骨质疏松性椎体压缩性骨折椎体成型术后辅以中医针灸治疗的效果观察OA
Observation on the Effect of Acupuncture and Moxibustion in the Treatment of Osteoporotic Vertebral Compression Fracture After Vertebroplasty
目的 观察椎体成型术后辅以中医针灸治疗骨质疏松性椎体压缩性骨折的临床效果.方法 选取2022年1月-2023年1月在我院治疗的72例骨质疏松性椎体压缩性骨折患者为研究对象,采用随机数字表法分为对照组和观察组,各36例.对照组单独行椎体成型术治疗,观察组在椎体成型术后辅以中医针灸治疗.比较两组治疗效果、疼痛评分(VAS)、Oswestry功能障碍指数、住院时间、骨折愈合指标(矢状位脊柱后凸Cobb角、矢状位伤椎前缘高度).结果 观察组治疗总有效率(94.44％)高于对照组(83.33％)(P＜0.05);观察组治疗后1周、1个月VAS评分均低于对照组(P＜0.05);两组Oswestry评分均低于治疗前,且观察组治疗1周、1个月后Oswestry评分低于对照组(P＜0.05);观察组住院时间短于对照组(P＜0.05);两组矢状位脊柱后凸Cobb角均小于治疗前,矢状位伤椎前缘高度均大于治疗前,且观察组矢状位脊柱后凸Cobb角小于对照组,矢状位伤椎前缘高度大于对照组(P＜0.05).结论 骨质疏松性椎体压缩性骨折在椎体成型术后辅以中医针灸治疗可提高临床效果,减轻患者疼痛,改善功能障碍,缩短住院时间,减小矢状位脊柱后凸Cobb角,增大矢状位伤椎前缘高度,具有较理想的辅助治疗效果.
Objective To observe the clinical effect of acupuncture and moxibustion in the treatment of osteoporotic vertebral compression fractures after vertebroplasty.Methods A total of 72 patients with osteoporotic vertebral compression fractures treated in our hospital from January 2022 to January 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 36 patients in each group.The control group was treated with vertebroplasty alone,and the observation group was treated with traditional Chinese medicine acupuncture and moxibustion after vertebroplasty.The treatment effect,pain score(VAS),Oswestry dysfunction index,hospitalization time,fracture healing index(sagittal kyphosis Cobb angle,sagittal anterior vertebral height)were compared between the two groups.Results The total effective rate of treatment in the observation group(94.44％)was higher than that in the control group(83.33％)(P＜0.05).The VAS score of the observation group was lower than that of the control group after 1 week and 1 month of treatment(P＜0.05).The Oswestry score of the two groups was lower than that before treatment,and the Oswestry score of the observation group was lower than that of the control group after 1 week and 1 month of treatment(P＜0.05).The hospitalization time of the observation group was shorter than that of the control group(P＜0.05).The Cobb angle of sagittal kyphosis in both groups was smaller than that before treatment,and the height of anterior edge of sagittal injured vertebra was larger than that before treatment,while the Cobb angle of sagittal kyphosis in the observation group was smaller than that in the control group,and the height of anterior edge of sagittal injured vertebra was larger than that in the control group(P＜0.05).Conclusion Acupuncture and moxibustion after vertebroplasty can improve the clinical effect of osteoporotic vertebral compression fractures,reduce pain,improve dysfunction,shorten hospitalization time,reduce sagittal kyphosis Cobb angle,and increase sagittal vertebral anterior height.It has an ideal adjuvant therapeutic effect.
兰义鑫;沙出日勒;钟丽丽;蔡伟华
上犹县中医院骨二科,江西 上犹 341200
临床医学
骨质疏松椎体压缩性骨折椎体成型术中医针灸
OsteoporosisVertebral compression fractureVertebroplastyTraditional Chinese medicine acupuncture and moxibustion
《医学信息》 2024 (016)
123-126 / 4
赣州市指导性科技计划项目(编号:GZ2023ZSF610)
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