Objective： To observe the effect of electroacupuncture （EA） at Jiaji （EX-B 2） points plus hydro-acupuncture with sinomenine hydrochloride for low back pain caused by compression fractures in the elderly. Methods： Ninety-five elderly in-patients with low back pain caused by compression fractures were randomly divided into an observation group and an EA group according to the visit sequence. Both groups received the same basic treatment. In the EA group, 48 cases were treated with EA at Jiaji （EX-B 2） points plus the basic therapy; 47 cases in the observation group received the basic treatment plus EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji （EX-B 2） points. The levels of osteoprotegerin （OPG） and interleukin-1β（IL-1β） in peripheral blood were measured by enzyme-linked immunosorbent assay （ELISA） before and at the 21st day of treatment in both groups. Oswestry disability index （ODI） and visual analog scale （VAS） scores were used to analyze the clinical efficacy. Results： After treatment, the OPG content in the observation group was higher with statistical significance compared with that before treatment in the observation group and after the treatment in the EA group, respectively （both P〈0.05）; the content of IL-1β, ODI and VAS scores were lower than those before treatment in the observation group and after treatment in the EA group with statistical significances （all P〈0.05）. Conclusion： The combination of EA and hydro-acupuncture with sinomenine hydrochloride at Jiaji （EX-B 2） points is effective for low back pain caused by compression fractures in the elderly, and is superior to EA at Jiaji （EX-B 2） points alone.
目的综述养老机构虐待老人的国内外流行现状及影响因素,为日后开展相关研究、制定干预措施提供依据。方法计算机检索万方数据库、中国知网期刊数据库、Web of Science、Pub Med、Cochrane Library,纳入近5年内关于养老机构虐待老人的相关文献,进行文献筛选及内容提取。结果描述了养老机构虐待老人的国内外发生率,从受虐者、施虐者、养老机构、社会环境4个角度进行归纳,分析影响虐待老人的影响因素。结论养老机构虐待老人的影响因素尚存在争议,进一步探索我国养老机构虐待老人的现状及影响因素,有效借鉴发达国家的经验,预防或减少虐待事件的发生,将是下一步研究的方向。
