| Objective: This study compared the clinical efficacy and safety of two different treatment methods of conventional Western medicine and oral Buyang Huanwu Decoction in the treatment of osteoporosis and vertebral compression fracture,to explore the therapeutic effect of this program on residual symptoms after vertebral compression fracture,and evaluate its feasibility and safetyMethods: A total of 60 patients with thoracolumbar osteoporosis complicated with vertebral compression fracture who were admitted to Ruikang Hospital affiliated to Guangxi University of Traditional Chinese Medicine were selected.According to the principle of randomized control,60 patients were divided into conventional western medicine group(control group)and conventional Western medicine + Buyang Huanwu Decoction group(observation group),30 patients in each group.Visual analogue scale(VAS),Oswestry score(ODI),kyphosis Cobb Angle,anterior height of injured vertebrae and the rate of refracture of adjacent vertebrae,and TCM syndrome efficacy were used as evaluation criteria.Clinical treatment indicators were collected.Preoperative,postoperative 1 day,postoperative 7 days,postoperative 1month,and postoperative 3 months were set as follow-up nodes.The research work shall strictly follow the design guidelines to ensure the accuracy of data measurement and the authenticity of data collection.Regular inspection shall be carried out by specialists to supervise the timeliness,truthfulness and integrity of original data collection.In this study,SPSS26.0 was used to process and analyze experimental data in statistics,and a two-sided test was conducted in statistics.P < 0.05 indicated that statistical differences existed between data.Results: 1.Sixty patients were enrolled from Ruikang Hospital affiliated to Guangxi University of Traditional Chinese Medicine,including 30 patients in the experimental group and 30 in the control group.The selected cases were in strict accordance with the scientific study design criteria and the selection and exclusion criteria.General electronic medical record information and baseline were comparable between the observation group and the control group(P > 0.05).2.As for the kyphosis Cobb Angle and the height of the anterior edge of the injured vertebra,the kyphosis Co BB Angle and the height of the anterior edge of the injured vertebra in both groups were improved before and 1 day after surgery,with statistical differences(P < 0.05).There were no statistically significant differences in kyphosis Cobb Angle and anterior height of injured vertebra between the two groups 3 months after surgery compared with 1 day after surgery(P > 0.05).It was concluded that there were no statistically significant differences in kyphosis Cobb Angle and anterior height of injured vertebra between the observation group and the control group 1 day and 3 months after surgery(P >0.05).There was no significant difference between the observation group and the control group before operation,1 day after operation and 3months after operation(P > 0.05).3.In terms of pain,VAS scores of patients in both groups showed a downward trend 1 day after surgery,7 days after surgery,1 month after surgery,and 3 months after surgery,with statistically significant differences between the two groups(P < 0.05).There was no significant difference in VAS scores between the observation group and the control group 1 day,7 days and 1 month after surgery(P > 0.05).Three months after surgery,VAS scores of the observation group and the control group were compared,and the results showed statistical significance(P <0.05).Three months after operation,the analgesic effect of the observation group was better than that of the control group.4.In terms of exercise function,ODI scores of patients in both groups showed a downward trend 1 day after surgery,7 days after surgery,1month after surgery and 3 months after surgery,with statistically significant differences(P < 0.05).1 day,7 days and 1 month after surgery,there was no significant difference in the comparison of lumbar ODI scores between the observation group and the control group(P > 0.05).ODI index was compared between the observation group and the control group 3 months after surgery.The results were statistically different(P <0.05),and the recovery effect of motor function in observation group was better than that in control group 3 months after surgery.5.There was no significant difference in the rate of refracture of adjacent vertebrae between the observation group and the control group 3 months after surgery(P > 0.05).6.TCM syndrome curative effect: the relative comparison of TCM curative effect between the two groups 3 months after surgery showed that there was statistical difference in TCM syndrome curative effect between the observation group and the control group(P < 0.05),and the TCM syndrome recovery of the observation group was better than that of the control group.7.In terms of overall efficacy,there was statistical difference between the two groups 3 months after operation(P < 0.05),and the overall therapeutic effect of the observation group was slightly better than that of the control group.Conclusion: PVP treatment of osteoporotic vertebral compression fracture curative effect is worthy of recognition,Buyang Huanwu decoction is a common clinical prescription,has the effect of promoting blood circulation,removing blood stasis,clearing collaterals,for relieving postoperative pain,improve lumbar back activity has a good effect.It can help accelerate patients’ ability to take care of themselves and accelerate patients’ motor function recovery,which can be promoted clinically. |
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