摘要
目的:研究针刺结合经皮椎体成形术(PVP)对绝经后骨质疏松性椎体压缩性骨折的疗效及对骨密度的影响。方法:纳入研究患者63例随机分为治疗组和对照组。两组均接受PVP、术后口服维生素D、钙剂治疗,治疗组术后结合针刺治疗。在术前、术后48 h、术后6个月比较两组患者Oswestry功能障碍指数评分(ODI)及视觉模拟疼痛评分(VAS);术前、术后6个月检查骨密度。结果:接受治疗前两组患者ODI评分、VAS评分、骨密度对比无统计学意义(P> 0. 05)。术后48 h,ODI评分及VAS评分两组患者均较术前改善(P <0. 05),两组间对比无统计学意义(P> 0. 05);术后6个月,ODI评分及VAS评分与术前对比有改善(P <0. 05),且治疗组ODI评分、VAS评分优于对照组(P <0. 05);术后6个月,两组患者骨密度明显优于术前(P <0. 05),且两组间对比治疗组骨密度改善优于对照组(P <0. 05)。结论:针刺结合PVP治疗绝经后骨质疏松性椎体压缩性骨折疗效好,改善患者骨密度,安全性好。
Objective： To study the effect of acupuncture combined with percutaneous vertebroplasty（ PVP） on postmenopausal osteoporotic vertebral compression fractures and its effect on bone mineral density（ BMD）.Methods： 63 patients were randomly divided into the treatment group and the control group. The two groups were both treated with PVP and oral medications of vitamin D and calcium after PVP; on which basis,the treatment group was also treated with acupuncture. The scores of Oswestry dysfunction index（ ODI） and visual analogue pain scale（ VAS） were compared before PVP,48 h and 6 months after PVP. BMD was examined before and 6 months after the operation. Results： There were no statistical differences in ODI score,VAS score and BMD between the two groups before the treatment（ P〉0. 05）. 48 h after the operation,ODI score and VAS score were improved in the two groups（ P〈0. 05）,but there was no significant difference between the two groups（ P〉0. 05）. 6 months after the operation,ODI score and VAS score were improved compared to those before the operation in the two groups（ P〈0. 05）; in which the treatment group was superior to the control group（ P〈0. 05）. 6 months after the operation,BMD was significantly improved in the two groups compared to that before the operation（ P〈0. 05）; the improvement in the treatment group was more significant compared to that in the control group（ P〈0. 05）. Conclusion： Acupuncture combined with PVP is effective in treating postmenopausal osteoporotic vertebral compression fractures,which can improve BMD of the patients with its high safety.
作者
陈振声
张志峰
CHEN Zhensheng;ZHANG Zhifeng(Dongguan TCM Hospital Affiliated to Guangzhou University of Chinese Medicine,Dongguan 523000,China;Dalingshan Hospital,Dongguan 523800,China)
出处
《针灸临床杂志》
2018年第10期18-21,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
针刺疗法
经皮椎体成形术
骨质疏松
椎体骨折
Acupuncture therapy
Percutaneous vertebroplasty
Osteoporosis
Vertebral fracture
