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小针刀治疗重症老年性骨质疏松症腰背痛120例临床研究
引用本文:田和炳,李兴勇,蒋晓明,吴蓉,欧成明.小针刀治疗重症老年性骨质疏松症腰背痛120例临床研究[J].四川中医,2013(10):66-70.
作者姓名:田和炳  李兴勇  蒋晓明  吴蓉  欧成明
作者单位:德阳市旌阳区(人民医院)中医院康复科,四川德阳618000
摘    要:目的:观察小针刀松解术缓解重症老年性骨质疏松症腰背痛的疗效及安全性。方法:用随机双盲法,选择120例中、重度老年性骨质疏松症腰背痛住院病例,在常规抗骨质疏松药物及针灸推拿治疗基础上,于试验第1、7天,治疗组各行1次小针刀治疗,对照组各行1次假针刀操作。以患者自觉明显好转而要求结束治疗,或因无效、严重副反应而终止试验为观察终点。于第1、7天小针刀(假针刀)操作前,第3、9天,及自第9天后每3天至试验结束,用视觉模拟评分法、UBA疼痛行为量表及SSOP症候轻重程度评定量表评定,并随访3月。结果:第3、7、9天,治疗组PBS、VAS、SSS三项指标的改善均较对照组优良(P〈0.05),结束时无显著性差异(P〉0.1)。以PBS为指标,治疗组达完全、显著及部分缓解的平均时间为23.6±3.1、15.9±4.1、6.7±3.4天;以VAS为指标,治疗组达完全、显著及部分缓解的平均时间为21.3±5.2、13.3±3.7、5.8±4.3天;以SSS为指标,治疗组SSOP症候群达完全、显等及部分缓解的平均时间为25.3±4.2、16.3±5.4、9.3±5.7天,均明显优于对照组(P〈0.05)。结论:小针刀松解术对SSOP腰背痛有明确的缓解疼痛、改善症候的作用,能明显缩短治疗时间,见效快、创伤小、不良反应少、操作简单。

关 键 词:重症老年性骨质疏松症  小针刀  腰背痛  UBA疼痛行为量表  重度老年性骨质疏松症症候评定量表

Clinical study of acupotomy on treating 120 cases of back and waist pain of SSOP
Institution:Tian Hebing, Li Xingyong, Jiang Xiaoming, Wu Rong, Ou ChengrningRehabilitation Department of TCM hospital, JingYang District, DeYang, Sichuan, 618000
Abstract:Objective: To study the effect and safety of acupotomy on treating back and waist pain of severe senile osteoporo- sis (SSOP). Methods: 120 patients who have moderate and severe back and waist pain of SSOP were randomly divided into two groups: the treatment group and the control group. Both groups were treated with the routine medicines of anti? osteoporosis, acupuncture, massage, and the Traditional Chinese drugs based on differentiation. The patients of the treatment group were trea- ted with acupotomy on the 1^st and 7ts day and the control group were treated with the pseudo acupotomy. The study was end when patients felt themselves had improved dramatically or deteriorated severely. All patients were evaluated before the treatment of the acupotomy or the pseudo acupotomy, as well as on the 1^st and 7th day, the 3'dand 9th day, and every three days after the 9th day until the last day of the test with the UBA-pain behavior scale (PBS), the Visual Analogue Scale of pain (VAS), the Syn- drome Severity Scale of the severe senile osteoporosis ( SSS), and any adverse event during the treatment and visiting period. Return visit last 3 months after treatment. Results: On the 3rd,7th, 9th day, all indexes (PBS, VAS, SSS) of the treatment group had been improving significantly than indexes of the control group (P 〈 0. 05). There was no significant difference on all indexes when the experiment ended (P 〉 0. 1 ), but the time that treatment group' s therapy achieved complete, significant, and partial remission was 23.6±3. 1, 15.9±4. 1 and 6. 7±3.4 days on average evaluated by UBA-PBS, 21.3±5.2, 13.3±3.7 and 5. 8±4. 3 days on average evaluated by VAS, and 25.3±4. 2, 16. 3±5.4 and 9.3±5.7days on average evaluated by SSOP- SSS. They were all significantly shorter than that of the control group' s ( P 〈 0.05 ). Conclusion : Acupotomy on treating back and waist pain of SSOP not only has quick effect for alleviating pain and improving the syndrome, but also decreases adverse reac- tions, simplifies operations and reduces incision. It could significantly shorten the treatment time.
Keywords:severe senile osteoporosis  acupotomy  back and waist pain  UBA-pain behavior scale  the Syndrome Severi- ty Scale of the severe senile osteoporosis  
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