Clinical observation on acupoint injection for back pain in patients with primary osteoporosis  

穴位注射治疗原发性骨质疏松症患者腰背痛临床观察

作　　者：Hua Ying Wang Yan Wu Shao-chang 华英;王燕;吴绍长(Lishui Second People's Hospital,Zhejiang 323000,China)

机构地区：[1]Lishui Second People's Hospital,Zhejiang 323000,China

出　　处：《Journal of Acupuncture and Tuina Science》2020年第5期379-383,共5页针灸推拿医学（英文版）

摘　　要：Objective:To observe the clinical efficacy of acupoint injection with salmon calcitonin for back pain in elderly patients with primary osteoporosis.Methods:A total of 76 patients were selected and randomly divided into two groups by the random number table method,with 39 cases in the treatment group and 37 cases in the control group,respectively.Patients in both groups received routine anti-osteoporosis treatment.Patients in the treatment group received additional acupoint injection with salmon calcitonin at bilateral Pishu(BL 20)and Shenshu(BL 23),while patients in the control group received additional intramuscular injection with salmon calcitonin.The treatments for both groups were given once a day and lasted for 4 weeks.Visual analog scale(VAS)and Chinese Oswestry disability index(CODI)scores were observed before treatment,after 2 weeks and 4 weeks of treatment,and the use of analgesics during the treatment were recorded.Results:After treatment,the clinical efficacy in the treatment group was more significant than that in the control group(P<0.05).After 2 weeks and 4 weeks of treatment,the VAS scores in both groups showed significant intra-group and between-group differences(all P<0.05),and the CODI scores in both groups showed significant intra-group differences(all P<0.05).After 2 weeks of treatment,the CODI score showed no significant between-group difference(P>0.05).After 4 weeks of treatment,the improvement of CODI score in the treatment group was more significant than that in the control group(P<0.05).During the treatment,2 cases in the treatment group took analgesics versus 8 cases in the control group,and the result showed a significant between-group difference(P<0.05).Conclusion:For back pain in elderly patients with primary osteoporosis,based on the routine treatment of oral medication,the clinical efficacy of acupoint injection with salmon calcitonin at bilateral Pishu(BL 20)and Shenshu(BL 23)is more significant than that of intramuscular injection.Acupoint injection treatment can improve patients'目的:观察鲑鱼降钙素穴位注射治疗老年性骨质疏松症患者腰背痛的临床疗效.方法:共纳入76例,根据就诊顺序采用随机数字表法分为两组,治疗组39例,对照组37例.两组患者均接受常规抗骨质疏松治疗,在此基础上,治疗组患者加用鲑鱼降钙素穴位注射双侧脾俞和肾俞,对照组患者加用鲑鱼降钙素肌肉注射.两组患者均每日注射1次,共治疗4周.分别在治疗前、治疗2周和治疗4周时观察两组患者视觉模拟量表(VAS)和中文版Oswestry功能障碍指数(CODI)评分,并记录治疗期间服用止痛药情况.结果:治疗结束时,治疗组疗效优于对照组(P<0.05).治疗2周及4周时,两组患者VAS评分均与同组治疗前有统计学差异(均P<0.05);组间比较,治疗2周及4周时两组VAS评分均有统计学差异(均P<0.05).治疗2周及4周时,两组CODI评分均与同组治疗前有统计学差异(均P<0.05);组间比较,治疗2周时两组CODI评分差异无统计学意义(P>0.05);治疗4周时,治疗组CODI评分改善情况优于对照组(P<0.05).治疗期间治疗组有2例患者服用止痛药物,对照组有8例,两组服用止痛药物情况差异具有统计学意义(P<0.05).结论:在常规口服药物基础上加用鲑鱼降钙素穴位注射脾俞、肾俞治疗骨质疏松症患者腰背痛的疗效优于肌肉注射,可改善症状,减少止痛药物使用.

关 键 词：Acupoint Therapy HYDRO-ACUPUNCTURE Point Pishu(BL 20) Point Shenshu(BL 23) Visual Analog Scale Osteoporosis Low Back Pain Aged 

分 类 号：R246.2[医药卫生—针灸推拿学]