温经药酒、偏振光外敷配合针灸治疗椎体成形术后疼痛的临床观察。

Wen Zhigang, L U Shuai, Cheng Xiumei
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引用次数: 0

摘要

目的:探讨温经药酒外敷和偏振光疗法结合针灸治疗椎体成形术后疼痛的疗效。方法:将我院行椎体成形术治疗的骨质疏松性椎体压缩性骨折患者120例分为4组。对照组采用非甾体类抗炎药治疗,治疗组Ⅰ单独采用针灸治疗,治疗组Ⅱ采用温经药酒加偏振光理疗,治疗组Ⅲ采用温经药酒加偏振光疗法加针灸治疗。比较分析四组患者的临床疗效、各时间点疼痛阈值、温度疼痛阈值、电疼痛阈值、生活质量、睡眠质量指数、腰椎功能障碍指数、视觉模拟评分(VAS)评分及不良反应发生率。结果:治疗组临床总有效率Ⅲ显著高于对照组、治疗组Ⅰ和治疗组Ⅱ(P < 0.05)。治疗后24、72 h,治疗组Ⅲ的VAS评分、温度痛阈值、电痛阈值均显著低于对照组、治疗组Ⅰ、治疗组Ⅱ(P < 0.05)。治疗组Ⅲ的生活质量评分显著高于对照组、治疗组Ⅰ和治疗组Ⅱ,治疗组Ⅲ的匹兹堡睡眠质量指数评分、Oswestry残疾指数评分和不良反应发生率显著低于其他组(P < 0.05)。结论:温经药酒外敷、偏振光疗法配合针灸治疗可明显减轻椎体成形术术后疼痛,增强腰椎功能,改善患者睡眠质量和整体生活质量。推荐临床应用该方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical observation on the effect of warming meridian medicinal wine, polarized light external application combined with acupuncture and moxibustion on pain after vertebroplasty.

Objective: To evaluate the effects of external application of warm meridian medicated wine and polarized light therapy combined with acupuncture on pain management following vertebroplasty.

Methods: A total of 120 patients with osteoporotic vertebral compression fractures treated by vertebroplasty at our hospital were divided into four groups. The control group received non-steroidal anti-inflammatory drugs, the Treatment Group Ⅰ received acupuncture alone, Treatment Group Ⅱ was treated with medicated wine for warming meridians alongside polarized light physiotherapy, and Treatment Group Ⅲ received a combination of medicated wine for warming meridians, polarized light therapy, and acupuncture. The clinical efficacy, pain thresholds at various time points, temperature pain threshold, electric pain threshold, quality of life, sleep quality index, lumbar dysfunction index, visual analog scale (VAS) scores, and incidence of adverse reactions were compared and analyzed across the four groups.

Results: The total clinical effective rate in Treatment Group Ⅲ was significantly higher than that in the control group, Treatment Group Ⅰ, and Treatment Group Ⅱ (P < 0.05). At 24 and 72 h post-treatment, the VAS scores, temperature pain thresholds, and electric pain thresholds in Treatment Group Ⅲ were significantly lower than those in the control group, Treatment Group Ⅰ, and Treatment Group Ⅱ (P < 0.05). Additionally, quality-of-life scores in Treatment Group Ⅲ were markedly higher compared to the control group, Treatment Group Ⅰ, and Treatment Group Ⅱ, while the Pittsburgh Sleep Quality Index scores, Oswestry Disability Index scores, and incidence of adverse reactions in Treatment Group Ⅲ were significantly lower than in the other groups (P < 0.05).

Conclusion: The external application of warm meridian medicated wine and polarized light therapy combined with acupuncture significantly reduces postoperative pain following vertebroplasty, enhances lumbar function, and improves both sleep quality and overall quality of life for patients. This approach is recommended for clinical application.

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