摘要
目的观察夹脊电针后结合夹脊穴注射盐酸青藤碱注射液治疗老年椎体压缩性骨折下腰痛的临床疗效。方法将95例患者按入院先后随机分为夹脊电针组(夹脊电针+静滴降钙素)48例和观察组(夹脊穴注射盐酸青藤碱注射液+夹脊电针+静滴依降钙素)47例。采用酶联免疫吸附(ELISA)法检测外周血骨保护素(OPG)和白介素-1β(IL-1β)的含量,采用改良Oswestry功能障碍指数(ODI)和视觉模拟量表(VAS)分析两组临床疗效。结果治疗后,观察组IL-1β较夹脊电针组降低(P<0.05),OPG较夹脊电针组升高(P<0.05);两组治疗后ODI、VAS评分较治疗前降低(P<0.05),观察组改善情况优于夹脊电针组(P<0.05);观察组有效率高于夹脊电针组(P<0.05)。结论夹脊电针后结合夹脊穴注射盐酸青藤碱注射液治疗老年椎体压缩性骨折下腰痛的临床疗效果显著,优于单纯夹脊电针。
Objective： To observe the clinical effect of Jiaji acupoint injection combined with Jiaji electro acupuncture on low back pain in elderly patients with vertebral compression fractures. Methods： 95 cases were randomly divided into Jiaji electroacupuncture group （electroacupuncture Jiaji＋intravenous calcitonin,48 cases） and the observation group （Jiaji point injeetion of sinomenine injection＋Jiaji acupuncture＋static drop Ca,47 cases）. ELISA was used to detect OPG and IL-1β. ODI and VAS were used to analyse the clinical efficacy of the two groups. Results： After treatment,IL-1β in the observation group dropped compared with Jiaji electroacupuncture group （P〈 0.05）. OPG in the observation group rose compared with Jiaji eleetroacupuneture group （P〈 0.05）. ODI and VAS were decreased compared with before treatment （P〈 0.05） and the improvement of the observation group was better than that of Jiaji electroacupuncture group （P〈 0.05）. The effective rate of the observation group was higher than that of Jiaji electroaeupuncture group （P〈 0.05 ）. Conclusion： The curative effect of Jiaji aeupoint injection combined with Jiaji electro acupuncture on low back pain in elderly patients with vertebral compression fractures is significantly better than that of simple Jiaji acupuncture.
出处
《中国中医急症》
2018年第1期51-53,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
湖北省卫生厅中医药中西医结合科研项目(2013Z-B13)
关键词
老年椎体压缩性骨折下腰痛
夹脊电针
夹脊穴
盐酸青藤碱注射液
Low back pain in elderly patients with vertebral compression fractures
Jiaji electro acupuncture
Jiaji points
Sinomenine injection
