| 摘要: |
| ［摘要］ 目的 评价五方散外敷结合中药内服及功能锻炼等治疗无神经损伤胸腰椎骨折的疗效。方法 根据统一纳入及排除标准对2008-09～2010-08收治的225例无神经损伤胸腰椎骨折患者采用不同中医药疗法的治疗效果进行回顾性分析。治疗分为五方散外敷配合中药内服及功能锻炼组（简称外敷组）、腰背部药熨法配合中药内服及功能锻炼组（简称药熨组）和五方散外敷结合腰背部药熨法和中药内服及功能锻炼组（简称综合组），分别评价三种不同中医药疗法治疗无神经损伤胸腰椎骨折的疗效。结果 治疗后3 d与7 d外敷组与综合组组间腰背部肿胀及腹胀减轻程度比较差异有统计学意义（P<0.05或P<0.01），但治疗后10 d组间比较差异无统计学意义（P>0.05）；药熨组与综合组治疗后各时段组间比较差异均有统计学意义（P<0.05或P<0.01）；外敷组与药熨组组间比较差异无统计学意义（P>0.05）。三组治疗有效率均达90%以上，外敷组与药熨组组间疗效比较差异无统计学意义（P>0.05），综合组与外敷组及药熨组组间疗效比较差异有统计学意义（P<0.05或P<0.01）。各组均有患者出现皮肤过敏症状，外敷组出现率最高，药熨组较低，而综合组最低，但组间比较差异无统计学意义（P>0.05）。结论 五方散外敷结合中药内服、腰背部中药熨烫及功能锻炼治疗无神经损伤胸腰椎骨折的疗效较好，但存在一定的并发症。 |
| 关键词: 五方散 胸腰椎骨折 中医药治疗 外治法 临床疗效 |
| DOI：10.3969/j.issn.1674-3806.2012.08.07 |
| 分类号:R 68 |
| 基金项目:广西中医药管理局中医药民族医药标准化研究课题(编号：GZBZ0901) |
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| Effect of wufangsan plaster therapy combined with herbal oral administration, TCM hot medicated compress and functional exercise in the treatment of thoracolumbar fracture without neurologic deficit |
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XU Jian-wen, YIN Li-jun, ZHONG Yuan-ming, et al.
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The Department of Orthopedics, the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China
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| Abstract: |
| ［Abstract］ Objective To evaluate the curative effect of wufangsan plaster therapy combined with herbal oral administration,TCM hot medicated compress of the back and functional exercise in the treatment of thoracolumbar fracture without neurologic deficit.Methods Two hundred and twenty-five patients with thoracolumbar fracture without neurologic deficit treated in our hospital from September 2008 to August 2010 were divided into three groups according to different treatments, including plaster therapy group(47 cases), TCM(Traditional Chinese Medicine) hot medicated compress group (43 cases), and combined therapy group (135 cases),then the curative effectiveness was compared by the same evaluation criteria.Results About improvement of the back pain, there was significant difference between plaster therapy group and combined therapy group on 3rd and 7th day after treatment（P<0.05 or P<0.01）,but there was no significant difference on 10th day after treatment（P>0.05）; and there was significant difference between TCM Hot medicated compress group and combined therapy group at every time points(P<0.05 or P<0.01)but no significant difference between plaster therapy group and TCM hot medicated compress group（P>0.05）. The clinical effect was obvious difference between combined therapy group and plaster therapy group or TCM hot medicated compress group(P<0.05 or P<0.01). Some patients in 3 groups suffered from skin allergies but there was no significant difference between combined modality therapy group and plaster therapy group or TCM hot medicated compress group（P>0.05）.Conclusion As for thoracolumbar fracture without neurologic, the curative effect of traditional Chinese combined therapy is better than that of plaster therapy or TCM hot medicated compress therapy, but some patients may suffer from skin allergies. |
| Key words: Wufangsan Thoracolumbar fracture Traditional Chinese Medicine therapy External therapy Clinical effect |
