗、运动疗法,观察组在对照组基础上调整手法整复时间及次数,采用早期两次整复。观察两组疼痛视觉模拟量表(visual analog scale,VAS)评分、脊柱后凸畸形Cobb角及伤椎前缘丢失百分数情况、临床疗效、后遗症发生情况。结果:治愈率观察组为73.33%(44/60),对照组为18.33%(11/60),两组比较差异有统计学意义(P<0.05)。后遗症发生率观察组为21.67%(13/60),对照组为68.33%(41/60),两组比较差异有统计学意义(P<0.05)。VAS评分入院时、伤后2周时两组比较,差异无统计学意义(P>0.05);伤后6周及伤后3个月时比较,差异有统计学意义(P<0.05)。脊柱后凸畸形Cobb角及伤椎前缘丢失百分数入院时两组比较,差异无统计学意义(P>0.05);伤后2周及出院时两组组间比较,差异均有统计学意义(P<0.05)。结论:早期两次整复能最大限度恢复椎体高度,纠正关节突关节错缝,减小胸腰椎骨折后遗症的发生几率。
Abstract:
Objective: To observe clinical effects of early twice manipulative reduction in treating thoracolumbar compression fracture. Methods: All 120 patients were randomized into two groups, 60 cases each group. The control group adopted conventional early once manipulative reduction, medication by stages for fracture, local physiotherapy and sports therapy, and the observation group adjusted the time and times of manipulative reduction, and used early twice manipulative reducetion. To observe VAS scores, Cobb angle of kyphosis, the percentage of interior edge loss of injured vertebra, clinical effects and the incidence of sequelae of both groups. Results: Cure rate of the observation group was 73.33% (44/60), higher than 18.33% (11/60) of the control group, and the difference was statistically significant (P<0.05). The incidence of sequelae of the observation group was 21.67% (13/60), lower than 68.33% (41/60) of the control group, and the difference had statistical meaning (P<0.05). The difference had no statistical meaning in VAS scores at admission day and two weeks after the injury (P>0.05); the difference showed statistical meaning in VAS scores six weeks after the injury and three months after the injury (P<0.05). The difference showed no statistical meaning in Cobb angle of kyphosis, the percentage of interior edge loss of injured vertebra at admission day between both groups (P>0.05); the difference showed statistical meaning between two groups two weeks after the injury and at the discharging day (P<0.05). Conclusion: Early manipulative reduction twice could restore the height of vertebral body to the maximum, correct facet joint dislocation and reduce the incidence of the sequelae of thoracolumbar fracture.

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备注/Memo

备注/Memo:
收稿日期:2019-10-01作者简介:黄义专(1979—),男,硕士学位,副主任中医师。研究方向:脊柱微创。
更新日期/Last Update: 2020-08-15