论文部分内容阅读
目的比较两种不同的保守治疗方案干预原发性骨质疏松性胸腰椎骨折的效果,寻找中西医结合非手术治疗原发性骨质疏松性胸腰椎骨折的优选方案。方法选择90例原发性骨质疏松性胸腰椎骨折的患者,随机分为观察组30例及对照组60例,并从大将逐瘀汤加味方内服、固本疏肝壮骨方内服、中(草)药外敷(熨烫)等中医药疗法和口服钙尔奇片剂及阿法骨化醇软胶囊、肌注鲑鱼降钙素注射液等西医疗法中选取相应的治疗手段制定两种不同的中西医结合非手术治疗方案,分别用于观察组及对照组患者的治疗,观察和比较两组患者的疗效、生存质量及治疗的成本-效果。结果两组临床疗效比较差异无统计学意义(P>0.05);生命质量相关指标总评分比较差异无统计学意义(P>0.05),但两组治疗后心理健康及生命活力两个维度的评分较治疗前高,观察组优于对照组(P<0.01);观察组的成本-效果(CEA)较对照组低(P<0.01)。结论中西医结合非手术住院与居家康复和全程住院治疗方案对原发性骨质疏松性胸腰椎骨折的疗效均较好,但住院与居家康复相结合能使患者感觉更好、情绪更稳定、精力更充沛、生活更充实和快乐,并在卫生经济学方面有一定优势,值得进一步推广应用。
Objective To compare the effects of two different conservative treatment interventions on the treatment of primary osteoporotic thoracolumbar fractures and to find out the optimal scheme of combining traditional Chinese and western medicine in the treatment of primary osteoporotic thoracolumbar fractures. Methods Ninety patients with primary osteoporotic thoracolumbar fractures were randomly divided into observation group (30 cases) and control group (60 cases). The patients were divided into two groups: Grass) medicine (ironing) and other Chinese medicine therapy and oral Calcium tablets and alfacalcidol soft capsules, intramuscular salmon calcitonin injection and other Western medical treatment in the selection of the appropriate treatment to develop two different Non-surgical treatment of traditional Chinese and Western medicine were used in observation group and control group, respectively. The curative effect, quality of life and cost-effectiveness were observed and compared between the two groups. Results There was no significant difference in clinical curative effect between the two groups (P> 0.05). There was no significant difference between the two groups in the total score (P> 0.05). However, the scores of mental health and vitality The observation group was better than the control group (P <0.01). The cost-effectiveness (CEA) of the observation group was lower than that of the control group (P <0.01). Conclusion Integrative Chinese and Western medicine non-surgical hospitalization and home rehabilitation and the entire hospital treatment of primary osteoporotic thoracolumbar fractures are effective, but the combination of hospitalization and home rehabilitation can make the patients feel better and the mood is more stable, More energetic, more fulfilling and happy life, and has certain advantages in health economics, it is worth further promotion and application.