齐刺法联合脐针治疗骨质疏松性椎体压缩骨折术后残余腰背痛的临床研究OA
Clinical Study on Triple Needling Combined with Umbilical Acupuncture for Residual Low Back Pain after Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fractures
目的:探究齐刺法联合脐针治疗骨质疏松性椎体压缩骨折(OVCF)术后残余腰背痛疗效.方法:纳入2023年2月—2025年3月新郑华信民生医院收治的60例OVCF术后残余腰背痛患者,采用随机数表法分为研究组和对照组,每组30例.两组患者均行手术治疗,术后对照组给予骨质疏松基础性治疗,研究组在对照组基础上加用齐刺法联合脐针治疗.对比两组治疗后的临床疗效、视觉模拟量表(VAS)、Oswestry功能障碍指数(ODI)、骨密度T值、中医症候积分及不良反应.结果:治疗后,研究组总有效率为90.00%(27/30),对照组为66.66%(20/30),研究组高于对照组,差异具有统计学意义(P<0.05);治疗后,两组骨密度T值升高,VAS、ODI和中医症候积分降低,差异具有统计学意义(P<0.05),且研究组改善程度优于对照组,差异无计学意义(P<0.05);研究组不良反应发生率低于对照组,差异无统计学意义(P>0.05).结论:骨质疏松性椎体压缩骨折术后残余腰背痛治疗中,齐刺法联合脐针治疗疗效较基础治疗更为理想,能降低疼痛程度,提高骨密度,缓解并发症.
Objective:To investigate the clinical efficacy of triple needling combined with umbilical acupuncture in treatment of residual low back pain after osteoporotic vertebral compression fracture(OVCF).Methods:A total of 60 patients with residual low back pain after OVCF surgery were randomly divided into the study group and the control group,with 30 cases in each group.All patients underwent surgical treatment.Postoperatively,the control group received basic anti-osteoporosis therapy;on which basis,the study group was also treated with triple needling combined with umbilical acupuncture.Clinical efficacy,VAS score,ODI score,bone mineral density T value,TCM symptom scores,and adverse reactions were compared between the two groups.Results:The clinical total effective rate was 90.00%(27/30)in the study group,which was higher than 66.66%(20/30)in the control group(P<0.05).The bone mineral density T value increased,the scores of VAS,ODI,and TCM symptoms decreased in both groups after the treatment(P<0.05),with greater improvements observed in the study group compared with the control group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group;however,the difference was not statistically significant(P>0.05).Conclusion:In terms of treatment for residual low back pain after OVCF surgery,triple needling combined with umbilical acupuncture demonstrates superior efficacy compared with basic treatment.It can effectively reduce pain intensity,improve bone mineral density,and alleviate related complications.
冯小庆;闫晓光;刘志林
新郑华信民生医院,河南新郑 451100新郑华信民生医院,河南新郑 451100新郑华信民生医院,河南新郑 451100
医药卫生
骨质疏松性椎体压缩骨折齐刺法脐针经皮椎体成形术残余腰背痛
Osteoporotic vertebral compression fractureTriple needling methodUmbilical acupuncturePercutaneous vertebroplastyResidual low back pain
《针灸临床杂志》 2026 (6)
45-49,5
河南省中医药科学研究专项课题(2024ZY3064).
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