Analgesic effect of combined therapy of medication and acupuncture in PVP for osteoporotic vertebral compression fracture: a randomized controlled trial.
10.13703/j.0255-2930.20200305-k0005
- Author:
Ping CAI
1
;
Chen-Xi ZHOU
1
;
Dong LI
1
;
Yin-Lei CHEN
1
;
Zhi-Yong CHANG
1
;
Lin XIE
2
Author Information
1. Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu Province, China.
2. Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, Jiangsu Province.
- Publication Type:Randomized Controlled Trial
- Keywords:
acupuncture analgesiaa;
local anesthesia;
osteoporotic vertebral compression fracturea;
percutaneous vertebroplastya
- MeSH:
Analgesics;
Fractures, Compression/therapy*;
Humans;
Osteoporotic Fractures;
Spinal Fractures/therapy*;
Spine;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2020;40(12):1309-1313
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the analgesic effect and application advantage of acupuncture combined with local anesthesia of lidocaine in percutaneous vertebroplasty (PVP) for the patients with osteoporotic vertebral compression fracture (OVCF).
METHODS:A total of 60 patients with OVCF and receiving PVP at single vertebra under local anesthesia were selected and randomized into an acupuncture plus medication group and a simple medication group, 30 cases in each one. In the simple medication group, the local laying infiltration anesthesia with 1% lidocaine 30 mL was used. In the acupuncture plus medication group, firstly, filiform needles were used to stimulate Hegu (LI 4), Neiguan (PC 6), Jinmen (BL 63) and Yintang (GV 29) with reducing technique, and then the epidermal infiltration anesthesia was followed with 1% lidocaine 4 mL. The needles were retained till the end of operation. Successively, before operation (T
RESULTS:In the acupuncture plus medication group, MAP and HR were lower than those in the simple medication group at T
CONCLUSION:Acupuncture combined with medication reduces the dose and adverse reactions of anesthetics, alleviates pain degree of patients, shortens the duration of operation and improves patients' subjective satisfaction in PVP for OVCF.
