针刀技术治疗骨质疏松性椎体压缩性骨折患者经皮椎体成形术后残余痛的临床效果

Clinical effect of akupotomye technique for the treatment of residual pain after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fracture

目的 探讨针刀技术治疗骨质疏松性椎体压缩性骨折(OVCF)患者经皮椎体成形术(PVP)术后残余痛的临床效果。方法 选择2021年6月至2022年9月安徽省马鞍山市人民医院脊柱骨科收治的40例OVCF患者行PVP术后发生残余痛的患者,按照随机数字表法将其分为药物组及针刀组,各20例。两组都给予维D钙咀嚼片、阿法骨化醇软胶囊治疗。药物组在此基础上给予塞来昔布胶囊治疗,针刀组在此基础上给予针刀技术治疗。比较两组治疗前,治疗后1 d、1个月及3个月时视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)及汉密尔顿焦虑量表(HAMA)评分。结果 VAS评分、ODI指数及HAMA评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。组内比较:两组不同时间点VAS评分、ODI指数及HAMA评分比较,差异有统计学意义(P<0.05);组间比较:针刀组治疗后1 d、1个月、3个月VAS评分、ODI指数及HAMA评分均低于同期药物组,差异有统计学意义(P<0.05)。结论 小针刀技术治疗PVP术后残余痛的临床效果明确,可快速减轻患者腰背部的疼痛,且较早地改善患者腰背部功能,值得临床推广应用。

Objective To discuss the clinical effect of akupotomye technique for the treatment of residual pain after percutaneous vertebroplasty(PVP)in patients with osteoporotic vertebral compression fracture(OVCF).Methods Forty patients with OVCF admitted to the Department of Spinal Orthopaedics,Maanshan People’s Hospital from June 2021 to September 2022 who underwent transsphenoidal PVP and had residual pain after surgery were selected,and they were divided into drug group and akupotomye technique group according to the random number table method,with 20 cases in each group.Both groups were treated with Calcium Vitamin D Chewable Tablets and Alfacalcidol Soft Capsules.The drug group was given Celecoxib Capsules on basis of this treatment.The akupotomye technique group was given akupotomye technique on basis of this treatment.The visual analogue score(VAS),the Oswestry dysfunction index(ODI)scores and the Hamilton anxiety scale(HAMA)were compared between the two groups before treatment,one day after treatment,one month after treatment,and three months after treatment.Results There were statistically significant differences in VAS score,ODI index,and HAMA score among groups,time point comparison and interaction(P<0.05).Intra-group comparison:there were statistically significant differences in VAS score,ODI index,and HAMA score of the two groups at different time point(P<0.05).Comparison between groups:VAS scores,ODI index and HAMA scores in the akupotomye group were lower than those in the drug group at one day,one month,and three months after treatment,and the differences were statistically significant(P<0.05).Conclusion The clinical efficacy of the akupotomye technique in the treatment of residual pain after PVP is clear,and it can rapidly reduce the pain in the patient’s low back and improve the function of the patient’s low back earlier,which is worthy of clinical promotion.