中药熏蒸治疗绝经后骨质疏松症腰背痛临床研究  

Clinical Study on Chinese Medicine Fumigation for Postmenopausal Osteoporosis Complicated with Low Back Pain

作　　者：泮艳璐 PAN Yanlu(Orthopedics Department I,Hangzhou Ninth People's Hospital,Hangzhou Zhejiang 311228,China)

机构地区：[1]杭州市第九人民医院骨一科,浙江杭州311228

出　　处：《新中医》2024年第5期181-186,共6页New Chinese Medicine

摘　　要：目的:观察中药熏蒸治疗绝经后骨质疏松症腰背痛的临床疗效。方法:选取120例绝经后骨质疏松症腰背痛患者作为研究对象,以随机数字表法分为对照组及观察组各60例。对照组给予常规治疗(钙剂、维生素D、注射鲑鱼降钙素),观察组在对照组基础上联合中药熏蒸治疗。比较2组治疗前后疼痛视觉模拟评分法(VAS)评分、腰椎功能评分(JOA)、生活质量综合评定问卷-74 (GQOLI-74)评分、腰椎骨密度,并比较2组临床疗效及不良反应。结果:治疗后,2组VAS评分均降低(P<0.05),且观察组低于对照组(P<0.05)。观察组治疗总有效率96.67%,高于对照组83.33%(P<0.05)。治疗后,2组JOA评分均升高(P<0.05),且观察组高于对照组(P<0.05)。随访3个月,2组GQOLI-74评分均升高(P<0.05),且观察组躯体功能、心理功能维度GQOLI-74评分高于对照组(P<0.05)。治疗后,2组腰椎骨密度均升高(P<0.05),且观察组高于对照组(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:中药熏蒸可提升绝经后骨质疏松症腰背痛患者的临床疗效,且能进一步改善患者腰背疼痛症状,帮助患者恢复腰椎功能,增加骨密度,提高生活质量。Objective:To observe the clinical effect of Chinese medicine fumigation on postmenopausal osteoporosis complicated with low back pain.Methods:A total of 120 patients with postmenopausal osteoporosis complicated with low back pain were selected as the study subjects and divided into the control group and the observation group according to the random number table method,with 60 cases in each group.The control group was given routine treatment(Calciums,Vitamin D,and Salmon Calcitonin for Injection),and the observation group was additionally treated with Chinese medicine fumigation based on the treatment of the control group.The scores of Visual Analogue Scale(VAS)of pain,Japanese Orthopaedic Association(JOA)of lumbar vertebral function,and Generic Quality of Life Inventory-74(GQOLI-74),and the bone mineral density of lumbar vertebra were compared before and after treatment between the two groups;t hte clinical effects and incidence of adverse reactions were also compared between the two groups.Results:After treatment,the VAS scores in the two groups were decreased(P<0.05),and the VAS score in the observation group was lower than that in the control group(P<0.05).The total effective rate was 96.67%in the observation group,higher than that of 83.33%in the control group(P<0.05).After treatment,the JOA scores in the two groups were increased(P<0.05),and the JOA score in the observation group was higher than that in the control group(P<0.05).After follow-up of 3 months,the GQOLI-74 scores in the two groups were increased(P<0.05),and the GQOLI-74 scores of physical functioning and mental functioning in the observation group were higher than those in the control group(P<0.05).After treatment,the bone mineral density of lumbar vertebral in the two groups was increased(P<0.05),and the bone mineral density of lumbar vertebral in the observation group was higher than that in the control group(P<0.05).There was no significant difference being found in the comparison of incidence of adverse reactions between the two groups(P>0.0

关 键 词：骨质疏松症 腰背痛 绝经 中药熏蒸 视觉模拟评分法评分 腰椎功能评分 生活质量 

分 类 号：R580[医药卫生—内分泌]