| 艾彬彬.腰三针辨证取穴联合揿针留针候气在胸腰椎骨折合并脊髓损伤术后的应用效果分析[J].中国烧伤创疡杂志,2022,(3):197~200. |
| DOI： |
| 中文关键词: 腰三针 辨证取穴 揿针留针候气 胸腰椎骨折 脊髓损伤 功能恢复 |
| 英文关键词:Waist three needle Point selection in accordance with syndrome differentiation Retention of needle waiting for needle sensation Thoracolumbar vertebral fracture Spinal cord injury Recovery of functions |
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| 中文摘要: |
| 【摘要】 目的 探讨腰三针辨证取穴联合揿针留针候气在胸腰椎骨折合并脊髓损伤患者术后治疗中的应用效果? 方法 选取2019年3月至2021年3月南阳市中心医院收治的 64 例胸腰椎骨折合并脊髓损伤患者作为研究对象, 按照随机数表法将其随机分为观察组(32 例) 与对照组 (32 例), 两组患者入院后均予以经皮椎弓根内固定术与椎管减压术治疗? 术后, 观察组患者采用腰三针辨证取穴联合揿针留针候气治疗, 对照组患者单纯采用腰三针辨证取穴治疗, 对比两组患者感觉及运动功能恢复情况、疼痛程度、临床疗效以及并发症发生情况? 结果 治疗结束后, 观察组患者美国脊髓损伤协会 (ASIA) 运动与感觉功能评分均明显高于对照组, 视觉模拟评分法 (VAS) 评分明显低于对照组 ( t = 4.144、2.792、2.988, P < 0.001、P = 0.007、P = 0.004); 观察组患者中优9例、良12例、可10例、差1例, 明显优于对照组患者的优6例、良6例、可14例、差6例 (Z = - 2.223,P = 0.026)? 治疗期间, 观察组患者出现切口延迟愈合1例, 并发症发生率为3.13% , 与对照组患者出现的切口延迟愈合 2 例、消化道应激性溃疡1例、尿路感染1例, 并发症发生率12.50%无明显差异 (χ2= 1.953, P =0.162)? 结论 腰三针辨证取穴联合揿针留针候气可有效促进胸腰椎骨折合并脊髓损伤患者感觉与运动功能恢复, 减轻患者疼痛, 提高临床疗效, 且安全性较高, 值得临床推广应用? |
| 英文摘要: |
| 【Abstract】 Objective To investigate the application effect of waist three needles point selection in accordance with syndrome differentiation combined with retention of needle waiting for needle sensation in treating postoperative wounds of thoracolumbar vertebral fracture complicated with spinal cord injury. Methods 64 patients with thoracolumbar vertebral fracture complicated with spinal cord injury, admitted to Nanyang Central Hospital from March 2019 to March 2021, were enrolled as research subjects and divided, using the random number table, into observation group ( n = 32) and control group (n = 32). After admission, percutaneous pedicle fixation and spinal canal decompression were performed on allpatients in the two groups. After surgery, patients in observation group were treated with waist three needle point selection in accordance with syndrome differentiation combined with retention of needle waiting for needle retention, whereas patients in control group were treated with waist three needle point selection in accordance with syndrome differentiation alone. The recovery of sensory and motor function, pain degree, clinical efficacy and complication occurrence were compared between the two groups. Results After treatment, the American spinal injury association (ASIA) motor and sensory function scores were significantly higher, and the visual analogue scale (VAS) score was markedly lower in observation group as compared with that in control group (t = 4.144, 2.792 and 2.988, P < 0.001, P = 0.007, P = 0.004). In observation group, the clinical efficacy was evaluated as excellent in 9 cases, good in 12 cases, fair in 10 cases and poor in 1 case, much better than control group with 6 cases excellent, 6 cases good, 14 cases fair and 6 cases poor (Z = - 2.223, P = 0.026). In observation group, 1 case developed delayed wound healing, and the incidence of complication was 3.13% . In contrast, 2 cases developed delayed wound healing, 1 case suffered gastrointestinal stress ulcer, 1 case suffered urinary tract infection in control group, and the incidence of complications was 12.50% , which showed no significant difference with that in observation group (χ2= 1.953, P = 0.162). Conclusion Waist three needle point selection in accordance with syndrome differentiation combined with retention of needle waiting for needle sensation can substantially promote the recovery of sensory and motor functions of patients with thoracolumbar vertebral fracture complicated with spinal cord injury, alleviate their pain and improve clinical efficacy. Besides, the therapy is safe and can be promoted in clinical practice. |
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