首页|温针灸联合甘姜苓术汤在改善寒湿型腰椎间盘突出症患者腰椎功能中的应用价值

温针灸联合甘姜苓术汤在改善寒湿型腰椎间盘突出症患者腰椎功能中的应用价值

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目的 分析温针灸联合甘姜苓术汤对寒湿型腰椎间盘突出症(LDH)患者的影响.方法 选取 2020年 1月—2024 年1 月石阡县人民医院收治的 200例寒湿型LDH患者为研究对象,按随机数字表法将其分为对照组和观察组,各100 例.对照组采用甘姜苓术汤治疗,观察组在对照组基础上加用温针灸治疗,两组均持续治疗 4 周.比较两组的临床疗效、中医证候评分、疼痛程度、腰椎活动度、腰椎功能.结果 观察组治疗总有效率为 96.00%,高于对照组的85.00%,差异有统计学意义(P﹤0.05).治疗后,各项中医证候评分、疼痛视觉模拟评分、Oswestry功能障碍指数均低于对照组,各项腰椎活动度均大于对照组,腰椎日本骨科协会评估治疗分数高于对照组,组间差异有统计学意义(P﹤0.05).结论 温针灸联合甘姜苓术汤治疗寒湿型LDH患者,可缓解疼痛程度,提高腰椎活动度,改善腰椎功能,存在一定的应用价值,值得临床借鉴.
Application Value of Warm Acupuncture Combined with Ganjiang Lingzhu Decoction in Improving Lumbar Function in Patients with Cold-Damp Type Lumbar Disc Herniation
Objective To analyze the effects of warm acupuncture and moxibustion combined with Ganjiang Lingzhu decoction on cold-damp type lumbar disc herniation(LDH).Methods Two hundred patients with cold-damp type LDH treated in Shiqian County People's Hospital from January 2020 to January 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 100 cases in each group.The control group was treated with Ganjiang Lingzhu decoction,and the observation group was treated with warm acupuncture on the basis of the control group,both groups were treated for 4 weeks.The clinical efficacy,traditional Chinese medicine syndrome score,pain degree,lumbar motion and lumbar function were compared between the two groups.Results The total effective rate of the observation group was 96.00%,which was higher than 85.00%of the control group,and the difference was statistically significant(P﹤0.05).After treatment,all the traditional Chinese medicine syndrome scores,pain Visual Analogue Scores,and Oswestry Disability Index Scores were lower than those of the control group,all the lumbar motion degrees were higher than those of the control group,and Lnmbar Japanese Orthopaedic Association scores was higher than that in the control group,the differences between the groups were statistical significance(P﹤0.05).Conclusion Warm acupuncture and moxibustion combined with Ganjiang Lingzhu decoction can relieve pain,increase lumbar motion and improve lumbar function in the treatment of cold-damp LDH patients,which has certain application value and is worthy of clinical reference.

Lumbar disc herniationCold-Damp typeWarm acupunctureGanjiang Lingzhu decoctionLumbar function

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石阡县人民医院中医科,贵州 铜仁 555100

腰椎间盘突出症 寒湿型 温针灸 甘姜苓术汤 腰椎功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(19)