椎体成形术配合针灸治疗骨质疏松性椎体压缩性骨折临床疗效研究

目的研究椎体成形术配合针灸治疗骨质疏松性椎体压缩性骨折的临床疗效。方法选取2018年2月至2019年2月北京市昌平区中西医结合医院骨三科收治的84例骨质疏松性椎体压缩性骨折患者进行回顾性研究,按照不同疗法将患者分为两组:A组和B组,每组各42例。A组患者采用椎体成形术治疗,B组患者采用椎体成形术配合针灸治疗。评价B组患者针灸治疗的依从性,对比两组患者的椎体成形术治疗情况(手术时间、X线曝光次数、骨水泥注入量、术后骨水泥渗漏率、手术效果)、临床疗效、疼痛程度(VAS评分)、骨密度以及日常生活活动能力(Barthel评分)。结果 B组患者均连续治疗4周,无中途退出者,针灸治疗依从性为100.0%。两组患者的椎体成形术的手术时间、X线曝光次数、骨水泥注入量、术后骨水泥渗漏率、手术效果对比,差异无统计学意义(P>0.05)。B组患者的总有效率为92.9%(39/42),高于A组的76.2%(32/42),差异具有统计学意义(P<0.05);B组患者治疗后的疼痛VAS评分(2.0±0.7分)低于A组(3.8±1.1分),差异具有统计学意义(P<0.05);B组患者治疗后的骨密度(-1.05±0.25SD)大于A组(-1.63±0.47 SD),差异具有统计学意义(P<0.05);B组患者治疗后的Barthel评分(85.5±7.1分)高于A组(74.1±9.5分),差异具有统计学意义(P<0.05)。结论椎体成形术配合针灸治疗骨质疏松性椎体压缩性骨折的效果显著,可减轻患者疼痛,明显改善骨密度,提高日常生活活动能力,值得推行。

Clinical effect of vertebroplasty combined with acupuncture and moxibustion in the treatment of osteoporotic vertebral compression fracture

Objective To study the clinical effect of vertebroplasty combined with acupuncture in the treatment of osteoporotic vertebral compression fracture.Methods A retrospective study was performed on eighty-four patients with osteoporotic vertebral compression fractures admitted to the third Department of Orthopaedics,Integrated Traditional Chinese and Western Medicine Hospital,Changping Distric from February2018 to February 2019.The patients were divided into two groups: group A and group B,42 cases in each group.Group A patients were treated with vertebroplasty,group B patients were treated with vertebroplasty combined with acupuncture and moxibustion.The compliance of patients in group B was evaluated,and the vertebroplasty treatment conditions(operation time,X-ray exposure times,amount of cement injection,cement leakage rate after operation,operation effect),clinical efficacy,pain degree(VAS score),bone mineral density and activity of daily living(Barthel score)were compared between the two groups.Results All patients in group B were treated for 4 weeks without withdrawal,and the compliance of acupuncture treatment was 100.0%.There was no significant difference between the two groups in operation time,X-ray exposure times,bone cement injection amount,leakage rate of bone cement and operation effect(P>0.05).The total effective rate of group B was 92.9%(39/42),higher than 76.2%(32/42)of group A,and the difference was statistically significant(P<0.05).The VAS score of group B after treatment was(2.0±0.7),lower than that of group A(3.8±1.1),and the difference was statistically significant(P<0.05).The bone mineral density of group B after treatment(-1.05±0.25 SD)was higher than that of group A(-1.63±0.47 SD),and the difference was statistically significant(P<0.05)The Barthel score of group B(85.5±7.1)was higher than that of group A(74.1±9.5),and the difference was statistically significant(P<0.05).Conclusion Vertebroplasty combined with acupuncture and moxibustion has a significant effect on osteoporotic vertebral compression fractures,which can relieve pain,improve bone mineral density,and improve activities of daily living.