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| Clinical observation of radiofrequency acupotomy combined with Xianling Gubao capsule for the treatment of senile osteoporotic vertebral compression fracture PVP postoperative pain |
| Hits 1512 Download times 1242 Received:April 20, 2018 |
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| DOI
10.11656/j.issn.1672-1519.2018.08.09 |
| Key Words
radiofrequency needle knife;Xianling Gubao capsule;osteoporosis;vertebral compression fractures;percutaneous vertebroplasty |
| Author Name | Affiliation | | DU Xuezhong | Department of Orthopedics, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, 300193, China | | ZHAO Xueyuan | Department of Orthopedics, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, 300193, China |
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| Abstract
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| [Objective] To observe the clinical efficacy of radiofrequency needle knife combined with Xianling Gubao capsules in the treatment of pain after PVP in elderly patients with osteoporotic vertebral compression fractures.[Methods] The 60 cases of OVCF patients were treated with PVP and were randomly divided into treatment group and control group of 30 cases. The control group was treated with radiofrequency needle knife combined with oral alendronate sodium tablets, Luo Gaiquan and Calcium D chip. The treatment group took Xianling Gubao capsules on the basis of the control group.VAS score, ODI score of lumbar spine function, bone mineral density score of lumbar and femoral neck, score of Cobb angle recovery after vertebral fractures were compared between two groups before treatment, 3 months and 6 months after treatment. Clinical efficacy was evaluated using the OVCF treatment guidelines. Statistical analysis was performed using SPSS 18.0.[Results] After treatment, VAS score, ODI score of lumbar activity and Cobb angle of kyphosis in both groups were significantly lower than those before treatment. The BMD scores of lumbar and femoral neck were significantly higher than those before treatment, and there was significant difference between the same group before and after treatment (P<0.05). After3 months and 6 months treatment, VAS score, ODI score of lumbar activity and Cobb angle of kyphosis in treatment group were lower than those in control group. The BMD scores of lumbar and femoral neck in treatment group were higher than those in control group, with significant difference between the two groups (P<0.05).After treatment, the Cobb angle recovery rate of the control group was significantly lower than that of the treatment group, the difference between the two groups was statistically significant (P<0.05); After treatment, the effective rate was 96.67% in the treatment group and 80.00% in the control group, the difference between the two groups was not statistically significant (P>0.05).[Conclusion] The combination of radiofrequency needle knife and Xianling Gubao capsules can effectively and quickly relieve lumbar and back pain after PVP, improve lumbar function, increase bone density and reduce the recurrence rate of osteoporotic fractures. It is worthy of clinical promotion and application. |
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