叶亚云+金掌+鄢连和+张立岩+张巧玲

[摘要] 目的 观察畲医疗法治疗胸腰椎骨折术后残留腰骶疼痛的疗效。 方法 随访65例胸腰椎骨折患者分为治疗组26例及对照组39例，治疗组采用常规基础+畲医发痧疗法，对照组常规休息及对症基础治疗，比较两组治疗后的疗效及疼痛缓解速度。采用视觉模拟疼痛评分（VAS）评分标准进行评分，比较治疗前、治疗后1周、2周、3周、4周、5周后的疼痛评分变化，比较两组优良率。 结果 治疗后1周、2周、3周治疗组视觉模拟疼痛评分（VAS）变化显著低于对照组（P<0.05）。治疗组患者优良率与对照组比较，有显著差异（P<0.05）。 结论 畲医疗法可以明显改善胸腰椎骨折术后患者的腰骶疼痛临床症状，效果满意。

[关键词] 腰痛；畲医；胸腰椎骨折；骨质疏松

[中图分类号] R248.2 [文献标识码] B [文章编号] 1673-9701（2017）22-0103-04

[Abstract] Objective To observe the efficacy of the She medicine in the treatment of postoperative residual lumbosacral pain after thoracolumbar fractures. Methods A total of 65 patients with thoracolumbar fractures were followed-up and were divided into the treatment group （26 cases） and the control group （39 cases）. The treatment group was given conventional therapy+She medicine heatstroke therapy， and the control group was given conventional rest and symptomatic therapy. The efficacy after the treatment and the pain relief rate of both groups were compared. The visual analogue pain score（VAS） score was used to calculate the score. The changes of pain scores were compared before treatment， 1 week， 2 weeks， 3 weeks， 4 weeks， and 5 weeks after treatment， and the excellent and good rate was compared between the two groups. Results The changes of visual analogue pain score（VAS） in the treatment group were significantly lower than those in the control group at 1 week， 2 weeks and 3 weeks after treatment（P<0.05）. There was a significant difference in excellent and good rate between two group（P<0.05）. Conclusion The She medicine can significantly improve the clinical symptoms of lumbosacral pain in the patients after the surgery of thoracolumbar fractures， and the efficacy is satisfactory.

[Key words] Lumbar pain； She medicine； Thoracolumbar fractures； Osteoporosis

隨着人口老龄化，骨质疏松性胸腰椎骨折发病率呈上升趋势[1]，椎体成形术治疗该疾病取得极大成功，高龄患者宜考虑早期手术治疗，可有效缩短卧床时间，减少骨折并发症发生[2]。临床发现不少椎体成形术后患者残留下位腰骶疼痛，考虑由软组织损伤引起。本研究采用畲医疗法干预，取得良好疗效，其核心技术刮痧是畲医最具特色的技艺，是一种安全、无副作用、无污染的自然疗法，其在软组织康复治疗中有其独到及确切的疗效。

1 资料与方法

1.1一般资料

收集2009年1月～2016年12月收治65例骨质疏松性胸腰段骨折并行椎体成形术治疗病例。其中男12例，女53例。年龄52～82岁，平均52.1岁。受伤原因：摔伤28例，轻碰伤37例。受伤部位：胸11椎体7例，胸12椎体17例，腰1椎体41例。按骨折形态：压缩性骨折52例，爆裂性骨折13例。病程最短1 h，最长3周。两组病例在性别、年龄、病程方面比较，差异无统计学意义（P>0.05），具有可比性。见……