PVP术中针药联合术后熏蒸治疗骨质疏松性椎体压缩骨折的价值研究

Value of PVP intraoperative acupuncture and medicine combined with postoperative fumigation in treatment of osteoporotic vertebral compression fracture

目的探析骨质疏松性椎体压缩骨折患者经皮椎体成形术(percutaneous vertebroplasty,PVP)术中针药结合术后熏蒸治疗的效果。方法选取2021年7月—2022年7月收治的76例骨质疏松性压缩性骨折患者,按随机数字表法分对照组和观察组,每组各38例。所有患者均采取PVP手术治疗,对照组术中采取针药治疗联合中药熏蒸安慰剂,观察组采用术中针药联合术后熏蒸治疗。比较两组生命指标水平、中医症候评分、疼痛评分及ODI指数。结果两组治疗前平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2))水平比较无差异(P>0.05),观察组治疗后MAP(100.32±10.12)mmHg、HR(73.18±6.23)次/min、SpO_(2)(99.65%±0.35%)水平低于对照组,组间差异显著(P<0.05),两组治疗前中医症候评分比较无差异(P>0.05),观察组治疗后中医症候评分(2.74±0.65)分低于对照组的(4.74±0.56)分,组间差异显著(P<0.05),两组治疗前疼痛评分及ODI指数比较无差异(P>0.05),观察组治疗后疼痛评分(1.18±0.45)分及ODI指数(8.42±1.32)低于对照组,组间差异显著(P<0.05)。结论PVP手术术中采取针药治疗结合术后熏蒸治疗效果明显,患者的生命体征指标得到改善,其中医症候积分下降,患者疼痛感减轻,其功能障碍缓解,临床上可借鉴及推广。

Objective To explore the effect of intraoperative acupuncture and medication combined with postoperative fumigation treatment on patients with osteoporotic vertebral compression fractures in percutaneous vertebroplasty.Method A total of 76 patients with osteoporotic compression fractures admitted from July 2021 to July 2022 were selected and divided into a control group and an observation group by random number table method,with 38 cases in each group.All patients were treated with PVP surgery.The control group received intraoperative acupuncture and medication combined with traditional Chinese medicine fumigation placebo,while the observation group received intraoperative acupuncture and medication combined with postoperative fumigation treatment.The levels of vital indicators,traditional Chinese medicine symptom scores,pain scores,and ODI index were compared between the two groups.Results There was no difference in the levels of mean arterial pressure(MAP),heart rate(HR),and oxygen saturation(SpO_(2))between the two groups before treatment(P>0.05).After treatment,the levels of MAP[(100.32±10.12)mmHg],HR[(73.18±6.23)beats/min],and SpO_(2)(99.65%±0.35%)in the observation group were lower than those in the control group,with significant differences between the groups(P<0.05).There was no difference in the score of traditional Chinese medicine symptoms before treatment between the two groups(P>0.05).The score of traditional Chinese medicine symptoms in the observation group after treatment(2.74±0.65)was lower than that in the control group(4.74±0.56),with a significant difference between the groups(P<0.05).There was no difference in pain score and ODI index between the two groups before treatment(P>0.05).The pain score(1.18±0.45)and ODI index(8.42±1.32)of the observation group were lower than those of the control group after treatment,and the difference between the groups was significant(P<0.05).Conclusion The combination of acupuncture and medication therapy during PVP surgery with postoperative fumigation treatment has a significant effect such as improving the patient's vital signs,decreasing their traditional Chinese medicine symptom scores,alleviating pain,and alleviating their functional impairments.It can be used for reference and promotion in clinical practice.