火龙灸与补肾健骨汤治疗骨质疏松性椎体压缩性骨折患者的临床应用效果

文章信息/Info

• Title:火龙灸与补肾健骨汤治疗骨质疏松性椎体压缩性骨折患者的临床应用效果

• 卷期:2024年22卷15期

• 作者:熊丽云 袁露

• 南昌市洪都中医院八病区 江西南昌 330000

• Author(s):Xiongliyun yuanlu

• Ward 8, Hongdu Hospital of Traditional Chinese Medicine, Nanchang 330000

• 关键词火龙灸；补肾健骨汤；骨质疏松；椎体压缩性骨折

• Keywords:fire-dragon moxibustion; Tonifying kidney and strengthening bones soup; Osteoporosis; A compression fracture of the vertebral body

• 摘要:目的 探析针对骨质疏松性椎体压缩骨折患者采用火龙灸与补肾健骨汤治疗的效果。方法 选择2019年11月-2021年11月期间在医院接受治疗的骨质疏松性椎体压缩性骨折66例患者作为观察对象，按照数表法将其随机分为对照组和研究组，每组患者为33例，所有均行经皮椎体后凸成形术治疗，在此基础上对照组采用钙尔奇、阿法骨化醇治疗，研究组应用火龙灸、补肾健骨汤治疗。对两组的中医症候积分、不同部位骨密度值（腰椎2-4、全髋、股骨颈）进行比较，以评估治疗效果。结果 研究组治疗后中医症候积分低于对照组（P＜0.05）；研究组治疗后的腰椎2-4、全髋、股骨颈等骨密度值均大于对照组（P＜0.05）。结论 针对骨质疏松性椎体压缩骨折患者，采用火龙灸与补肾健骨汤辅助治疗能够获得较好的治疗效果，可有效改善相关症状，增加骨密度值，促进腰椎功能恢复。                                                                                                                                                                                

• Abstract To investigate the therapeutic effect of fire dragon moxibustion and Bushen Jiangu Decoction on patients with osteoporotic vertebral compression fracture. Methods A total of 66 patients with osteoporotic vertebral compression fracture who received hospital treatment from November 2019 to November 2021 were selected as observation objects. According to the numerical table method, they were randomly divided into control group and study group, with 33 patients in each group, all of whom underwent percutaneous kyphoplasty. On this basis, the control group was treated with calcitrine and alfacalcalcitryl, while the study group was treated with fire-dragon moxibustion and Bushen Jiangu Decoction. TCM symptom scores and BMD values of different parts (lumbar 2-4, total hip and femoral neck) were compared between the two groups to evaluate the therapeutic effect. Results The score of TCM syndrome in the study group was lower than that in the control group (P < 0.05). The BMD values of lumbar spine 2-4, total hip and femoral neck in the study group were higher than those in the control group (P < 0.05). Conclusion For patients with osteoporotic vertebral compression fracture, fire-dragon moxibustion and Bushenjiangu decoction can achieve better therapeutic effect, which can effectively improve related symptoms, increase bone mineral density value, and promote the recovery of lumbar function.

  骨质疏松新椎体压缩骨折在骨科中属于一种常见的疾病，好发于老年群体，该疾病会有神经功能损伤、胸腰部痛感剧烈等症状出现，严重影响患者正常生活。目前，临床采用经皮椎体后凸成形术能够有效改善椎体高度、脊柱功能，但该术式远期疗效较差，再次骨折风险高，而骨质疏松则是导致再次骨质的因素之一[1]。因此，临床中还需添加抗骨质疏松治疗，以保证长期疗效。术后采用常规西药治疗具有明显的抗骨质疏松效果，但费用较高，家庭经济负担加重，致使患者依从性降低，整体治疗效果不佳。我国传统中医指出，骨质疏松在“骨痹”“骨萎”的范畴内，多为肾精亏虚、瘀血阻络，所有治疗应以补肾健骨、消肿止痛为主[2]。