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超微针刀联合海桐皮汤治疗经皮椎体后凸成形术术后残留腰背痛临床研究

Clinical Study on Superfine Acupotomy Combined with Haitongpi Decoction for Residual Low Back Pain After Percutaneous Kyphoplasty
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摘要 目的:观察超微针刀联合海桐皮汤治疗经皮椎体后凸成形术(PKP)术后残留腰背痛的临床疗效。方法:采用随机数字表法将112例骨质疏松性椎体压缩性骨折PKP术后残留腰背痛患者分为观察组与对照组各56例。对照组给予常规西药治疗,观察组在对照组基础上给予超微针刀联合海桐皮汤熏蒸治疗,2组连续治疗4周。比较2组治疗前后视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)、健康状况调查简表(SF-36)评分,并评估2组临床疗效及不良反应发生情况。结果:观察组总有效率为98.21%,高于对照组85.71%(P<0.05)。治疗后,2组VAS、ODI评分均较治疗前降低(P<0.05),SF-36评分升高(P<0.05),且观察组治疗后VAS、ODI评分低于对照组(P<0.05),SF-36评分高于对照组(P<0.05)。2组均无不良反应发生。结论:超微针刀联合海桐皮汤治疗PKP术后残留腰背痛疗效确切,能够减轻患者疼痛,改善腰椎活动功能,提高生活质量,安全性较高。 Objective:To observe the clinical effect of the therapy of superfine acupotomy combined with Haitongpi Decoction on residual low back pain after percutaneous kyphoplasty(PKP).Methods:A total of 112 patients with osteoporotic vertebral compression fracture and residual low back pain after PKP were divided into the observation group and the control group according to the random number table method,with 56 cases in each group.The control group was given the routine western medicine fore treatment,and the observation group was additionally treated with superfine acupotomy combined with fumigation with Haitongpi Decoction based on the treatment of the control group.The two groups were treated for 4 weeks.The scores of Visual Analogue Scale(VAS),Oswestry Disability Index(ODI) and Short Form Health Survey-36(SF-36) were compared before and after treatment between the two groups;the clinical effects and incidence of adverse reactions in the two groups were evaluated.Results:The total effective rate was98.21% in the observation group,higher than that of 85.71% in the control group(P<0.05).After treatment,the scores of VAS and ODI in the two groups were decreased when compared with those before treatment(P<0.05),and the SF-36 scores were increased(P<0.05);the scores of VAS and ODI in the observation group were lower than those in the control group(P<0.05),and the SF-36 score was higher than that in the control group(P<0.05).There was no adverse reaction in both groups.Conclusion:The therapy of superfine acupotomy combined with Haitongpi Decoction has a definite curative effect on residual low back pain after PKP,which can reduce the pain of patients,improve the motor function of the lumbar vertebra,and enhance the quality of life with good safety.
作者 陈文晓 范奕松 柳占元 CHEN Wenxiao;FAN Yisong;LIU Zhanyuan(Department of Orthopedics,Lishui Hospital of Chinese Medicine,Lishui Zhejiang 323000,China)
出处 《新中医》 CAS 2023年第19期176-180,共5页 New Chinese Medicine
关键词 残留腰背痛 经皮椎体后凸成形术 超微针刀 海桐皮汤 疼痛 腰椎功能 生活质量 Residual low back pain Percutaneous kyphoplasty:Superfine acupotomy:Haitongpi Decoction Pain Lumbar vertebral function Quality of life
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