摘要
目的:探究按照疏肝温肾痰瘀双解汤联合针灸治疗对骨质疏松症伴腰背痛患者疼痛以及睡眠质量的影响作用。方法:选取2022年4月至2023年5月厦门思明景元中医院收治的骨质疏松症伴腰背痛患者84例作为研究对象,按照随机数字表法分为对照组和观察组,每组42例。对照组给予常规治疗,观察组给予疏肝温肾痰瘀双解汤联合针灸进行治疗。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用视觉模拟评分法(VAS)比较2组患者疼痛改善效果,比较2组患者的血钙水平、腰椎骨密度,并比较2组患者的睡眠指标,包括夜间觉醒次数、持续睡眠时间。结果:治疗后,2组患者PSQI评分、VAS评分均有所降低,且观察组显著低于对照组,差异有统计学意义(P<0.05);治疗后,2组血钙水平、腰椎骨密度均有所提高,且观察组显著高于对照组(P<0.05);治疗后,观察组夜间觉醒次数显著低于对照组,持续睡眠时间显著高于对照组,差异有统计学意义(P<0.05)。结论:在对骨质疏松症伴腰背痛患者治疗时开展疏肝温肾痰瘀双解汤联合针灸治疗,可以有效提升患者睡眠质量,降低疼痛程度,提升患者血钙水平以及骨密度,延长睡眠时间。
Objective:To explore the effect of Shugan Wenshen Tanyu Shuangjie Decoction combined with acupuncture on the pain severity and sleep quality of patients with osteoporosis accompanied by low back pain.Methods:A total of 84 patients with osteoporosis and back pain admitted in Xiamen Siming Jingyuan Traditional Chinese Medicine Hospital from April 2022 to May 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group by random number table,with 42 patients in each group.The control group was given routine treatment,and the observation group was given Shugan Wenshen Tanyu Shuangjie Decoction combined with acupuncture.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between the two groups and the Visual Analog Scale(VAS)was used to compare the pain improvement effect of patients in the two groups.The serum calcium and lumbar bone density of patients in the two groups were compared,and sleep indicators,including wakefulness after sleep onset and hours of sleep,were compared.Results:After the treatment,the PSQI score and VAS score of patients in both groups decreased,the observation group was significantly lower and the difference between the two groups was statistically significant(P<0.05).Both groups showed an increase in blood calcium levels and lumbar spine bone density after the treatment and the increase of the observation group was more significantly than that of the control group(P<0.05).The wakefulness after sleep onset in the observation group significantly better improved than that in the control group,and the continuous sleep hours were significantly longer than those in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:The combination of Shugan Wenshen Tanyu Shuangjie Decoction and acupuncture can effectively improve the sleep quality,reduce the pain severity,increase serum calcium and bone density,and increase sleep time of patients with osteoporosis accompanied by low back pain.
作者
高跃民
李云璋
李澄清
李桂枝
GAO Yuemin;LI Yunzhang;LI Chengqing;LI Guizhi(Xiamen Siming Jingyuan Traditional Chinese Medicine Hospital,Xiamen 361000,China;The First Hospital of Xiamen University,Xiamen 361003,China)
出处
《世界睡眠医学杂志》
2025年第5期1073-1076,共4页
World Journal of Sleep Medicine
关键词
骨质疏松症伴腰背痛
睡眠改善
疏肝温肾痰瘀双解汤
针灸
血钙水平
腰椎骨密度
疼痛
夜间睡眠时间
Osteoporosis with lumbar and back pain
Sleep improvement
Shugan Wenshen Tanyu Shuangjie Decoction
Acupuncture
Serum calcium
Lumbar spine bone density
Pain
Sleep hours at night
