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Clinical effect of traditional Chinese medicine acupoint application on percutaneous vertebroplasty for abdominal distention and constipation in elderly patients with osteoporotic vertebral compression fracture during perioperative period |
LIU Shihuan LIANG Hui ZHANG Yitong YANG Jie ZHAO Yuelian SONG Jiajing LI Shiyuan TIAN Miao |
Department of Orthopaedics, Shijiazhuang Hospital of Traditional Chinese Medicine, Hebei Province, Shijiazhuang 050051, China
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Abstract Objective To explore clinical effect of traditional Chinese medicine acupoint application on percutaneous vertebroplasty for abdominal distention and constipation in elderly patients with osteoporotic vertebral compression fracture (OVCF) during perioperative period. Methods A total of 100 elderly OVCF patients during perioperative period after percutaneous vertebroplasty admitted to Department of Orthopaedics of Shijiazhuang Hospital of Traditional Chinese Medicine from December 2019 to December 2020 were selected. All patients received percutaneous vertebroplasty and were randomly divided into control group and observation group according to random number table method, with 50 patients in each group. The control group was treated with placebo acupoint application, and the observation group was treated with traditional Chinese medicine acupoint application. After five days of treatment, the frequency of bowel sounds, Wexner constipation score, and Bristol fecal traits score were compared between the two groups. Results After treatment, the number of bowel sounds and Bristol fecal traits score in both groups were higher than before, Wexner constipation score was lower than before, and the number of bowel sounds and Bristol fecal traits score in the observation group were higher than the control group, and Wexner constipation score was lower than the control group, the differences were statistically significant (P < 0.05). Conclusion In the perioperative period of percutaneous vertebroplasty for elderly patients with OVCF, traditional Chinese medicine acupoint application can enhance their gastrointestinal function, improve constipation symptoms, and enhance patient comfort, which has certain practical significance.
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[1] 王复案,陈允震.骨质疏松性椎体压缩性骨折诊疗现状及其对策[J].中国骨质疏松杂志,2019,25(5):590-594, 599.
[2] 王大寿,贺纯静,吴黔呜,等.经皮椎体成形术治疗重度骨质疏松性椎体压缩骨折的疗效评价[J].中华创伤杂志,2016,32(8):720-723.
[3] 丁悦,张嘉.骨质疏松性椎体压缩性骨折诊疗与管理专家共识[J].中华骨质疏松和骨矿盐疾病杂志,2018,11(5):425-437.
[4] 杨晶晶,张志文.骨质疏松性椎体压缩性骨折中西医治疗进展[J].湖北中医杂志,2020,42(2):63-66.
[5] 钱津,安忠诚,张东红,等.艾盐包结合穴位贴敷治疗胸腰椎骨折后腹胀便秘61例观察[J].浙江中医杂志,2020, 55(12):909.
[6] 左世国,郑学均,石林,等.中药治疗胸腰椎骨折后及术后腹胀、便秘的近五年临床研究进展[J].湖南中医药大学学报,2021,41(11):1817-1820.
[7] 钱锋.胸腰椎压缩性骨折早期腹胀便秘的中医治疗观察[J].中医临床研究,2021,13(16):123-125.
[8] 中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南(2017)[J].中华骨质疏松和骨矿盐疾病杂志,2017,10(5):413-443.
[9] 马远征,王以朋,刘强.中国老年骨质疏松诊疗指南(2018)[J].中国老年学杂志,2019,39(11):2557-2575.
[10] 郑筱萸.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002:102.
[11] 唐旭东,卞立群,高蕊,等.中药临床试验安慰剂制作探讨[J].中国中西医结合杂志,2009,29(7):656-658.
[12] Agachan F,Chen T,Pfeifer J,et a1. A constipation sco ring system to simplify evaluation and management of constipated patients [J]. Dis Colon Rectum,1996,39(6):681-685.
[13] 余卓文,顾莺,黄瑛,等.Bristol粪便性状评估表在儿童结肠镜检查前肠道准备中的应用研究[J].中华消化内镜杂志,2019,36(1):25-30.
[14] 中国医师协会骨科学分会脊柱创伤专业委员会.急性症状性骨质疏松性胸腰椎压缩骨折椎体强化术临床指南[J].中华创伤杂志,2019,35(6):481-489.
[15] 中国康复医学会骨质疏松预防与康复专业委员会.骨质疏松性椎体压缩骨折诊治专家共识(2021版)[J].中华医学杂志,2021,101(41):3371-3379.
[16] Schnetzke M,Swartman B,Bonnen I,et al. Vascular impulse technology versus elevation in the treatment of posttraumatic swelling of extremity fractures:study protocol for a randomized controlled trial [J]. Trials,2017,18(1):73.
[17] Frouzan A,Masoumi K,Delirroyfard A,et al. Diagnostic accuracy of ultrasound in upper and lower extremity long bone fractures of emergency department trauma patients [J]. Electron Physician,2017,9(8):5092-5097.
[18] 吴永恒,那雨虹,李俊辰,等.经皮椎体成形术治疗骨质疏松性椎体压缩骨折的早期疗效[J].临床骨科杂志,2020,23(1):6-8.
[19] 李发灿,陈淼,王均,等.CVP UVP与传统双侧PVP手术治疗骨质疏松性椎体压缩骨折效果比较[J].河北医学,2020,26(12):2040-2044.
[20] 熊利,张爱民,李健康,等.桃核承气汤治疗老年患者骨折术后肢体水肿并发腹胀、便秘的临床疗效观察[J].世界中西医结合杂志,2021,16(2):334-338.
[21] 杨洪杰,唐吉平,林春阳.加味大成汤保留灌肠治疗胸腰椎压缩骨折后腹胀便秘[J].中国中西医结合外科杂志,2018,34(5):628-630.
[22] 汪艳,熊丽娟.气交灸联合穴位贴敷在骨质疏松性椎体压缩性骨折腹胀便秘中的应用效果[J].中国当代医药,2022,29(10):164-166,186.
[23] 李小峰,李张生,谢富荣,等.通腹逐瘀汤治疗单纯性胸腰椎压缩骨折后便秘的临床疗效[J].广西医学,2019, 41(5):549-551.
[24] 杨曼亚.肛门指力刺激技术配合九宫腹部经络推拿法在单节段胸腰椎骨折患者术后腹胀及便秘防治中的应用[J].护理实践与研究,2021,18(6):842-844.
[25] 王亭,李敏,祝艳红,等.集束化护理在改善胸腰椎骨折患者术后腹胀便秘中的应用效果[J].国际护理学杂志,2019,38(5):656-659.
[26] 王亦君,冯舒涵,程锦堂,等.大黄蒽醌类化学成分和药理作用研究进展[J].中国实验方剂学杂志,2018,24(13):227-234.
[27] 王玉,杨雪,夏鹏飞,等.大黄化学成分、药理作用研究进展及质量标志物的预测分析[J].中草药,2019,50(19):4821-4837.
[28] 杨珍,张宝珍,汤利萍,等.大黄脐疗改善住院患者便秘症状的效果[J].中国当代医药,2020,27(35):171-173.
[29] 张桥,陈艳琰,乐世俊,等.大黄炮制的历史沿革及对化学成分、传统药理作用影响的研究进展[J].中国中药杂志,2021,46(3):539-551. |
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