小针刀疗法在预防经皮椎体成形术后残余痛中的应用  

Application of Scalpel Therapy in Preventing Residual Pain after Percutaneous Vertebroplasty

作　　者：邓晓强 郭俊彪 王慧敏 

机构地区：[1]广州中医药大学第二附属医院,广东广州510370

出　　处：《新中医》2017年第10期88-90,共3页New Chinese Medicine

摘　　要：目的:观察小针刀疗法在预防经皮椎体成形术后残余痛中的临床疗效。方法:选择确诊为老年骨质疏松压缩性骨折的老年患者80例,依随机法将患者分为2组各40例。对照组给予经皮椎体成形术;治疗组在对照组方案的基础上于术毕观察患者期间寻找腰背部痛点进行小针刀治疗。术前术后通过视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)评估患者的疼痛及功能。结果:术后随访6月,2组术后1周、1月VAS评分、ODI评分分别与治疗前比较,差异均有统计学意义(P<0.05);治疗后,治疗组术后1周、1月VAS评分、ODI评分分别与对照组比较,差异均有统计学意义(P<0.05);术后6月,治疗组与对照组比较,差异无统计学意义(P>0.05)。结论:小针刀疗法能减轻患者经皮椎体成形术后早期腰背部残留的疼痛症状,改善患者腰背部功能,是一种简单、有效、安全、经济的治疗方法。Objective： To observe the clinical curative effect of scalpel therapy in preventing residual pain after percutaneous vertebroplasty. Methods：Selected 80 senile osteoporotic compression fracture patients,and divided theminto two groups,40 cases in each. The control group was given percutaneous vertebroplasty,while the treatment group was given scalpel therapy on the pain area of lumbar spinal cord based on the treatment of the control group. Evaluated pain and lumbar spinal cord function of the patients with visual analogue scale（VAS） and oswestry disability index（ODI） before and after operation. Results：Followup for six months,compared VAS and ODI of both groups after one week and one month of operation with those before treatment,differences being significant（P0.05）. After treatment,compared VAS and ODI of the treatment group after one week and one month of operation with those of the control group,differences being significant（P0.01）. After six months of treatment,compared the treatment group with the control group,the differences had no significant（P〉0.05）. Conclusion：Scalpel therapy can relieve residual pain on lumbar spinal cord of patients that received percutaneous vertebroplasty,and improve lumbar spinal cord function of patients,which is simple,effective,safe and economic.

关 键 词：经皮椎体成形术后 残余痛 小针刀疗法 视觉模拟评分法(VAS) Oswestry功能障碍指数(ODI) 

分 类 号：R441.1[医药卫生—诊断学]