浮针治疗经皮椎体成形术后残余痛32例临床观察
摘要
目的:观察浮针治疗经皮椎体成形术后残余痛的疗效。方法:将64例经皮椎体成形术后残余腰背痛患者随机分为2组,每组各32例。治疗组采用浮针治疗,对照组采用小针刀治疗。比较2组VAS评分、ODI指数及每个进针点止血棉签使用量。结果:2组VAS评分、ODI指数治疗前后组内比较,差异均有统计学意义(P <0. 05),治疗后组间比较,差异无统计学意义(P> 0. 05); 2组平均每个进针点止血棉签使用量比较,差异有统计学意义(P <0. 01)。结论:浮针与小针刀均能显著改善经皮椎体成形术后残余腰背痛症状,但椎体内因素引起的残余痛可能是这两种治疗方法共同的盲区,而浮针相对于小针刀治疗经皮椎体成形术后残余痛更具优势。
引文
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[2]Li YX,Guo DQ,Zhang SC,et al. Risk factor analysis for recollapse of cemented vertebrae after percutaneous vertebroplasty(PVP)or percutaneous kyphoplasty(PKP)[J]. International Orthopaedics,2018,42(1):1-9.
[3]Liliang PC,Lu K,Shen SH. Persistent back pain after percutaneous vertebroplasty[J]. Pain Medicine,2015,16(3):554.
[4]Yan Y,Xu R,Zou T. Is thoracolumbar fascia injury the cause of residual back pain after percutaneous vertebroplasty A prospective cohort study[J]. Osteoporosis international,2015,26(3):1119-1124.
[5]刘孝丰,吴艳华,王慧敏,等.针刀治疗椎体成形术后残留腰背痛34例[J].安徽中医药大学学报,2017,36(1):42-45.
[6]邓晓强,郭俊彪,王慧敏.小针刀疗法在预防经皮椎体成形术后残余痛中的应用[J].新中医,2017,49(10):88-90.
[7]Yimin Y,Zhiwei R,Wei M,et al. Current status of percutaneous vertebroplasty and percutaneous kyphoplasty-a review[J]. Medical Science Monitor,2013,19(206):826-836.
[8]Mcconnell CT,Wippold FJ,Ray CE,et al. ACR appropriateness criteria management of vertebral compression fractures[J]. Journal of the American College of Radiology,2014,11(8):757-763.
[9]江晓兵,莫凌,梁德,等.骨水泥在椎体骨折线内弥散情况对椎体成形术治疗效果的影响[J].中国脊柱脊髓杂志,2014,11(2):144-149.
[10]Liang Z,Qiang W,Lin W,et al. Bone cement distribution in the vertebral body affects chances of recompression after percutaneous vertebroplasty treatment in elderly patients with osteoporotic vertebral compression fractures[J]. Clinical Interventions in Aging,2017(12):431-436.
[11]Yan Y,Xu R,Zou T. Is thoracolumbar fascia injury the cause of residual back pain after percutaneous vertebroplasty A prospective cohort study[J]. Osteoporosis International,2015,26(3):1119-1124.
[12]赵勇,方维,秦伟凯.小针刀闭合性治疗肌筋膜炎的机制思考[J].中国针灸,2014,34(9):907-909.
[13]张良志.针刀疗法在椎体成形术后残余痛中的应用[D].福州:福建中医药大学,2015.
[14]符仲华.浮针疗法治疗疼痛手册[M].北京:人民卫生出版社,2011.
[15]肖安菊,夏有兵,符仲华,等.浮针疗法治疗痛证研究进展[J].中国针灸,2013,33(12):1143-1146.
[16]李桂凤,符仲华.浅谈浮针对疼痛医学发展的启示[J].中国针灸,2014,34(6):591-593.
[17]钟敏莹,贺青涛,吴思平,等.不同扫散时间浮针治疗腰背肌筋膜炎的疗效观察[J].湖南中医药大学学报,2015,35(5):63-65.