骨碎补总黄酮联合全身振动对绝经后骨质疏松性椎体压缩性骨折术后的影响
Effect of flavonoids drynaria fortunei combined with whole body vibration on osteoporotic vertebral compression fractures
  
DOI:10.3969/j.issn.1006.7108.2017.09.018
中文关键词:  骨碎补总黄酮  全身振动  骨质疏松性椎体压缩性骨折  临床疗效  经皮椎体成形术
英文关键词:Flavonoids drynaria fortunei  Whole body vibration  Osteoporotic vertebral compression fractures  Clinical efficacy  Bone metabolism
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作者单位
谢占成* 青海省海西州人民医院骨科,青海 海西州 817000 
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中文摘要:
      目的 评价骨碎补总黄酮联合全身振动(whole-body vibration, WBV)对绝经后骨质疏松性椎体压缩性骨折PVP术后的影响。方法 129例的绝经后骨质疏松性椎体压缩性骨折纳入本研究,随机分为骨碎补总黄酮组、全身振动组及联合治疗组,所有患者均接受经皮椎体成形术(PVP)治疗;骨碎补总黄酮组术后给予骨碎补总黄酮治疗,全身振动组术后给予全身振动治疗;联合治疗组术后给予骨碎补总黄酮联合全身振动治疗,治疗为期6个月。对3组患者治疗前后的疼痛 VAS 评分、腰椎及髋部骨密度、血清总碱性磷酸酶 (alkaline phosphatase,ALP)、血清Ⅰ型胶原羧基端肽交联(carboxy-telopeptide of type I collagen,β-CTX) 及血钙(Ca)、磷(P)变化情况进行对比,同时对患者服药后的不良反应发生率进行比较。结果 治疗6个月后3组患者VAS评分均较治疗前有明显改善(P<0.05),且联合治疗组患者评分明显低于骨碎补总黄酮组及全身振动组(P<0.05)。治疗6个月后,3组患者骨密度较治疗前显著改善(P<0.05),血清Ca、P、ALP和β-CTX较治疗前有显著改变(P<0.05),且联合治疗组均明显优于骨碎补总黄酮组及全身振动组(P<0.05)。3组药品不良反应发生率比较,差异无统计学意义(P>0.05)。结论 骨碎补总黄酮联合全身振动降低绝经后骨质疏松椎体压缩性骨折PVP术后VAS评分,且能改善髋部腰椎骨密度,安全性较高,值得在临床中推广应用。
英文摘要:
      Objective To evaluate the therapeutic effect of flavonoids drynaria fortunei combined with whole body vibration (WBV) on osteoporotic vertebral compression fractures. Methods 129 osteoporotic vertebral compression fractures were included in this study. They were randomly assigned to flavonoids drynaria fortunei group, systemic vibration therapy group, and combination therapy group. All the patients received PVP treatment. In addition, patients in each group received flavonoids drynaria fortune, systemic vibration therapy, and flavonoids drynaria fortunei combined with systemic vibration therapy, respectively, for 6 months. The pain VAS score, bone mineral density (BMD) of the lumbar and hip, serum alkaline phosphatase (ALP), carboxy-telopeptide of type I collagen (β-CTX), calcium (Ca), and phosphorus (P) were compared. The incidence of adverse reactions after medication were compared. Results The VAS scores of patients in 3 groups relieved after 6-month treatment (P<0.05), and the scores of patients in combination therapy group was much lower than those in flavonoids drynaria fortunei and systemic vibration therapy groups (P<0.05). After 6 months of the treatment, BMD in 3 groups significantly improved (P<0.05). The serum ALP, β-CTX, P, and Ca changed significantly after the treatment (P<0.05), and all indexes in combination group were better than those in flavonoids drynaria fortunei group and systemic vibration therapy groups (P<0.05). There was no statistical difference in the incidence of adverse drug reaction among 3 groups (P>0.05). Conclusion The combination of flavonoids drynaria fortunei and whole body vibration in the treatment of osteoporotic vertebral compression fractures is effective and safe, and suitable for wider clinical application.
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