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目的:评价中医药治疗骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fractures,OVCF)疗效。方法:2013年02月~2015年02月,医院收治的OVCF患者36例,均采用保守治疗,对照组采用西医保守治疗,观察组在对照组基础上,联合中医方剂、丸剂、胶囊治疗。结果:治疗前、治疗后1周、6个月,观察组与对照组Cobb角组间、组内对比差异无统计学意义(P>0.05);治疗后1周,观察组与对照组VAS低于治疗前、JOA高于治疗前,6个月后,观察组与对照组VAS低于治疗后1周、JOA高于治疗后1周,观察组VAS低于对照组、JOA高于对照组,差异有统计学意义(P<0.05);两组均未见并发症。结论:中医药治疗OVCF可明显减轻疼痛等症状,也不会增加并发症发生率,但不能降低Cobb角。
Objective: To evaluate the curative effect of traditional Chinese medicine on osteoporotic vertebral compression fractures (OVCF). Methods: From February 2013 to February 2015, 36 patients with OVCF admitted to our hospital were treated conservatively. The control group was treated conservatively with western medicine. The observation group was treated with traditional Chinese medicine, pills and capsules on the basis of the control group. Results: Before treatment, 1 week after treatment and 6 months after treatment, there was no significant difference between the observation group and the control group (P> 0.05); after one week, the VAS low in the observation group and the control group Before treatment, JOA was higher than before treatment. After 6 months, VAS in observation group and control group was lower than that in the first week after treatment and JOA was higher than that in the first week after treatment. VAS in observation group was lower than that in control group, JOA was higher than control group, The difference was statistically significant (P <0.05); no complications were found in both groups. Conclusion: TCM treatment of OVCF can relieve pain and other symptoms, will not increase the incidence of complications, but can not reduce the Cobb angle.