中药熏蒸治疗骨质疏松性椎体压缩性骨折经皮椎体后凸成形术后疼痛临床研究
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R683.2

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浙江省中医药科技计划项目(2020ZQ024);浙江省基础公益研究计划项目(LBY22H270005)


Clinical Study on Chinese Medicine Fumigation for Pain After Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fracture
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    摘要:

    目的:观察中药熏蒸疗法缓解骨质疏松性椎体压缩性骨折(OVCF) 患者经皮椎体后凸成形 术(PKP) 术后疼痛的效果。方法:将纳入的88 例OVCF PKP 术后疼痛患者随机分为对照组和熏蒸组,2 组 患者均予唑来膦酸钠注射液静脉滴注,对照组口服塞来昔布胶囊,熏蒸组予伤骨科Ⅱ号方熏蒸治疗,2 组均治 疗1~2 周。出院后规律口服碳酸钙D3 片与阿法骨化醇软胶囊。比较2 组手术前后的疼痛视觉模拟评分 法(VAS) 评分及术后的简易功能评分。结果:2 组术后1 d、术后1 周、术后1 个月、术后2 个月的疼痛 VAS 评分均低于术前,差异均有统计学意义(P<0.01)。熏蒸组术后1 周、术后1 个月的疼痛VAS 评分均低 于对照组,差异均有统计学意义(P<0.01)。熏蒸组术后1 周、术后1 个月、术后2 个月的简易功能评分均低 于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论:在常规疗法基础上采用伤骨科Ⅱ号方熏蒸治 疗,可有效缓解OVCF 患者PVP 术后早期的局部疼痛,提高活动能力。

    Abstract:

    Abstract:Objective:To observe the effect of Chinese medicine fumigation in relieving pain in patients after percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fracture(OVCF). Methods: A total of 88 cases of patients with pain after PKP for OVCF were randomly divided into the control group and the fumigation group. Both groups were treated with intravenous drip with Zoledronic Acid Sodium Injection after PKP;the control group was given the oral administration of Celecoxib Capsules,and the fumigation group was treated with fumigation with the prescription Ⅱof Orthopedics Department. Both groups were treated for one to two weeks. After discharge,both groups regularly took Calcium Carbonate and Vitamin D3 Tablets and Alfacalcidol Soft Capsules. The Visual Analogue Scale(VAS) scores of pain before and after the surgery and the simple functional scores after the surgery were compared between the two groups. Results:The VAS scores of pain at one day,one week,one month,and two months after the surgery respectively in both groups were lower than those before the surgery, differences being significant(P< 0.01). The VAS scores of pain in the fumigation group were lower than those in the control group at one week and one month after the surgery,differences being significant(P<0.01). The simple function scores in the fumigation group at one week,one month and two months after the surgery were lower than those in the control group, differences being significant(P<0.05, P<0.01). Conclusion: Fumigation with the prescriptionⅡof Orthopedics Department based on routine therapy can effectively relieve the early local pain of OVCF patients after PVP,and improve their activity ability.

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唐彬彬,沈瑞玉,胡圣佳,袁一峰,刘康,史晓林.中药熏蒸治疗骨质疏松性椎体压缩性骨折经皮椎体后凸成形术后疼痛临床研究[J].新中医,2022,54(24):87-91

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  • 在线发布日期: 2023-01-01
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