摘要
目的分析针灸联合耳穴埋豆治疗慢性骨髓炎的效果。方法选取2019年12月—2022年12月烟台海港医院收治的84例慢性骨髓炎患者为研究对象,按随机数字表法将其分为对照组及观察组,每组42例。对照组采用常规西医治疗,观察组在此基础上采用针灸联合耳穴埋豆治疗。对比两组患者的临床疗效、疼痛程度、炎症因子水平、心理状态及不良反应发生情况。结果观察组的治疗总有效率为95.24%,高于对照组的78.57%,差异有统计学意义(P<0.05)。治疗后,观察组的疼痛视觉模拟评分为(1.21±0.39)分,低于对照组的(1.88±0.63)分,差异有统计学意义(P<0.05)。治疗后,观察组的C反应蛋白、白细胞介素-6、肿瘤坏死因子-α水平分别为(6.32±1.18)mg/L、(89.83±8.52)pg/mL、(30.25±3.38)pg/mL,均低于对照组的(10.24±1.59)mg/L、(124.96±12.75)pg/mL、(46.31±5.28)pg/mL,组间差异有统计学意义(P<0.05)。治疗后,观察组的焦虑自评量表、抑郁自评量表评分分别为(30.36±2.27)分、(40.31±2.97)分,均低于对照组的(44.21±2.87)分、(48.26±4.39)分,组间差异有统计学意义(P<0.05)。两组的不良反应发生率比较,差异无统计学意义(P>0.05)。结论针灸联合耳穴埋豆可缓解慢性骨髓炎患者的疼痛,减轻炎症反应,改善其心理状态,且无严重不良反应。
Objective To analyze the effect of acupuncture and moxibustion combined with ear point embedding beans in the treatment of chronic osteomyelitis.Methods A total of 84 patients with chronic osteomyelitis admitted to Yantai Harbor Hospital from December 2019 to December 2022 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with acupuncture and moxibustion combined with ear point embedding beans on this basis.The clinical efficacy,pain degree,inflammatory factor levels,psychological state and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.24%,which was higher than 78.57%of the control group,the difference was statistically significant(P<0.05).After treatment,the pain Visual Analogue Scale score of the observation group was(1.21±0.39)points,which was lower than(1.88±0.63)points of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of C-reactive protein,interleukin-6 and tumor necrosis factor-αin the observation group were(6.32±1.18)mg/L,(89.83±8.52)pg/mL and(30.25±3.38)pg/mL,respectively,which were lower than(10.24±1.59)mg/L,(124.96±12.75)pg/mL and(46.31±5.28)pg/mL in the control group,the differences between the two groups were statistically significant(P<0.05).After treatment,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the observation group were(30.36±2.27)points and(40.31±2.97)points,respectively,which were lower than(44.21±2.87)points and(48.26±4.39)points in the control group,the differences between the two groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture and moxibustion combined with ear point embedding beans can relieve pain of chronic osteomyelitis patients,reduce their inflammation and improve their mental state without serious adverse reactions.
作者
刘通
燕明武
LIU Tong;YAN Mingwu(Department of Orthopedic Surgery,Yantai Harbor Hospital,Yantai 264000,China)
出处
《反射疗法与康复医学》
2024年第16期18-21,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性骨髓炎
针灸
耳穴埋豆
炎症因子
不良反应
Chronic osteomyelitis
Acupuncture and moxibustion
Ear point embedding beans
Inflammatory factors
Adverse reactions
作者简介
刘通(1985-),男,山东烟台人,硕士研究生,主治医师,研究方向:骨外科临床常见病诊治;通信作者:燕明武(1989-),男,山东烟台人,本科,主治医师,研究方向:骨外科临床常见病诊治,邮箱:872351372@qq.com。
