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目的为骨质疏松患者寻找一种快速缓解腰背抽搐样疼痛的治疗方法。方法回顾分析2006年8月至2009年5月我科收治的出现腰背抽搐样疼痛的骨质疏松症患者112例,均为女性,年龄61～85(72.9±10.2)岁,合并椎体新鲜压缩性骨折105例。按照治疗方法将病人分为3组:A组:29例,行抗骨质疏松的基础治疗,包括口服乐力钙、阿法骨化醇片、仙灵骨葆胶囊与曲马多胶囊,肌注鲑鱼降钙素,局部电疗;B组:50例,在A组的基础上,将口服钙换成静脉钙,加味芍药甘草汤口服;C组:33例,在B组治疗的基础上加局部小针刀治疗。比较3组在治疗7d后抽痛的缓解情况与卧床翻身功能,并比较3组患者抽痛完全缓解所需要的时间。结果治疗7d后,3组的抽痛与卧床翻身功能与治疗前相比,均有统计学意义(均P<0.01),C组与B组的抽痛缓解程度与卧床翻身功能的恢复程度比A组更明显(C组:P<0.01,P>0.05,P<0.01,P<0.01;B组:P<0.01,P>0.05,P<0.01,P<0.01),C组与B组比较有统计学意义(P<0.01,P>0.05,P<0.01,P<0.05)。3组抽痛缓解时间上,C组优于B组(P<0.01),B组优于A组(P<0.01)。结论中西医结合的内外综合治疗可以提高骨质疏松患者腰背抽痛的疗效,是缓解腰背抽痛的有效方法。
OBJECTIVE: To find a method for the treatment of osteoporosis patients with rapid relief of back convulsions-like pain. Methods A retrospective analysis of 112 cases of osteoporosis in our department from August 2006 to May 2009 were performed. All patients were female, age ranged from 61 to 85 (72.9 ± 10.2) years. The patients with fresh vertebral body Compression fractures in 105 cases. The patients were divided into 3 groups according to the treatment method: Group A: 29 cases were treated with the basic anti-osteoporosis treatment, including oral leca calcium, alfacalcidol, Xianling Gubao capsule and tramadol, Note salmon calcitonin, local electrotherapy; Group B: 50 cases, on the basis of group A, the oral calcium was changed to intravenous calcium, Jiawei Shaoyao Gancao Tang oral; C group: 33 cases, on the basis of group B treatment Local small needle knife treatment. The pain relief and bed stand-up function of the three groups after 7 days of treatment were compared. The time required for complete relief of pain was compared between the three groups. Results After 7 days of treatment, the pain relief and bed rest function in the three groups were significantly different from those before treatment (all P <0.01). The degree of pain relief in group C and B was significantly lower than that in bed rest (P <0.01, P <0.05, P <0.01, P <0.01; B group: P <0.01, P> 0.05, P <0.01, P <0.01) There was statistical significance (P <0.01, P> 0.05, P <0.01, P <0.05). Group C was better than group B (P <0.01), and group B was better than group A (P <0.01). Conclusion Integrated traditional Chinese and Western medicine treatment can improve the efficacy of low back pain in patients with osteoporosis and is an effective method to relieve back pain.