CAJ | 학술논문

　　目的观察并探讨中医综合疗法用于胸腰椎压缩性骨折的疗效和优势。方法选取2010年10月-2012年3月增城市派潭镇中心卫生收治的胸腰椎压缩性骨折患者69例，采取中医综合疗法，具体措施包括过伸复位、腰部牵引、垫枕练功、药物治疗。对照组50例采用过伸复位、垫枕练功治疗。治疗1.5个月后参照国家中医药管理局发布的《中医病证诊断疗效标准》对患者的恢复情况进行评价，6个月～1年采用各种方式进行随访，观察患者生活质量。结果治疗组效果显示优40例，良25例，差4例，优良率92.75%（65/69）；对照组效果显示优29例，良11例，差10例，优良率80.00%（40/50），两组优良率存在显著性差异（P＜0.05）。结论采用中医综合疗法，在过伸复位、腰部牵引、垫枕练功之余，配合外敷中药治疗，能有效治疗胸腰椎压缩性骨折。
　　목적관찰병탐토중의종합요법용우흉요추압축성골절적료효화우세。방법선취2010년10월-2012년3월증성시파담진중심위생수치적흉요추압축성골절환자69례，채취중의종합요법，구체조시포괄과신복위、요부견인、점침련공、약물치료。대조조50례채용과신복위、점침련공치료。치료1.5개월후삼조국가중의약관리국발포적《중의병증진단료효표준》대환자적회복정황진행평개，6개월～1년채용각충방식진행수방，관찰환자생활질량。결과치료조효과현시우40례，량25례，차4례，우량솔92.75%（65/69）；대조조효과현시우29례，량11례，차10례，우량솔80.00%（40/50），량조우량솔존재현저성차이（P＜0.05）。결론채용중의종합요법，재과신복위、요부견인、점침련공지여，배합외부중약치료，능유효치료흉요추압축성골절。
Objective To observe and explore the efficacy and benefits of TCM combination therapy for thoracolumbar compression fracture. Methods Select 69 thoracolumbar compression fracture patients as treatment group,which came to our hospital for treatments from October 2010 to March 2012.using the combination therapy of TCM,including hyperextension reset,lumbar traction,pillow practice,drug treatment.Control group 50 patients use hyperextension reset,pillow practice.One and a half months later, referring to State Administration of Traditional Chinese Medicine《TCM Syndrome Diagnostic efficacy of the standard》,we evaluate recovery of patients. Within six months to one year,we observe the quality of life in patients.Results Treatment group indicated excellent in 40 cases, good in 25 cases, and poor in 4 cases, good rate of 92.75%. Control group indicated excellent in 29 cases, good in 11 cases, 10 cases of poor, good rate of 80.00%. Significant differences exists(P<0.05).Conclusion The combination therapy of TCM,including hyperextension reset,lumbar traction,pillow practice,drug treatment,is proved to be quite effective in the treatment of thoracolumbar compression fractures.