首页|针刀联合补肾壮骨方治疗骨质疏松性椎体压缩骨折PKP术后腰部残余痛临床观察

针刀联合补肾壮骨方治疗骨质疏松性椎体压缩骨折PKP术后腰部残余痛临床观察

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目的 探讨针刀联合补肾壮骨方治疗骨质疏松性椎体压缩骨折经皮球囊扩张椎体成形术(percutaneous kyphoplasty,PKP)术后腰部残余痛的临床疗效.方法 选取 2018 年 1 月至 2021 年 12 月就诊于浙江中医药大学附属宁波中医院骨伤科的PKP术后残留腰部疼痛患者 77 例,随机分为对照组和观察组.对照组患者采用骨化三醇软胶囊和碳酸钙D3 片治疗,观察组患者采用针刀联合补肾壮骨方治疗,比较两组患者的疼痛程度、腰椎功能、生活自理能力.结果 经治疗后两组患者的疼痛程度、腰椎功能、生活自理能力较治疗前均改善.与对照组比较,观察组患者的视觉模拟评分法(visual analogue score,VAS)评分、Oswestry功能障碍指数(Oswestry disability index,ODI)下降更明显,差异有统计学意义(P<0.05);观察组患者的Barthel指数在早期(治疗后 3d、1 个月)上升更明显,差异有统计学意义(P<0.05);治疗后 3 个月,两组患者的Barthel指数比较,差异无统计学意义(P>0.05).结论 针刀联合补肾壮骨方治疗骨质疏松性椎体压缩骨折PKP术后腰部残余痛临床疗效满意,可明显减轻患者的疼痛、改善腰椎功能,缩短患者生活自理能力的恢复时间,提高患者的生活质量,有效促进患者的康复.
Clinical observation of acupotomology combined with Bushenzhuanggu prescription in the treatment of residual lumbar pain after PKP for osteoporotic vertebral compression fracture
Objective To investigate the clinical effect of acupotomology combined with Bushenzhuanggu prescription in the treatment of residual lumbar pain after percutaneous kyphoplasty(PKP)for osteoporotic vertebral compression fractures.Methods A total of 77 patients with PKP postoperative residual lumbar pain admitted to the Department of Orthopedics,Ningbo Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University from January 2018 to December 2021 were randomly divided into control group and observation group.Patients in control group were treated with calcitriol soft capsules and calcium carbonate D3 tablets,and patients in observation group were treated with acupotomy combined with Bushenzhuanggu prescription.The pain degree,lumbar function and self-care ability of the two groups were compared.Results After treatment,the pain level,lumbar function,and self-care abilityof the two groups of patients improved compared to before treatment.Compared with control group,the visual analogue score(VAS)score and Oswestry disability index(ODI)index of observation group decreased more significantly,and the difference was statistically significant(P<0.05);The Barthel index of observation group increased more significantly in the early stage(3 days and 1 month after treatment),with a statistically significant difference(P<0.05).However,there was no statistically significant difference in Barthel index between the two groups at 3 months after treatment(P>0.05).Conclusion Acupotomy combined with Bushenzhuanggu prescription has satisfactory clinical efficacy in the treatment of residual lumbar pain after PKP operation of osteoporotic vertebral compression fracture.It can significantly reduce pain,improve lumbar function,shorten the improvement time of patients'self-care ability,improve patients'quality of life,and effectively promote patients'rapid recovery.

AcupotomyBushenzhuanggu prescriptionOsteoporotic vertebral compression fracturePKPResidual back pain

张辽、傅科上、胡俊翔、林华杰、竺东杰

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浙江中医药大学附属宁波中医院骨伤科,浙江宁波 315000

中国人民解放军联勤保障部队第九〇六医院药剂科,浙江宁波 315000

针刀治疗 补肾壮骨方 骨质疏松性椎体压缩骨折 经皮球囊扩张椎体成形术 腰部残余痛

浙江省宁波市中医医学重点学科建设项目浙江省中医药重点专科建设项目(十三五)浙江省宁波市卫生健康青年技术骨干人才培养专项浙江省宁波市名中医药专家学术经验继承项目

2022-Z09[2019]1号[2020]95号甬卫办中医[2020]150号

2024

10.3969/j.issn.1673-9701.2024.09.005

中国现代医生
中国医学科学院

中国现代医生

影响因子：1.571
ISSN：1673-9701
年,卷(期)：2024.62(9)
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