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Clinical effect of akupotomye technique for the treatment of residual pain after percutaneous vertebroplasty in patients with osteoporotic vertebral compression fracture |
JIE Zhou1 WANG Hongliang2 ZHOU Tao2 LI Kaiping3 LI Jian2 WANG Gang1 |
1.Maanshan Clinical College, Anhui Medical University, Anhui Province, Maanshan 243000, China; 2.Department of Spinal Orthopaedics, Maanshan People’s Hospital, Anhui Province, Maanshan 243000, China; 3.Chinese Medicine and Health Teaching and Research Room, Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210029, China |
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Abstract 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.
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