[1]李中锋,彭冉东,邓强,等.中药热敷治疗骨质疏松性胸腰椎压缩骨折PKP术后残留痛临床观察[J].西部中医药,2018,31(11):87-90.
　LI Zhongfeng,PENG Randong,DENG Qiang,et al.Clinical Observation on Traditional Chinese Medicine Fomentation in Treating Postoperative Residual Pain of Osteoporotic Thoracolumbar Compression Fracture[J].Western Journal of Traditional Chinese Medicine,2018,31(11):87-90.
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中药热敷治疗骨质疏松性胸腰椎压缩骨折PKP术后残留痛临床观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年11期
页码:
87-90
栏目:
出版日期:
2018-11-15

文章信息/Info

Title:
Clinical Observation on Traditional Chinese Medicine Fomentation in Treating Postoperative Residual Pain of Osteoporotic Thoracolumbar Compression Fracture
文章编号:
1004-6852(2018)11-0087-04
作者:
李中锋1，彭冉东2，邓强1，杨镇源1，张彦军1，李军杰2
1 甘肃省中医院，甘肃 兰州 730050； 2 甘肃中医药大学
Author(s):
LI Zhongfeng1, PENG Randong2, DENG Qiang1, YANG Zhenyuan1, ZHANG Yanjun1, LI Junjie2
1 Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China 2 Gansu University of Chinese Medicine
关键词:
胸腰椎压缩骨折; 骨质疏松性; 术后残留痛; 中药热敷; 通火敷合剂
Keywords:
thoracolumbar compression fracture;  osteoporotic;  postoperative residual pain;  TCM fomentation;  TongFu mixture
分类号:
R274
文献标志码:
B
摘要:
目的：观察中药热敷治疗骨质疏松性胸腰椎压缩骨折经皮椎体后凸成形术(PKP)术后残留痛的临床疗效。方法：将骨质疏松性胸腰椎压缩骨折PKP术后残留痛患者90例按随机数字表法分为2组各45例，对照组给予依降钙素+钙尔奇D治疗；治疗组在对照组基础上行中药热敷。2组均随访3个月以上，记录治疗前、治疗2周后、治疗4周后以及末次随访时视觉模拟评分(Visual analogue scale，VAS)与Oswestry功能障碍指数(Oswestry disability index，ODI)及不良反应。结果：治疗前2组VAS评分、ODI指数比较差异无统计学意义(P＞0.05)；治疗后2组各时点VAS评分、ODI指数与治疗前比较均不同程度降低，差异有统计学意义(P＜0.05)；治疗后2组各时点VAS评分、ODI指数组间比较差异有统计学意义(P＜0.05)；治疗期间所有患者无相关干预措施的不良事件发生。结论：中药热敷可有效缓解骨质疏松性胸腰椎压缩骨折PKP术后残留痛，能促进腰背部功能康复，安全有效。
Abstract:
Objective: To explore clinical effects of traditional Chinese medicine fomentation in treating the residual pain of osteoporotic thoracolumbar compression fracture (OTCF) after percutaneous kyphoplasty (PKP). Methods: All 90 patients were allocated to two groups according to random number table method, the control group were given calcitonin(CT) and Caltrate D; the treatment group accepted TCM fomentation on the foundation of the therapy the control group received. Both groups were followed for more than three months, adverse reaction, Oswestry disability index (ODI) and visual analogue scale(VAS) of both groups were recorded before treating, in two weeks and four weeks after treating and the last follow-up. Results: The difference had no statistical meaning in the comparisons of VAS and ODI between both groups before the treating(P＞0.05); VAS and ODI at different times after treating lowered compared with before treating in both groups, and the difference had statistical meaning (P＜0.05); the difference was statistically significant in the comparisons of VAS and ODI between both groups after treating (P＜0.05). No adverse events related to the intervention measures happened during therapeutic period. Conclusion: TCM fomentation could effectively mitigate the residual pain of OTCF after PKP, promote functional recovery of the lower back, which is safe and effective.

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备注/Memo

备注/Memo:
收稿日期：2017-06-20 *基金项目：国家中医药管理局国家中医临床研究基地业务 建设科研专项课题(编号JDZX2015039)；卫生部医药卫生科技发展研究中心科研基金(编号W2014ZT210)；甘肃省中医药管理局科研课题(编号GZK-2016-49)。 作者简介：李中锋(1983—)，男，硕士学位，主治医师。研究方向：脊柱疾病的诊治。
更新日期/Last Update: 2018-11-15