Clinical Observation Of Bushenzhuanggu Decoction Combined With PVP In Treating Osteoporotic Ridge Compression Fracture Of Kidney-qi Deficiency Syndrome

Objective:To observe the clinical effect of Bushenzhuanggu decoction combined with PVP in treating osteoporotic spinal compression fracture with deficiency of kidney qi.Methods:Sixty-five patients with OVCF who underwent primary PVP from August 2018 to October 2019 were randomly divided into two groups: 32 patients in the experimental group and 33 patients in the control group.The experimental group and the Control Group were treated with routine anti-osteoporosis drug(Calch d +Calcitriol soft Capsules)after PVP.The experimental group was treated with Bushen Zhuanggu decoction on the basis of the routine anti-osteoporosis treatment in the control group.Vas scores,vertebral height loss ratio and Odi index were recorded before operation,1 day after operation,1 month after operation and3 months after operation Bone mineral density(BMD)was recorded before operation,1month after operation and 3 months after operation,and vertebral fracture was recorded 1month after operation and 3 months after operation All data were analyzed using SPSS21.0statistical software.Results:1.There was no significant difference between the two groups in general data(age,sex and distribution of vertebral body),preoperative VAS score,Odi dysfunction index,vertebral height loss ratio and bone mineral density(P>0.05),comparable.2.VAS scores:There was no significant difference between the two groups on the first day after Operation(P>0.05).However,the VAS scores of the test group were significantly higher than that of the Control Group 1 month and 3 months after Operation(P<0.05).3.Vertebral height loss ratio:There was no significant difference in vertebral height loss between the two groups 1 day after Operation(P>0.05).There was no significant difference in vertebral height loss between the two groups 1 month after Operation(P>0.05)and between the two groups 3 months after Operation(P<0.05).4.ODI dysfunction index:There was no significant difference between the two groups on the first day after operation(P>0.05).There was significant difference between two groups in ODI Dysfunction Index 1 month and 3 months after Operation(P<0.05).5.Bone mineral density :There was no significant difference in BMD between the two groups at 1 month after Operation(P>0.05),and the BMD of the two groups at 3 months after operation was significantly higher in the experimental group than in the Control Group(P<0.05).6.Evaluation of curative effect:After 3 months of operation,the clinical efficacy of the two groups was compared,and the difference was statistically significant(P<0.05).7.Rate of recurrence of vertebral fracture:There was no significant difference between the two groups at 1 month and 3 months postoperatively(P<0.05).Conclusions:The treatment of osteoporotic thoracolumbar vertebral compression fractures with modified Bushenzhuanggu decoction combined with PVP can effectively relieve postoperative residual pain,reduce bone loss,prevent the further collapse of vertebral bodyheight,and improve the quality of life of patients after operation,its curative effect is worthy to affirm,is worth the clinical promotion application.