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Clinical observation on the effect of warming meridian medicinal wine, polarized light external application combined with acupuncture and moxibustion on pain after vertebroplasty
Received date: 2024-02-28
Accepted date: 2024-09-23
Online published: 2025-05-21
OBJECTIVE: To evaluate the effects of external application of warm meridian medicated wine and polarized light therapy combined with acupuncture on pain management following vertebroplasty.
METHODS: A total of 120 patients with osteoporotic vertebral compression fractures treated by vertebroplasty at our hospital were divided into four groups. The control group received non-steroidal anti-inflammatory drugs, the Treatment Group Ⅰ received acupuncture alone, Treatment Group Ⅱ was treated with medicated wine for warming meridians alongside polarized light physiotherapy, and Treatment Group Ⅲ received a combination of medicated wine for warming meridians, polarized light therapy, and acupuncture. The clinical efficacy, pain thresholds at various time points, temperature pain threshold, electric pain threshold, quality of life, sleep quality index, lumbar dysfunction index, visual analog scale (VAS) scores, and incidence of adverse reactions were compared and analyzed across the four groups.
RESULTS: The total clinical effective rate in Treatment Group Ⅲ was significantly higher than that in the control group, Treatment Group Ⅰ, and Treatment Group Ⅱ (P < 0.05). At 24 and 72 h post-treatment, the VAS scores, temperature pain thresholds, and electric pain thresholds in Treatment Group Ⅲ were significantly lower than those in the control group, Treatment Group Ⅰ, and Treatment Group Ⅱ (P < 0.05). Additionally, quality-of-life scores in Treatment Group Ⅲ were markedly higher compared to the control group, Treatment Group Ⅰ, and Treatment Group Ⅱ, while the Pittsburgh Sleep Quality Index scores, Oswestry Disability Index scores, and incidence of adverse reactions in Treatment Group Ⅲ were significantly lower than in the other groups (P < 0.05).
CONCLUSION: The external application of warm meridian medicated wine and polarized light therapy combined with acupuncture significantly reduces postoperative pain following vertebroplasty, enhances lumbar function, and improves both sleep quality and overall quality of life for patients. This approach is recommended for clinical application.
Zhigang WEN , Shuai LU , Xiumei CHENG . Clinical observation on the effect of warming meridian medicinal wine, polarized light external application combined with acupuncture and moxibustion on pain after vertebroplasty[J]. Journal of Traditional Chinese Medicine, 2025 , 45(3) : 660 -666 . DOI: 10.19852/j.cnki.jtcm.2025.03.018
| 1. | Patel A, Petrone B, Carter KR. Percutaneous vertebroplasty and kyphoplasty. StatPearls: StatPearls Publishing, 2024: 35-9. |
| 2. | Kendler DL, Bauer DC, Davison KS, et al. Vertebral fractures: clinical importance and management. Am J Med 2016; 129: 221. e1-10. |
| 3. | Luthman S, Widén J. Appropriateness criteria for treatment of osteoporotic vertebral compression fractures. Osteoporos Int 2018; 29: 793-804. |
| 4. | Tsoumakidou G, Too CW, Koch G, et al. CIRSE guidelines on percutaneous vertebral augmentation. Cardiovasc Intervent Radiol 2017; 40: 331-42. |
| 5. | Wang W, Duan K, Ma M, et al. Can an unipedicular approach replace bipedicular percutaneous vertebroplasty for osteoporotic vertebral compression fracture? J Back Musculoskelet Rehabil 2019; 32: 261-7. |
| 6. | Wang YF, Shen J, Li SY, et al. Kambin triangle approach in percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures. Medicine (Baltimore) 2019; 98: e17857. |
| 7. | Leemans L, Elma ?, Nijs J, et al. Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial. Braz J Phys Ther 2021; 25: 86-96. |
| 8. | van der Lely S, Liechti MD. Quantitative electrical pain threshold assessment in the lower urinary tract. Neurourol Urodyn 2020; 39: 420-31. |
| 9. | Liu D, Kahathuduwa C. The Pittsburgh Sleep Quality Index (PSQI): psychometric and clinical risk score applications among college students. Psychol Assess 2021; 33: 816-26. |
| 10. | Kraxenberger M, Schr?der C, Geith T, et al. Fracture generation in human vertebrae under compression loading: the influence of pedicle preservation and bone mineral density on in vitro fracture behavior. Technol Health Care 2018; 26: 155-63. |
| 11. | Belkoff SM, Mathis JM, Jasper LE, et al. The biomechanics of vertebroplasty: the effect of cement volume on mechanical behavior. Spine (Phila Pa 1976) 2001; 26: 1537-41. |
| 12. | N MA, Eladl HM. Polarized light therapy in the treatment of wounds: a review. Int J Low Extrem Wounds 2022: 15347346221113991. |
| 13. | Taha MM, El-Nagar MM, Elrefaey BH, et al. Effect of polarized light therapy (Bioptron) on wound healing and microbiota in diabetic foot ulcer: a randomized controlled trial. Photobiomodul Photomed Laser Surg 2022; 40: 792-9. |
| 14. | Lu Q, Liu C, Wang D, et al. Biomechanical evaluation of calcium phosphate-based nanocomposite versus polymethylmethacrylate cement for percutaneous kyphoplasty. Spine J 2019; 19: 1871-84. |
| 15. | Feehan J, Tripodi N, Fraser S, et al. Polarized light therapy: shining a light on the mechanism underlying its immunomodulatory effects. J Biophotonics 2020; 13: e201960177. |
| 16. | Tang J, Guo WC, Hu JF, et al. Unilateral and bilateral percutaneous kyphoplasty for thoracolumbar osteoporotic compression fractures. J Coll Physicians Surg Pak 2019; 29: 946-50. |
| 17. | Yang S, Chen C, Wang H, et al. A systematic review of unilateral versus bilateral percutaneous vertebroplasty/percutaneous kypho-plasty for osteoporotic vertebral compression fractures. Acta Orthop Traumatol Turc 2017; 51: 290-7. |
| 18. | Hao C, Wang G, Chen C, et al. Circularly polarized light-enabled chiral nanomaterials: from fabrication to application. Nanomicro Lett 2023; 15: 39. |
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