补肾祛瘀针药结合方案在骨质疏松性椎体压缩骨折不愈合的应用  

The Application of Combination of Acupuncture and Chinese Medicine for Tonifying Kidney and Removing Blood Stasis in the Treatment of Osteopor Vertebral Compression Fracture Nonunion

作　　者：高山 李鹏[1] 刘芳秀 刘铭 马广斌[1] 贾梦龙 杨杨 于龙潭 GAO Shan;LI Peng;LIU Fangxiu;LIU Ming;MA Guangbin;JIA Menglong;YANG Yang;YU Longtan(East Branch of Spinal Orthopedics,Weifang Hospital of Traditional Chinese Medicine,Shandong Province,Weifang 261000,China;Medical Department,Weifang Hospital of Traditional Chinese Medicine,Shandong Province,Weifang 261000,China)

机构地区：[1]潍坊市中医院东院区脊柱骨科,山东潍坊261000 [2]潍坊市中医院医疗部,山东潍坊261000

出　　处：《中国中医药现代远程教育》2023年第15期109-112,共4页Chinese Medicine Modern Distance Education of China

基　　金：潍坊市卫健委中医药科研项目【No.2020-4-071】;潍坊市卫健委科研项目【No.WFWSJK-2021-062】;山东省卫健委中医药科技项目【No.Z-2022023】;潍坊市卫健委科技发展计划项目【No.2022YX015】。

摘　　要：目的探讨补肾祛瘀针药结合方案在骨质疏松性椎体压缩骨折不愈合(Kümmell’s病)治疗中的作用。方法选择50例Kümmell’s病患者,分为观察组与对照组(各25例),行经皮穿刺椎体后凸成形术(PKP),观察组术后予威灵骨康颗粒及针刺法,对照组予仙灵骨葆胶囊,对比2组术前、术后1 d及术后1、4、8、12周的视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、中医证候评分;对比2组术前、术后12周椎体前缘高度(AVH)、椎体后凸角度(KA)、骨密度(BMD),并评价疗效。结果2组总体疗效较好,差异无统计学意义(P>0.05);与术前比较,2组术后VAS、ODI、中医证候评分及AVH、KA、BMD均改善(P<0.05);术后4周、8周、12周,观察组VAS、ODI、中医证候评分低于对照组(P<0.05)。结论补肾祛瘀治则指导下中药及针刺相结合的治疗方案在缓解Kümmell’s病患者术后残留疼痛、提高术后生活质量等方面效果更好、更持久,值得研究推广。Objective To investigate the role of the acupuncture and Chinese medicine in the treatment of Kümmell’s disease.Methods Fifty patients with Kümmell’s were divided into observation group and control group,with 25 cases in each group.Patients underwent percutaneous kyphoplasty(PKP).The observation group was given Weiling Gukang granules and acupuncture,while the control group was given Xianling Gubao capsules.The VAS,ODI and TCM syndrome scores of the two groups before surgery,on postoperative day 1,and 1 week,4 weeks,8 weeks and 12 weeks after surgery,the anterior vertebral height(AVH),kyphotic angle(KA)and bone mineral density(BMD)at above-mentioned time was compared,and the therapeutic effect was evaluated.Results There was no significant difference between the two groups(P>0.05).VAS,ODI,TCM syndrome score,AVH,KA and BMD in 2 groups were improved after surgery(P<0.05).VAS,ODI and traditional Chinese medicine syndrome scores in the observation group were lower than those in the control group at 4,8 and 12 weeks after surgery(P<0.05).Conclusion Combination of acupuncture and Chinese medicine for tonifying kidney and removing blood stasis is more effective and durable in relieving postoperative pain and improving quality of life of the patients with Kümmell’s disease,and is worth studying and promoting.

关 键 词：骨质疏松性椎体压缩骨折不愈合 Kümmell’s病 补肾祛瘀 针药结合 中医综合疗法 

分 类 号：R274.1[医药卫生—中医骨伤科学]