腹针疗法治疗骨质疏松椎体压缩性骨折临床研究

摘要

Objective:To explore the efficacy of abdominal acupuncture in treating patients with osteoporotic vertebral compression fracture (OVCF). Methods:Forty-five eligible OVCF patients were randomized into an abdominal acupuncture (AA) group, a body acupuncture (BA) group and a medication group according to the random numbers generated by the SPSS 11.5 version software, 15 subjects in each group. Patients in the medication group were intervened by Ossotide injection (intravenous injection), Caltrate (oral administration), Alfacalcidol (oral administration), and Salcatonin injection (muscular injection). In addition to the intervention given to the medication group, patients in the AA group additionally received acupuncture at Zhongwan (CV 12), Xiawan (CV 10), Qihai (CV 6), Guanyuan (CV 4), Shuifen (CV 9), and Huaroumen (ST 24); while patients in the BA group additionally received acupuncture at Jiaji (EX-B 2, superior and inferior to the affected area) points, Ashi points, Weizhong (BL 40) and Chengshan (BL 57). For the AA and BA groups, the acupuncture treatment was given once a day, 6 d per week, for 3 weeks in total. Prior to the intervention, and respectively after 1-week treatment, 2-week treatment and 3-week treatment, visual analogue scale (VAS) and Barthel index (BI) were adopted to evaluate pain degree and activities of daily living (ADL). Results:After intervention, the VAS and BI scores were significantly changed in the three groups (P<0.05). Respectively after 1-week, 2-week and 3-week treatment, the VAS and BI scores in the two acupuncture groups were significantly different from those in the medication group at the same time point (P<0.01). After 1-week and 2-week treatment, the improvements of VAS and BI scores in the AA group were more significant than those in the BA group(P<0.05); after 3-week treatment, there was no significant difference in comparing the VAS score between the two acupuncture groups (P>0.05), but a significant difference was found in comparing the BI score (P<0.05). Conclusion:Abdominal acupuncture can produce a more significant effect in improving VAS and BI scores in OVCF patients than body acupuncture and pure medication treatment, and it’s efficient and causes few sufferings.%目的：探索腹针疗法治疗骨质疏松椎体压缩性骨折(osteoporotic vertebral compression fracture, OVCF)患者的临床疗效。方法：符合纳入标准的45例OVCF患者,根据SPSS 11.5软件产生的随机数字随机为腹针组、体针组和药物组,每组15例。药物组患者予以骨肽注射液静滴、钙尔奇、阿法骨化醇软胶囊口服及鲑降钙素注射液肌注。腹针组患者在接受与药物组相同的药物治疗基础上接受针刺引气归元(中脘、下脘、气海、关元)、水分、滑肉门治疗；体针组患者在接受与药物组相同的药物治疗基础上接受针刺患处上下夹脊穴、阿是穴、委中和承山治疗。腹针组及体针组患者均每日针刺1次,每星期治疗6 d,休息1 d,共治疗3星期。于治疗前及治疗1、2、3星期后进行疼痛视觉模拟量表(visual analogue scale, VAS)及Barthel指数(Barthel index, BI)评分,分别评价患者的疼痛程度及日常生活能力(activities of daily living, ADL)。结果：治疗后,三组VAS评分及BI评分均与本组治疗前有统计学差异(P＜0.05)。治疗1、2、3星期后,腹针组及体针组VAS及BI评分均与同期药物组评分有统计学差异(P＜0.01)。治疗1、2星期后,腹针组VAS及BI评分改善程度优于体针组(P＜0.05)；治疗3星期后,腹针组与体针组的VAS评分差异无统计学意义(P＞0.05), BI评分具有统计学差异(P＜0.05)。结论：腹针疗法在改善OVCF患者VAS及BI评分方面优于体针及单纯药物治疗,且具有起效快,痛苦小的特点。