督脉隔药饼灸治疗肾虚血瘀型骨质疏松性腰椎压缩性骨折经皮球囊扩张椎体后凸成形术术后残余痛临床研究
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Clinical Study on Moxibustion with Herbal Cake on Governor Vessel for Residual Pain After Percutaneous Kyphoplasty in Patients with Osteoporotic Vertebral Compression Fractures of Kidney-Deficiency and Blood-Stasis Type
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    摘要:

    目的:观察督脉隔药饼灸对肾虚血瘀型骨质疏松性腰椎压缩性骨折患者经皮球囊扩张椎体后凸成形术(PKP) 术后残余痛缓解及腰椎功能的改善情况。方法:选取肾虚血瘀型骨质疏松性腰椎压缩性骨折PKP 术后存在残余痛患者64 例,按随机数字表法分为对照组和观察组各32 例。对照组给予常规西医治疗,观察组在对照组基础上给予督脉隔药饼灸治疗。比较2 组治疗前、治疗2 周、治疗4 周后的疼痛评分、腰椎功能评分、中医证候积分,检测治疗前和治疗4 周后骨代谢指标。结果:治疗前,2 组视觉模拟评分法(VAS) 评分、Oswestry 功能障碍指数(ODI)、中医证候积分比较,差异均无统计学意义(P>0.05)。治疗2 周、4 周后,2 组VAS 评分、ODI、中医证候积分较治疗前降低(P<0.05),且观察组各项评分均低于同时间点对照组,差异均有统计学意义(P<0.05)。治疗前,2 组骨碱性磷酸酶(BALP)、抗酒石酸酸性磷酸酶-5b(TRACP-5b) 水平比较,差异无统计学意义(P>0.05)。治疗4 周后,2 组BALP 水平较治疗前升高,TRACP-5b 水平较治疗前降低;且观察组BALP水平高于对照组,TRACP-5b 水平低于对照组;差异均有统计学意义(P<0.05)。结论:督脉隔药饼灸能有效改善肾虚血瘀型骨质疏松性腰椎压缩性骨折PKP 术后残余痛患者的症状及骨代谢指标,缓解疼痛。

    Abstract:

    Abstract:Objective:To observe the improvement effect of moxibustion with herbal cake on governor vessel on relief of residual pain after percutaneous kyphoplasty(PKP) and the lumbar vertebra function of patients with osteoporotic vertebral compression fractures of kidney-deficiency and blood-stasis type. Methods:A total of 64 cases of patients with osteoporotic vertebral compression fractures of kidney- deficiency and blood- stasis type concomitant with residual pain after PKP were selected, and divided into the control group and the observation group according to the random number table method , 32 cases in each group. The control group was given routine western medicine treatment,and the observation group was additionally given moxibustion with herbal cake on governor vessel based on the treatment of the control group. Before treatment as well as after two-week and four-week treatment,scores of pain and the lumbar vertebra function as well as Chinese medicine syndrome scores were compared between the two groups. Before treatment and after four- week treatment, indexes of bone metabolism were detected. Results: Before treatment, when compared scores of Visual Analogue Scale(VAS), Oswestry Disability Index(ODI), and Chinese medicine syndrome scores between the two groups, there was no significance being found in differences(P>0.05). After two-week and four-week treatment,scores of VAS and ODI as well as Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05), and the scores in the observation group were lower than those in the control group at the same time point,differences being significant(P<0.05). Before treatment,when compared levels of bone alkaline phosphatase(BALP) and tartrate resistant acid phosphatase- 5b(TRACP- 5b) between the two groups,there was no significance being found in the difference(P<0.05). After four- week treatment, BALP levels in the two groups were increased when compared with those before treatment,and TRACP-5b levels were decreased;BALP level in the observation group was higher than that in the control group,and TRACP-5b level was lower;differences were significant(P<0.05). Results:Moxibustion with herbal cake on governor vessel can effectively improve symptoms and indexes of bone metabolism of patients with osteoporotic vertebral compression fractures with residual pain after PKP of kidney-deficiency and blood-stasis type,and relieve their pain.

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潘磊,倪力刚,胡劲涛,许超.督脉隔药饼灸治疗肾虚血瘀型骨质疏松性腰椎压缩性骨折经皮球囊扩张椎体后凸成形术术后残余痛临床研究[J].新中医,2021,53(6):105-108

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  • 在线发布日期: 2021-03-25
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