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独活寄生汤联合穴位敷贴治疗腰椎间盘突出症的临床效果

Clinical effect of Duhuo Parasitic Decoction combined with acupoint application in the treatment of lumbar disc herniation

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目的:探讨独活寄生汤联合穴位敷贴治疗腰椎间盘突出症(LDH)的临床效果及对骨代谢的影响.方法:按照随机数表法将医院治疗的100例腰椎间盘突出症患者分为对照组(给予穴位敷贴治疗)和研究组(给予独活寄生汤联合穴位敷贴治疗),各50例患者.观察两组患者临床疗效、治疗前后中医症候积分、治疗前后炎症因子指标比较、对比两组患者的JOA、ODI及VAS疼痛评分、不良反应发生情况以及β-CTx、骨钙素水平.结果:研究组患者的临床治疗总有效率高于照组(P<0.05).治疗后,研究组患者的各项中医症状积分均低于对照组(P<0.05);两组患者IL-6、TNF-a、hs-CRP水平较治疗前降低,研究组变化幅度较对照组大(P<0.05);两组患者的β-CTX、OST均低于治疗前(P<0.05).结论:独活寄生汤与穴位敷贴联合应用治疗腰椎间盘突出症可显著缓解患者疼痛以及其他症状,改善腰椎功能,效果较单纯使用穴位敷贴治疗更好.
Objective:To explore the clinical effect of Duhuo Parasitic Decoction combined with acupoint application in the treatment of lumbar disc herniation(LDH)and its impact on bone metabolism.Method:A total of 100 patients with lumbar disc herniation who were treated in hospital were included in the random number table method.and compliant cases were collected and divided into a control group(treated with acupoint application)and a study group(treated with Duhuo Parasit ic Decoction combined with acupoint application),with 50 cases in each group.The clinical efficacy,TCM syndrome scores before and after treatment,comparison of inflammatory factor indicators before and after treatment,and comparison of JOA between the two groups of patients were observed ODI and VAS pain scores,incidence of adverse reactions between the two groups,and comparison of β-CTx and osteocalcin levels between the two groups of patients.In the comparison of clinical efficacy between the two groups,the total effective rate of the study group was higher than that of the control group(P<0.05);After treatment,the TCM symptom scores of the study group were lower than those of the control group(P<0.05);two groups of IL-6 The levels of TNF-a and hs CRP decreased compared to before treatment,and the range of changes in the study group was larger than that in the control group(P<0.05);the β-CTX OST was lower than before treatment(P<0.05).Conclusion:The combination of Duhuo Parasitic Decoction and acupoint application can significantly alleviate pain and other symptoms in patients with lumbar disc herniation,improve lumbar function,and have a better effect than using acupoint application alone.

duhuo parasitic tangacupoint applicationlumbar disc herniationbone metabolism

杨舒宏、王家盛

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信丰县中医院骨伤2科 江西赣州 341600

独活寄生汤 穴位敷贴 腰椎间盘突出症 骨代谢

赣州市卫生健康委员会科研计划项目

2022-2-090

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(3)