五子散热敷治疗老年骨质疏松性压缩骨折椎体成形术后下腰痛25例临床观察
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摘要
目的:观察五子散热敷治疗老年骨质疏松性压缩骨折(OVCF)椎体成形(PVP)术后下腰痛的临床观察。方法:选取50例老年骨质疏松性压缩骨折PVP术后有下腰痛患者,随机分为对照组和实验组(每组各25例)。对照组给予疼痛部位红外线照射;实验组疼痛部位给予中药五子散热敷。比较二者治疗后疼痛缓解情况(VAS评分)及椎体功能恢复情况(ODI评分)。结果:治疗前两组患者VAS及ODI评分无明显差异(P> 0. 05),治疗后实验组下腰痛明显缓解,VAS及ODI评分明显低于对照组(P <0. 05)。结论:五子散热敷能有效缓解PVP术后下腰痛,值得临床推广。
Objective To observed the clinical effect of low backpain after vertebroplastyfor osteoporoticcompression fracture in elderly patients with five-seed powder. Methods A total of 50 patients with low backpain after vertebroplastyfor osteoporoticcompression fracture in elderly patients were divided into the study group( n = 25) and the control group( n = 25). Patients in the control group were given Infrared radiationand patients in the study group were treated with fomentation with five-seedpowder. Compared the Pain relief and recovery of vertebral body function. Results Therewere no significant difference between the VAS and ODI of Two groups before treatment( P < 0. 05). After treatment the VAS and ODI of study group were lower than the control group; The differenceswere statistically significant( P < 0. 05). Conclusion Five-seed powder heat applicationcan effectively relieve the lower back pain after PVP.
Objective To observed the clinical effect of low backpain after vertebroplastyfor osteoporoticcompression fracture in elderly patients with five-seed powder. Methods A total of 50 patients with low backpain after vertebroplastyfor osteoporoticcompression fracture in elderly patients were divided into the study group( n = 25) and the control group( n = 25). Patients in the control group were given Infrared radiationand patients in the study group were treated with fomentation with five-seedpowder. Compared the Pain relief and recovery of vertebral body function. Results Therewere no significant difference between the VAS and ODI of Two groups before treatment( P < 0. 05). After treatment the VAS and ODI of study group were lower than the control group; The differenceswere statistically significant( P < 0. 05). Conclusion Five-seed powder heat applicationcan effectively relieve the lower back pain after PVP.
引文
[1]王守宝,王春,林锦,等.老年骨质疏松性胸腰椎压缩性骨折治疗进展[J].临床和实验医学杂志,2010,9(2):153-155.
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[4]刘绮,马超,伍少玲,等.Oswestry功能障碍指数评定慢性腰痛.患者的效度分析[J].中国康复医学杂志,2010,25(3):228-231.
[5]Liu Z,Weaver J,De Papp A,et al.Disparities in osteoporosis treatments[J].Osteoporos Int,2016,27(2):509-519.
[6]周英杰,赵鹏飞,郑怀亮.两种骨水泥应用于老年胸腰椎骨折椎体成形术的疗效观察[J].中国矫形外科杂志,2015,23(4):364-367.
[7]Josip C,Aziz S.Acute low back pain[J].BMJ,2003,327:541.
[8]刘保新,王力平,徐敏,等.骨质疏松性胸腰椎骨折PVP术后残余腰背痛的诊治[J].中国骨与关节损伤杂志,2010,25(9):852-853.
[9]闫惠鹏.推拿配合五子散热敷治疗枕大神经痛33例[J].浙江中医杂志,2016,51(3):190.
[10]冯树生,孙波,张凌,等.牵引结合中药外敷治疗老年腰椎压缩性骨折[J].中国正骨,2012,24(2):63-64.
[2]Kanis J A,Melton L J III,Christiansen C,et al.The diagnosis of osteoporosis.Journal of Bone and Mineral Research.1994,8(9):1137-1141
[3]宋文革,付志俭.临床疼痛学[M].山东:山东科学技术出版社,2004:510-523..
[4]刘绮,马超,伍少玲,等.Oswestry功能障碍指数评定慢性腰痛.患者的效度分析[J].中国康复医学杂志,2010,25(3):228-231.
[5]Liu Z,Weaver J,De Papp A,et al.Disparities in osteoporosis treatments[J].Osteoporos Int,2016,27(2):509-519.
[6]周英杰,赵鹏飞,郑怀亮.两种骨水泥应用于老年胸腰椎骨折椎体成形术的疗效观察[J].中国矫形外科杂志,2015,23(4):364-367.
[7]Josip C,Aziz S.Acute low back pain[J].BMJ,2003,327:541.
[8]刘保新,王力平,徐敏,等.骨质疏松性胸腰椎骨折PVP术后残余腰背痛的诊治[J].中国骨与关节损伤杂志,2010,25(9):852-853.
[9]闫惠鹏.推拿配合五子散热敷治疗枕大神经痛33例[J].浙江中医杂志,2016,51(3):190.
[10]冯树生,孙波,张凌,等.牵引结合中药外敷治疗老年腰椎压缩性骨折[J].中国正骨,2012,24(2):63-64.