摘要
目的探讨经皮椎体后凸成形术(PKP)术后补骨汤加减联合针灸治疗骨质疏松性椎体压缩性骨折(OVCF)效果,并分析其安全性。方法选取2017年6月—2019年1月我院收治的82例OVCF患者为研究对象,按PKP术后治疗方式分为对照组及观察组,每组41例。对照组术后给予常规治疗联合补骨汤加减,观察组在对照组基础上联合针灸治疗,2组均治疗6个月。比较2组治疗总有效率及术前、术后6个月骨密度、伤椎前缘丢失高度、Cobb角。比较2组术前、术后1、3、6个月视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分,比较2组治疗期间不良反应发生情况。结果观察组治疗总有效率高于对照组(P<0.05)。2组全髋、Wards三角、股骨颈、L 2~4的骨密度显著高于治疗前,且观察组高于对照组(P<0.05)。2组伤椎前缘丢失高度、Cobb角显著低于治疗前,且观察组低于对照组(P<0.05)。术后1~6个月,观察组VAS评分及ODI评分显著低于治疗前,且观察组低于对照组(P<0.05)。2组患者治疗期间均无明显不良反应。结论PKP术后补骨汤加减联合针灸治疗OVCF可提高总有效率,提升骨密度,缩小Cobb角,减少伤椎前缘丢失,有效缓解疼痛,改善腰背部功能,安全性高。
Objective To explore curative effect of modified Bugu decoction combined with acupuncture on osteoporotic vertebral compression fracture(OVCF)after percutaneous kyphoplasty(PKP),and to analyze its safety.Methods From June 2017 to January 2019,82 OVCF patients admitted to our hospital were selected as the research subjects.According to the post-PKP treatment,they were divided into control group and observation group,with 41 cases in each group.The control group was given conventional treatment and Bugu decoction,while the observation group was treated with acupuncture and moxibustion on the basis of the control group.Both groups were treated for 6 months.The total effective rate,bone mineral density(BMD),reduction in height of anterior edge of injured vertebrae and Cobb angle were compared between the two groups.The visual pain score(VAS)and Oswestry dysfunction index(ODI)were compared before and at 1,3 and 6 months after operation,and the adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The BMD of the total hip,Wards triangle,femoral neck,and lumbar vertebrae 2-4 in the two groups was significantly higher than that before treatment,which was higher in the observation group than in the control group(P<0.05).The reduction in height of anterior edge of injured vertebrae and the Cobb angle in the two groups were significantly lower than those before treatment,which were lower in the observation group than in the control group(P<0.05).At 1-6 months after operation,VAS and ODI scores in both groups were significantly lower than those before treatment,and the scores in observation group were lower than those in control group(P<0.05).There were no significant adverse reactions in the two groups.Conclusion After PKP,modified Bugu decoction combined with acupuncture in the treatment of OVCF can improve total response rate of treatment,increase BMD,reduce Cobb angle and reduction in height of anterior edge of injured vertebrae,effectively relieve pain,and improve the function of lower back,with high safety.
作者
郑鑫磊
李信明
姚宇涵
ZHENG Xin-lei;LI Xin-ming;YAO Yu-han(Rehabilitation Department,Suining Central Hospital,Suining,Sichuan 629000,China)
出处
《解放军医药杂志》
CAS
2020年第8期100-103,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
2018年四川省卫生计生委科研立项项目(18PJ289)。
关键词
骨折
压缩性
骨质疏松性骨折
补骨汤加减
针灸
疼痛
针刺穴位
骨密度
Fractures
compression
Osteoporotic fractures
Modified BuGuTang
Acupuncture
Pain
Acupuncture points
Bone density
