Application of three-stage syndrome differentiation treatment of traditional Chinese medicine fractures insenile primary osteoporotic fresh compression fractures
浅析中医骨折三期辨证治疗在老年原发性骨质疏松性新鲜压缩性骨折的应用

摘要

目的 探究老年原发性骨质疏松性新鲜压缩性骨折治疗期间，中医骨折三期辨证治疗方案的应用。方法 选取我院2021年4月－2021年10月接诊的40例老年原发性骨质疏松性新鲜压缩性骨折患者作为研究对象，数字表法随机划分为观察组与对照组，每组20例，观察组实施中医骨折三期辨证治疗，对照组实施常规指标，对比两组椎体功能恢复情况及VAS评分、Oswestry功能障碍指数（ODI）评分。结果 观察组患者治疗后的椎体前缘高度[（14.49±1.92）mm＞（13.13±1.47）mm，t=3.601]高于对照组（P＜0.05），治疗后的Cobb角[（12.67±2.62）＜（17.59±3.14），t=7.703]和疼痛VAS评分[（1.60±0.51）分＜（2.82±0.59）分，t=10.017]、Oswestry功能障碍指数（ODI）评分[（23.71±3.36）分＜（29.52±3.67）分，t=7.477]低于对照组（P＜0.05）。结论 老年原发性骨质疏松性新鲜压缩性骨折治疗期间，选择中医骨折三期辨证治疗方案，能够增强骨密度，加速骨折愈合，缓解疼痛，实现临床疗效的提升，价值显著。

Abstract

Objective To explore the application of the three-phase syndrome differentiation treatment plan of traditional Chinese medicine fractures during the treatment of senile primary osteoporotic fresh compression fractures.
Methods A total of 40 elderly patients with primary osteoporotic fresh compression fractures admitted to our hospital from April 2021 to October 2021 were selected as the research objects, and the digital table method was randomly divided into the observation group and the control group. 20 cases, the observation group was given three-phase syndrome differentiation treatment of traditional Chinese medicine fractures, the control group was given routine indicators, and the vertebral body function recovery, VAS score and Oswestry disability index (ODI) score were compared between the two groups.
Results The height of the anterior edge of the vertebral body in the observation group after treatment [(14.49±1.92) mm>(13.13±1.47) mm, t=3.601] was higher than that in the control group (P<0.05), and the Cobb angle after treatment [(12.67 ±2.62)°＜(17.59±3.14)°, t=7.703] and pain VAS score [(1.60±0.51) score＜(2.82±0.59) score, t=10.017], Oswestry Disability Index (ODI) score [(( 23.71±3.36) points < (29.52±3.67) points, t=7.477] lower than the control group (P<0.05).
Conclusion   During the treatment of senile primary osteoporotic fresh compression fractures, choosing the TCM fracture three-phase syndrome differentiation treatment plan can enhance bone mineral density, accelerate fracture healing, relieve pain, and improve clinical efficacy, which is of significant value.