Floating needle combined with decoction for tonifying kidney and activating blood on residual pain after vertebroplasty for osteoporotic vertebral compression fracture with syndrome of kidney deficiency and blood stasis
Objective It is to explore the efficacy and mechanism of floating needle combined with decoction for tonify-ing kidney and activating blood(DTKAB)on residual pain after vertebroplasty for osteoporotic vertebral compression frac-ture(OVCF)with syndrome of kidney deficiency and blood stasis.Methods Sixty patients with residual pain after verte-broplasty for OVCF with syndrome of kidney deficiency and blood stasis treated in Guiyang Fourth People's Hospital from August 2022 to June 2023 were divided into the group of floating needle+DTKAB,group of normal acupuncture+DTKAB and group of symptomatic analgesia according to a randomized numerical table method,with 20 cases in each group.The three groups were treated with conventional anti-osteoporosis therapy for 6 months,the group of floating needle+DTKAB was treated with floating needle for 2 weeks and with DTKAB by oral administration for 6 months,the group of normal acu-puncture+DTKAB was treated with normal acupuncture for 2 weeks and with DTKAB by oral administration for 6 months,the group of symptomatic analgesia was treated with symptomatic analgesic medicine.The pain VAS scores,Oswestry dys-function index(ODI)scores,number of pressure points one day before treatment and after one week,2 weeks,one month,3 months and 6 months of treatment,and inflammation indexes[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)]one day before treatment and after one week,2 weeks of treatment,and bone mineral density one day before treatment and after 3 and 6 months of treatment were compared among the three groups,and the overall efficacy of the three groups after 6 months of treatment was assessed.Results Compared with those one day before treatment,the VAS scores,ODI scores,number of pressure points and serum levels of TNF-α and IL-6 were significantly reduced at all time points after treatment in the three groups(all P<0.05),while the bone densities after 6 months of treatment were significantly increased in the three groups(all P<0.05).Compared with the group of normal acupuncture+DTKAB and group of symptomatic analgesi-a,the VAS scores,ODI scores,number of pressure pain points and serum levels of TNF-α and IL-6 at all time points after treatment were significantly lower,while the bone mineral density after 6 months of treatment were significantly higher in the group of floating needle+DTKAB(all P<0.05).The total effective rate of group of floating needle+DTKAB was95%(19/20),which was higher than that 85%(17/20)of group of normal acupuncture+DTKAB and that 65%(13/20)of group of symptomatic analgesia,and the differences were statistically significant(both P<0.05).Conclusion Floating needle combined with oral administration of decoction for tonifying kidney and activating blood can effectively alleviate the residual pain,reduce the inflammatory reaction,increase bone density,and improve the functional activity of lumbar spine after vertebroplasty for osteoporotic vertebral compression fracture with syndrome of kidney deficiency and blood stasis,.
osteoporotic vertebral compression fracturepostoperative residual painfloating needledecoction for tonifying kidney and activating blood
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