首页|除痹通络汤结合温针灸治疗颈肩腰腿痛的疗效及对患者相关因子、腰椎功能和肩关节功能的影响

除痹通络汤结合温针灸治疗颈肩腰腿痛的疗效及对患者相关因子、腰椎功能和肩关节功能的影响

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目的 观察除痹通络汤结合温针灸治疗颈肩腰腿痛的疗效及对患者相关因子、腰椎功能和肩关节功能的影响.方法 将180 例颈肩腰腿痛患者按照随机数字表法分为 2 组,对照组 90 例予酮咯酸氨丁三醇胶囊治疗,治疗组90 例予除痹通络汤联合温针灸治疗,2 组均治疗2 周.比较2 组治疗前后相关因子水平、疼痛视觉模拟评分(VAS)、肩关节Neer评分、腰椎日本骨科学会(JOA)评分、肩关节活动度变化.结果 2 组治疗后丙二醇(MDA)较本组治疗前降低(P<0.05),超氧化物歧化酶(SOD)、总抗氧化能力(T-AOC)水平均较本组治疗前升高(P<0.05);治疗后治疗组MDA低于对照组(P<0.05),SOD、T-AOC均高于对照组(P<0.05).2 组治疗后疼痛VAS均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05).2 组治疗后肩关节Neer评分、腰椎JOA评分均较本组治疗前升高(P<0.05),且治疗组升高更明显(P<0.05).2 组治疗后肩关节前屈、后伸、外展、内收活动度均较本组治疗前增加(P<0.05),且治疗组增加更明显(P<0.05).结论 除痹通络汤配合温针灸治疗颈肩腰腿痛,可调节患者血清相关因子,改善患者腰椎功能和肩关节功能.
Effect of Zhubi Tongluo Decoction combined with warm acupuncture and moxibustion on pain factors,lumbar function and shoulder joint function in patients with neck shoulder pain
Objective To investigate the effects of Zhubi Tongluo decoction combined with warm acupuncture and moxi-bustion on pain factors,lumbar function and shoulder joint function in patients with neck-shoulder-waist-leg pain.Methods A total of 180 patients with neck-shoulder-waist-leg pain were randomized 1∶1 into the control group(conventional west-ern medicine)and the study group(Zhubi Tongluo Decoction combined with warm acupuncture and moxibustion).After 2 weeks of treatment,the aiming was to compare The levels of pain factors,visual analogue scale(VAS),Neer shoulder function score,Japanese Orthopaedic Association(JOA)score for lumbar spine,and range of motion(ROM)of shoulder joint between groups before and after treatment.Results After treatment,patients in the both groups presented significantly lower 1,2-propanediol(MDA)(P<0.05),significantly higher superoxide dismutase(SOD)and total antioxidant capacity(T-AOC)than those be-fore treatment(P<0.05),and the improvements were more pronounced in the study group than those of the control group(all P<0.05).Patients in the both groups had significantly decreased VAS(P<0.05),significantly increased Neer score and JOA score(P<0.05),and significantly improved ROM of shoulder joint(flexion,extension,abduction and adduction)than those before treatment(P<0.05),which in the study group were better than those of the of the control group(all P<0.05).Conclu-sion For patients with neck-shoulder-waist-leg pain,Zhubi Tongluo decoction combined with warm acupuncture and moxi-bustion can adjust the serum pain factors,improve the function of lumbar spine and shoulder joint.

Low back painChinese medicine therapyAcupuncture therapy

陈娅妮、张锦洪、王芹、李秋香

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江苏省宿迁市第一人民医院科技处,江苏 宿迁 223800

江苏省宿迁市第一人民医院骨科,江苏 宿迁 223800

江苏省宿迁市第一人民医院神经内科,江苏 宿迁 223800

苏宿工业园区社区卫生服务中心中医科,江苏 宿迁 223800

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腰腿痛 中药疗法 针灸疗法

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(3)
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