To explore the effect of electroacupuncture combined with Shujin Zhuanggu decoction on bone mineral density and lumbar function of patients after percutaneous kyphoplasty (PKP).
A retrospective study was conducted, and 76 patients with vertebral compression fractures treated with PKP from January 2022 to November 2023 in our hospital were selected and divided into two groups according to different intervention methods. The control group (38 cases) was given Shujin Zhuanggu decoction after operation, and the observation group (38 cases) was given electroacupuncture stimulation on the basis of this. Bone mineral density, blood calcium, and serum β-C-terminal cross-linking telopeptide of type Ⅰ collagen (β-CTx) levels, lumbar function [Oswestry disability index (ODI) and Japanese Orthopaedic Association score (JOA)] and osteoporosis symptom grading were compared between the two groups.
Three months after the intervention, the bone mineral density and blood calcium levels of both groups were higher than those before the intervention, but the observation group was significantly higher than the control group. The serum β-CTx level decreased, and the observation group was lower than the control group, with statistical significance (P<0.05). Three months after the intervention, the ODI score of the two groups decreased and the JOA score increased, and the ODI score of the observation group was lower than that of the control group, and the JOA score was higher than that of the control group, with statistical significance (P<0.05). Three months after the intervention, the scores of symptoms in the two groups decreased compared with those before the intervention, and the scores of low back pain, weakness of waist and knees, weakness of lower limbs, pain of lower limbs and difficulty in walking in the observation group were lower than those in the control group, with statistical significance (P<0.05).
The effect of electroacupuncture combined with Shujin Zhuanggu decoction in patients after PKP is better than that of Shujin Zhuanggu decoction alone, which can improve patients' bone density, promote fracture healing and contribute to the recovery of lumbar function.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |