首页|养筋散瘀除痹方热敷联合针灸治疗颈肩腰腿痛的疗效评价

养筋散瘀除痹方热敷联合针灸治疗颈肩腰腿痛的疗效评价

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目的 评价"养筋散瘀除痹方热敷+针灸"这一方案应用于颈肩腰腿痛患者中的效果.方法 方便选取2021年1月—2023年12月江苏省启东市中医院收治的颈肩腰腿痛的84例患者为研究对象,以随机数表法分成两组,各42例.对照组实行养筋散瘀除痹方热敷治疗,观察组在对照组的基础上联合使用针灸治疗.对比两组治疗有效性、中医证候(痛有定处、癓积、肢体麻木、肿胀和活动受限)积分、疼痛程度、运动功能、日常生活活动能力、生活质量等指标,分析联合中医疗法治疗的价值.结果 观察组治疗总有效率(95.24%)比对照组(78.57%)更高,差异有统计学意义(χ2=5.126,P=0.024);观察组痛有定处、癓积、肢体麻木、肿胀和活动受限中医证候积分均低于对照组,差异有统计学意义(P均<0.05);观察组疼痛评分、运动功能评分、日常生活活动能力评分以及生活质量评分都明显比对照组更优,差异有统计学意义(P均<0.05).结论 治疗颈肩腰腿痛时可在养筋散瘀除痹方热敷的基础上联合针灸法,以此改善主要症状,尽量消除疼痛感,恢复患者运动能力,提高生活活动能力和生活品质.
Curative Effect of Yangjin Sanyu Chubi Prescription Hot Compress Com-bined with Acupuncture on Neck,Shoulder,Waist and Leg Pain
Objective To evaluate the effect of"Yangjin Sanyu Chubi prescription hot compress+acupuncture"in pa-tients with neck,shoulder,back and leg pain.Methods From January 2021 to December 2023,a total of 84 patients with neck,shoulder,back and leg pain were treated in Qidong Hospital of Traditional Chinese Medicine,Jiangsu Prov-ince were conveniently selected as study objects and were divided into two groups by random number table method,with 42 cases in each group.The control group was treated with hot compress of Yangjin Sanyu Chubi prescription,and the observation group was treated with acupuncture based on the control group.The treatment effectiveness,tradi-tional Chinese medicine syndrome(pain with fixed location,accumulation,limb numbness,swelling,and limited mo-bility)score,pain level,motor function,daily living activity ability,and quality of life between two group were com-pared.The value of combined traditional Chinese medicine(TCM)therapy was analyzed.Results The total effective rate of treatment of the observation group(95.24%)was higher than that of the control group(78.57%),and the differ-ence was statistically significant(χ2=5.126,P=0.024).The TCM syndrome scores of patients in the observation group were lower than those in the control group in pain with fixed location,accumulation,limb numbness,swelling,and lim-ited mobility,and the differences were statistically significant(all P<0.05).The pain score,motor function score,activ-ity of daily living ability score and quality of life score of the observation group were significantly better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion The treatment of neck,shoulder,waist and leg pain can be combined acupuncture with Yangjin Sanyu Chubi prescription on the basis of hot compress,in order to improve the main symptoms,as far as possible to eliminate pain,restore the patient's exercise ability,improve life activity ability and quality of life.

Yangjin Sanyu Chubi prescriptionAcupunctureNeck,shoulder,waist and leg painMotor functionQuality of life

林同舟、邹臻茜、黄星卢

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江苏省启东市中医院针灸科,江苏启东 226200

养筋散瘀除痹方 针灸 颈肩腰腿痛 运动功能 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(10)
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