| 李郭茜,欧阳文湘,尹萍,蒋波,朱志春,张紫铭,李玉兰,张件云.骨松丸联合体外冲击波对骨质疏松性椎体骨折术后的康复疗效[J].中国康复,2026,41(3):164-167 |
| 骨松丸联合体外冲击波对骨质疏松性椎体骨折术后的康复疗效 |
| Therapeutic efficacy of Gusong pills combined with extracorporeal shock wave in postoperative rehabilitation of osteoporotic vertebral fractures |
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| DOI：10.3870/zgkf.2026.03.007 |
| 中文关键词: 骨松丸 体外冲击波 骨质疏松性椎体骨折 腰背痛 |
| 英文关键词: Gusong pills extracorporeal shock wave osteoporotic vertebral compression fractures low back pain |
| 基金项目:湖南省中医药科研计划项目（B2024112） |
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| 中文摘要: |
| 目的：探讨骨松丸联合体外冲击波对骨质疏松性椎体骨折术后患者的康复治疗价值及安全性。方法：将92例接受骨质疏松性椎体骨折手术的患者随机分为3组：骨松丸组（31例）、冲击波组（29例）和联合组（32例）。骨松丸组采用常规治疗+院内制剂骨松丸治疗，冲击波组采用常规治疗+放射式冲击波治疗，联合组采用常规治疗+院内制剂骨松丸+体外冲击波治疗。3组患者均治疗8周，比较3组患者治疗前后的有效率、视觉模拟评分（VAS）、Oswestry功能障碍评分（ODI）和骨密度值变化，比较治疗后3组临床有效率。结果：治疗8周后，３组VAS评分、ODI评分均较治疗前显著降低（均P<0.01），骨密度值均较治疗前明显上升（均P<0.05）。联合组VAS评分、ODI评分低于骨松丸组和冲击波组（P<0.05），骨密度值高于骨松丸组和冲击波组（P<0.05）。治疗后，联合组总有效率优于骨松丸组和冲击波组（P<0.05）。骨松丸组和冲击波组组间各项评分比较差异无统计学意义。治疗期间，3组患者不良反应发生率，组间比较差异均无统计学意义。结论：骨松丸与体外冲击波联合治疗可以有效改善骨质疏松性椎体骨折术后患者的疼痛、功能障碍，增加骨密度，且安全性良好。 |
| 英文摘要: |
| Objective: To investigate the therapeutic value and safety of Gusong pills combined with extracorporeal shock wave therapy for rehabilitation in postoperative patients with osteoporotic vertebral fractures. Methods: Totally, 92 postoperative patients with osteoporotic vertebral fractures were randomly assigned to control croup 1 (n=31), control group 2 (n=29), and the combination group (n=32). The control group 1 received conventional treatment plus the hospital preparation Gusong pill. The control group 2 received conventional treatment plus radial extracorporeal shock wave therapy. The combination group received conventional treatment, Gusong pill, and extracorporeal shock wave therapy. All three groups were treated for 8 weeks. The response rate, Visual Analog Scale (VAS) score, Oswestry Disability Index (ODI) score, and bone mineral density (BMD) values were compared before and after treatment among the groups. Results: After 8 weeks of treatment, the response rate in the combination group was superior to that in both control group 1 and control group 2, and the difference was statistically significant (P<0.05). After treatment, VAS and ODI scores significantly decreased in all three groups compared to pre-treatment levels (all P<0.01), while BMD values increased (all P<0.05). The combination group demonstrated significantly lower VAS and ODI scores and higher BMD values than the control group 1 and control group 2 (P<0.05 for all comparisons). There were no statistically significant differences in the incidence of adverse reactions among the three groups during the treatment period. Conclusion: The combination of Gusong pills and extracorporeal shock wave therapy effectively alleviates pain, improves functional disability and TCM-related symptoms, and increases BMD in postoperative patients with osteoporotic vertebral fractures, with a high safety profile. |
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