[1]张泽龙,穆晓红,徐祯谦,等.补肾活血汤联合ERAS床旁早期康复对老年OVCF患者PVP术后疗效观察[J].陕西中医,2026,(2):207-212.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.011]
　ZHANG Zelong,MU Xiaohong,XU Zhenqian,et al.Observation on therapeutic effect of Bushen Huoxue decoction combined with eras bedside early rehabilitation after pvp in elderly patients with OVCF[J].,2026,(2):207-212.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.011]
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补肾活血汤联合ERAS床旁早期康复对老年OVCF患者PVP术后疗效观察

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年2期
页码:
207-212
栏目:
临床研究
出版日期:
2026-02-05

文章信息/Info

Title:
Observation on therapeutic effect of Bushen Huoxue decoction combined with eras bedside early rehabilitation after pvp in elderly patients with OVCF
作者:
张泽龙1; 穆晓红1; 徐祯谦1; 冯伟2
（1.北京中医药大学东直门医院，北京100700；2.空军军医大学空军特色医学中心，北京 100142）
Author(s):
ZHANG Zelong1; MU Xiaohong1; XU Zhenqian1; FENG Wei2
（1.Dongzhimen Hospital,Beijing University of Chinese Medicine，Beijing 100700，China;2.Air Force Medical Center,Air Force Medical University,Beijing 100142，China）
关键词:
骨质疏松性椎体压缩骨折; 经皮椎体成形术; 补肾活血汤; 加速康复外科; 骨愈合质量; 功能恢复; 早期康复
Keywords:
Osteoporotic vertebral compression fracture; Percutaneous vertebroplasty; Bushen Huoxue decoction; Enhanced recovery after surgery; Bone healing quality; Functional recovery; Early rehabilitation
分类号:
R 592
DOI:
DOI:10.3969/j.issn.1000-7369.2026.02.011
文献标志码:
A
摘要:
目的：探究补肾活血汤联合加速康复外科（ERAS）床旁早期康复对老年骨质疏松性椎体压缩骨折（OVCF）患者经皮椎体成形术（PVP）后的临床疗效。方法：选取老年OVCF行PVP治疗患者，按随机数字表法分为观察组与对照组，各60例。两组均接受PVP手术及术后常规治疗，对照组予术后常规康复干预，观察组在对照组基础上联合补肾活血汤与ERAS床旁早期康复。对比两组骨愈合指标、功能恢复指标以及总有效率和不良反应发生率。结果：最终完成治疗的随访者共111例（观察组55例、对照组56例）。骨愈合方面，时间、组别及交互效应均有统计学意义（P＜0.001）。术后3个月观察组BMD（0.81±0.06）g/cm2、椎体高度恢复率（113.76±10.63）%均高于对照组（0.73±0.07）g/cm2、（107.34±9.56）%，差异有统计学意义（均P＜0.05）。两组骨水泥弥散及渗漏情况比较，差异无统计学意义（P＞0.05）。功能恢复方面，观察组术后3个月VAS评分（1.15±0.37）分、ODI指数（17.25±3.62）%低于对照组的（1.92±0.50）分、（27.76±4.28）%，ADL评分（86.25±9.18）分高于对照组的（78.72±8.65）分，差异有统计学意义（P＜0.05）。观察组总有效率96.36%，高于对照组的85.71%，差异有统计学意义（P=0.022）。两组不良反应发生率比较，差异无统计学意义（P=0.754）。结论：补肾活血汤联合ERAS床旁早期康复的中西医协同方案，可有效提升老年OVCF患者PVP术后骨愈合质量，改善功能恢复，且安全性较好。
Abstract:
Objective:To explore clinical efficacy of the combination of Bushen Huoxue decoction and early rehabilitation at the bedside based on enhanced recovery after surgery (ERAS) in elderly patients with osteoporotic vertebral compression fractures (OVCF) after percutaneous vertebroplasty (PVP).Methods:Elderly patients with OVCF who underwent PVP were randomly divided into observation group and control group,with 60 cases in each group.Both groups received PVP surgery and postoperative routine treatment.The control group were given routine postoperative rehabilitation intervention,while the observation group were given Bushen Huoxue decoction and ERAS bedside early rehabilitation on the basis of the control group.Bone healing indicators,functional recovery indicators,total effective rate and adverse reaction rate were compared between the two groups.Results:A total of 111 patients completed the treatment and follow-up (55 in the observation group and 56 in the control group).In terms of bone healing,time,group and interaction effects were all statistically significant (P＜0.001).At 3 months after surgery,the BMD (0.81±0.06) g/cm2 and vertebral height recovery rate (113.76±10.63)% in the observation group were higher than those in the control group (0.73±0.07) g/cm2 and (107.34±9.56)%,respectively differences statistically significant (all P＜0.05).There was no statistically significant difference in bone cement dispersion and leakage between the two groups (P＞0.05).In terms of functional recovery,the VAS score (1.15±0.37) and ODI index (17.25±3.62)% in the observation group at 3 months after surgery were lower than those in the control group (1.92±0.50) and (27.76±4.28)%,respectively,and the ADL score (86.25±9.18) was higher than that in the control group (78.72±8.65),differences statistically significant (P＜0.05).The total effective rate in the observation group was 96.36%,which was higher than 85.71% in the control group,and difference was statistically significant (P=0.022).There was no statistically significant difference in the incidence of adverse reactions between the two groups (P=0.754).Conclusion:The combination of Bushen Huoxue decoction and ERAS bedside early rehabilitation,a collaborative approach of traditional Chinese and Western medicine,can effectively improve the quality of bone healing and functional recovery in elderly patients with OVCF after PVP,and has good safety.

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备注/Memo

备注/Memo:
北京市自然科学基金海淀原始创新联合基金资助项目（L232060）
更新日期/Last Update: 2026-02-09