银质针治疗对骨质疏松性胸腰椎压缩骨折经皮椎体后凸成形术术后并发症及生活质量的影响

目的:探讨银质针治疗对骨质疏松性胸腰椎压缩骨折经皮椎体后凸成形术(PKP)术后并发症及生活质量的影响。方法:将127例骨质疏松性胸腰椎压缩骨折行PKP手术的患者,按照随机数表法分为对照组(64例)和观察组(63例),对照组给予西医对症治疗并发症,观察组在对照组的基础上给予银质针针刺治疗,统计两组患者的胸闷,心慌,腹胀,尿潴留,便秘等术后并发症情况,于治疗前,治疗后,结束治疗后3、6个月评价两组患者的VAS评分、ADL评分、SF-36评分,观察治疗后患者的术后并发症发生率。结果:与本组治疗前比较,两组患者治疗后及结束治疗后3、6个月随访VAS疼痛评分均显著降低(P<0.05),ADL评分及SF-36评分均显著升高(P<0.05),且观察组各指标改善优于对照组(P<0.05);两组患者治疗4个疗程后PKP术后并发症胸闷、心慌、腹胀、尿潴留、便秘例数均较本组治疗前显著减少(P<0.05),且与同期对照组比较,观察组减少更明显(P<0.05)。结论:银质针配合西医药治疗骨质疏松性胸腰椎压缩骨折PKP术后并发症安全有效,能减轻患者疼痛、改善生活质量。

Clinical observation of postoperative complications and quality of life of PKP in treating osteoporotic thoracolumbar vertebral compression fractures with silver needle

Objective:To investigate the effects of silver needle on postoperative complications and quality of life in patients with osteoporotic thoracolumbar vertebral compression fractures.Methods:A total of 127 patients who underwent PKP for osteoporotic thoracolumbar compression fractures were divided into control group(64 cases)and observation group(63 cases)according to the random number table method,statistics two groups of patients with chest tightness,panic,abdominal distention,urinary retention,constipation complications after surgery.The control group was given the symptomatic treatment of western medicine.The observation group was treated with silver needle acupuncture on the basis of the control group.The VAS pain scores,ADL and SF36 of the two groups were appraise after 4 courses of treatment and 3 months and 6 months after the end of treatment.The postoperative complication rate was observed after 4 courses of treatment.Results:Compared wtih the same group before treatment,the VAS pain scores of the two groups were significantly decreased after treatment for 4 courses and 3 months and 6 months after treatment(P<0.05),and the ADL scores and SF-36 scores were significantly increased(P<0.05),the improvement of these indexes in the observation group was better than the control group(P<0.05).Compared wtih the same group before treatment,the postoperative complications of chest pain,palpitation,bloating,urinary retention and constipation were significantly lower in the two groups after 4 courses of treatment(P<0.05),and compared with the control group at the same time,the reduction in the observation group was more significant(P<0.05).Conclusion:Silver needle combined with western medicine is safe and effective in the treatment of the complications of PKP for osteoporotic thoracolumbar compression fracture,which can reduce the pain,improve the quality of life and life.