中药热罨包治疗原发性骨质疏松症腰背痛的疗效及对患者睡眠质量的影响

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AbstractObjective：Toinvestigatetheefectsof raditional Chinesemedicine（TCM）hot-pack treatmentonthelowerback pain inosteoporosis patientsandits influenceonsleepquality.Methods：Atotalof94osteoporosis patients withlowerback paintreatedinthe DepartmentofRehabilitation，Guizhou Hospital，Beijing Jishuitan HospitalfromJanuary2O23toSeptember224 were included.Theywererandomlydivided intotheobservation groupandthecontrol groupusingtherandom number table，with 47patientsineachgroup.Patientsinboth groupsreceivedconventionalanti-osteoporosisdrug treatment，hilethoseintheobservation groupadditionall received TCMhot-pack treatment.Interventions wereperformed for1 month.The VisualAnalog Scale（VAS） score，OswestryDisability Index（OD），serm inflammatoryfactors，pinmediators，andPitsburgh SleepQuality Index（PSQI） were compared betwen thetwo groups beforeandaftertreatment.Results：After treatment，the VASscore，ODI，seruminterleukin-6（IL-6），prostaglandin E2（PGE2 ）levels，and the score of each dimension in the PSQI were significantly reduced in both groups，which were significantly lower in the observation group than the control group（ P<0.05 ） . Conclusion ： TCM hot-pack treatmentcanefectivelyalleviatelowerbackpainanddysfunction，rducethelevelsofseruminflammatoryfactorsandpanmediators，and improve the sleep quality of patients with primary osteoporosis.

KeywordsOsteoporosis；Hotmedicinalcompresstherapy；Pain；Visualanaloguescale；Sleepquality；Interleukin-6；Prostaglandin E2 （20

中图分类号：R681.4;R244.9 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.05.024

原发性骨质疏松症属于慢性骨代谢性疾病，因骨吸收与骨形成的平衡状态被打破所引起，多见于中老年人群，女性患者多于男性[1]。（剩余5874字）