首页|针刀治疗经皮椎体后凸成形术术后早期残留腰背痛的临床疗效观察

针刀治疗经皮椎体后凸成形术术后早期残留腰背痛的临床疗效观察

扫码查看
目的 探究针刀疗法对于骨质疏松性椎体压缩性骨折(OVCF)经皮椎体后凸成形术(PKP)后早期残留腰背痛的疗效。方法 纳入 2021 年 7 月—2023 年 1 月因OVCF于浙江中医药大学附属第二医院住院行PKP术后残留腰背痛的患者 65 例,按照治疗意愿分为对照组和针刀组,其中对照组 30 例,针刀组 35 例。对照组在术后给予塞来昔布胶囊口服,针刀组在对照组的基础上选取背部阳性压痛点部位加用针刀治疗。比较两组治疗前、治疗 1 周后和 2 周后的视觉模拟评分法(VAS)评分、日本骨科协会(JOA)评分及健康状况调查简表(SF-36)评分。结果 治疗 1 周后和 2 周后,两组VAS评分、JOA评分及SF-36 评分均较治疗前改善(P<0。05),且针刀组的 VAS 评分均低于对照组(P<0。01),腰椎JOA评分及各项SF-36 评分均高于对照组(P<0。01)。结论 针刀治疗能明显缓解PKP术后早期残留腰背痛的症状,具有良好的临床疗效,大大提高了患者术后满意度,是一种良好的临床治疗方法。
Clinical Efficacy of Acupotomy Therapy for Early Lumbago and Backache after Percutaneous Kyphoplasty
Objective To investigate the therapeutic effect of acupotomy therapy on early lumbago and backache after percutaneous kyphoplasty(PKP)for osteoporotic vertebral compression fractures(OVCF).Methods A total of 65 patients who underwent PKP for OVCF at the Second Affiliated Hospital of Zhejiang Chinese Medicine University from July 2021 to January 2023 were included in the study.The patients were divided into a control group and an acupotomy group according to their treatment decisions,with 30 cases in the control group and 35 cases in the acupotomy group.The control group took Celecoxib Capsules orally after surgery,while the acupotomy group received acupotomy therapy at the positive tenderness points on the back on the basis of the control group.The visual Analogue Scale(VAS)score,Japanese Orthopaedic Association(JOA)scores,and 36-Item Short-Form(SF-36)scores of the two groups were compared before treatment,one week after treatment,and two weeks after treatment.Results The VAS,JOA,and SF-36 scores of both groups were significantly improved at one week and two weeks after treatment(P<0.05).The VAS score of the acupotomy group was lower than that of the control group(P<0.01),and the JOA and SF-36 scores of the acupotomy group were significantly higher than those of the control group(P<0.01).Conclusion Acupotomy therapy can significantly alleviate the symptoms of early lumbago and backache after PKP and has good clinical efficacy.It greatly improves patients'satisfaction after surgery and is a good clinical treatment method.

acupotomypercutaneous kyphoplastylumbago and backache after surgeryosteoporotic vertebral compression fractures

苏文硕、樊光亚、吴连国、董黎强、安忠诚

展开 >

浙江中医药大学第二临床医学院(浙江 杭州 310053)

浙江中医药大学附属第二医院骨伤二科(浙江 杭州 310005)

针刀疗法 椎体后凸成形术 残余腰背痛 骨质疏松性椎体压缩性骨折

浙江省中医药科技计划中医药科学研究基金(B类)

2022ZB151

2024

基层中医药
中国中医科学院中医研究所

基层中医药

ISSN:2097-1222
年,卷(期):2024.3(5)
  • 24