[1]尤佑安 王志刚△ 毛田 齐理华 王子浩 阳越.浮针治疗经皮椎体成形术后残余痛30例[J].中国中医骨伤科杂志,2021,29(09):74-76.
 YOU Youan WANG Zhigang MAO Tian QI Lihua WANG Zihao YANG Yue.30 Cases Report of Residual Pain after PercutaneousVertebroplasty with Floating Needle[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(09):74-76.
点击复制

浮针治疗经皮椎体成形术后残余痛30例()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年09期
页码:
74-76
栏目:
临床报道
出版日期:
2021-09-15

文章信息/Info

Title:
30 Cases Report of Residual Pain after PercutaneousVertebroplasty with Floating Needle
文章编号:
1005-0205(2021)09-0074-03
作者:
尤佑安1 王志刚12△ 毛田2 齐理华2 王子浩1 阳越1
1湖北中医药大学(武汉,430000)
2湖北中医药大学附属医院(湖北省中医院)
Author(s):
YOU Youan1 WANG Zhigang12△ MAO Tian2 QI Lihua2 WANG Zihao1 YANG Yue1
1Hubei University of Traditional Chinese Medicine,Wuhan 430000,China; 2Affiliated Hospital of Hubei University of Traditional Chinese Medicine(Hubei Hospital of Traditional Chinese Medicine),Wuhan 430000,China.
关键词:
浮针 骨质疏松性椎体压缩性骨折 经皮椎体成形术 残余痛
Keywords:
floating needle osteoporotic vertebral compression fractures percutaneous vertebroplasty residual pain
分类号:
R245.3
文献标志码:
B
摘要:
目的:观察浮针治疗经皮椎体成形术(PVP)后残余痛的疗效。方法:回顾性分析2018年5月至2020年11月采用浮针治疗经皮椎体成形术后残余痛患者病例资料,男6例,女24例; 年龄60~89岁,平均(73.52±5.54)岁。所有患者均行经皮椎体成形术,采用浮针治疗术后残余疼痛,根据治疗总有效率、疼痛视觉模拟评分(VAS评分)及Oswestry功能指数(ODI)评分标准评定患者的临床疗效。结果:显效16例,有效11例,无效3例,总有效率90.0%。VAS评分:治疗前(4.63±0.93)分,治疗后(1.75±0.88)分,治疗前后差异有统计学意义(P<0.05),说明患者疼痛程度明显减轻。ODI指数:治疗前(65.67±7.96)分,治疗后(27.67±8.48)分,治疗前后差异有统计学意义(P<0.05),说明患者功能改善程度显著提升。结论:浮针治疗能显著改善经皮椎体成形术后残余腰背痛症状,为治疗PVP术后残余疼痛提供了新的选择。
Abstract:
Objective:To observe the efficacy of floating needle in the treatment of residual pain after percutaneous vertebroplasty(PVP).Methods:The clinical data of patients with residual pain after percutaneous vertebroplasty treated with floating needle from May 2018 to November 2020 were retrospectively analyzed.There were 6 males and 24 females,aged from 60 to 89 years old with(73.52±5.54)years old on average.All patients underwent percutaneous vertebroplasty,and floating needle was used to treat postoperative residual pain.The clinical efficacy was evaluated according to the total effective rate,pain visual analogue scale(VAS)score and Oswestry functional index(ODI).Results:Clinical efficacy: 16 cases were markedly effective,11 cases were effective,3 cases were ineffective,the total effective rate was 90.0%.VAS score statistically decreased from 4.63±0.93 to 1.75±0.88 after treatment(P<0.05)which indicated that the pain degree of patients was significantly reduced.ODI statistically decreased from 65.67±7.96 to 27.67±8.48 after treatment(P<0.05)which indicated that the degree of functional improvement of patients was significantly improved.Conclusion:Floating needle therapy can significantly improve the symptoms of residual low back pain after percutaneous vertebroplasty,which provides a new choice for the treatment of residual pain after PVP.

参考文献/References:

[1] YING X H.Observation on the effect of percutaneous vertebroplasty in the treatment of osteoporotic vertebral compression fractures in the elderly[J].Contemporary Medical Symposium,2020,18(16):93-94.
[2] YANG J S,LIU J J,CHU L,et al.Causes of residual back pain at early stage after percutaneous vertebroplasty:a retrospective analysis of 1,316 cases[J].Pain Physician,2019,22(5):495-503.
[3] 李锋涛,贺西京.经皮椎体成形术临床治疗的优势以及有待研究的问题[J].中国骨伤,2020,33(9):793-796.
[4] 赵相森,丁蕊,吴志斌,等.经皮椎体成形术治疗骨质疏松性椎体压缩骨折[J].临床骨科杂志,2020,23(3):325-328.
[5] 黄阳亮,王晓波,徐晶辉,等.丁丙喏啡透皮贴剂治疗椎体成形术后早期残余疼痛的效果观察[J].中国骨与关节损伤杂志,2018,33(3):279-280.
[6] 王烨,江涛,李丁,等.骨质疏松性椎体压缩骨折PKP术后疼痛不缓解的原因分析[J].实用骨科杂志,2019,25(4):350-352.
[7] 韦武,宁金沛,李泉,等.椎体成形术后疼痛缓解不佳的原因分析及对策[J].实用骨科杂志,2013,19(7):639-641.
[8] 杨俊松,陈浩,刘鹏,等.椎体成形术后早期腰背部残余疼痛的原因分析[J].中华骨科杂志,2020,40(10):625-634.
[9] 符仲华.浮针疗法[M].北京:人民军医出版社,2000:123.
[10] 符仲华.浮针医学纲要[M].北京:人民卫生出版社,2016:121-123.
[11] 任东坡,王建坡,郭中举.新型浮针配合点穴治疗肩周炎40例临床观察[J].湖南中医杂志,2018,34(9):92-94.
[12] 许荣正,王美萍.对目前浮针疗法的中医传统理论的思考[J].中华中医药杂志,2009,24(9):1171-1173.
[13] 孙晓伟,潘婷婷,刘婷婷,等.浮针疗法治疗肩周炎的理论及临床研究进展[J].针灸临床杂志,2020,36(4):90-93.
[14] 李康,陆瑾,田亚丽,等.符仲华老师浮针疗法治疗膝骨关节炎经验[J].现代中西医结合杂志,2019,28(6):657-660.

备注/Memo

备注/Memo:
通信作者 E-mail:1044803254@qq.com
更新日期/Last Update: 1900-01-01