首页|针刺疗法联合中医定向透药治疗腰椎间盘突出症临床研究

针刺疗法联合中医定向透药治疗腰椎间盘突出症临床研究

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目的:观察针刺疗法联合中医定向透药治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效.方法:选择上海市崇明区城桥镇社区卫生服务中心中医科2020 年8 月至2021 年12 月门诊就诊的LDH患者90 例,按照随机数字表法分为针刺药透组、单纯针刺组、单纯药透组,每组各30 例.单纯针刺组给予针刺疗法治疗,单纯药透组给予中医定向透药治疗,针刺药透组给予针刺疗法联合中医定向透药治疗.观察3 组患者治疗前后疼痛视觉模拟评分(visual analogue score,VAS)、腰椎功能障碍指数量表(the oswestry disability index,ODI)评分、日本骨科学会下腰痛量表(Japanese orthopaedic association waist disor-ders,JOA)评分、血清代谢物(β-隐黄素、柠檬酸、丙酮酸、赖氨酸)变化情况及临床疗效、不良反应发生情况.结果:针刺药透组治疗2 周后、治疗4 周后、治疗后2 周VAS评分、ODI评分均低于单纯针刺组、单纯药透组,差异均有统计学意义(P<0.05).针刺药透组治疗2 周后、治疗4 周后、治疗后2 周JOA评分高于单纯针刺组、单纯药透组,差异有统计学意义(P<0.05).单纯针刺组有效率为73.33%,单纯药透组有效率为76.67%,针刺药透组有效率为96.67%,针刺药透组有效率高于单纯针刺组、单纯药透组,差异有统计学意义(P<0.05).针刺药透组治疗后β-隐黄素、柠檬酸、丙酮酸、赖氨酸水平均高于单纯针刺组、单纯药透组,差异有统计学意义(P<0.05).结论:针刺疗法联合中医定向透药治疗LDH,可减轻患者疼痛程度,改善腰椎功能.
Clinical Study on Acupuncture Combined with TCM Directional Drug Permeation in the Treatment of Lumbar Disc Herniation
Objective:To observe the clinical efficacy of acupuncture combined with TCM directional drug permeation therapy on lumbar disc herniation(LDH).Methods:A total of 90 LDH patients who visited the outpatient department of the Department of Traditional Chi-nese Medicine of Chengqiao Town Community Health Service Center in Chongming District of Shanghai from August 2020 to December 2021 were selected and divided into the acupuncture-drug permeation group,the simple acupuncture group,and the simple drug perme-ation group according to the random number table method,with 30 cases in each group.The simple acupuncture group was given acu-puncture therapy,the simple drug permeation group was given TCM directional drug permeation therapy,and the acupuncture-drug per-meation group was given acupuncture therapy combined with TCM directional drug permeation therapy.The changes in the visual ana-logue score(VAS),the oswestry disability index(ODI),the Japanese orthopaedic association waist disorders(JOA),serum metabo-lites(including β-cryptoxanthin,citric acid,pyruvic acid,and lysine),the clinical efficacy,and the occurrence of adverse reactions were observed in the three groups before and after treatment.Results:The VAS score and ODI score of the acupuncture-drug permeation group were lower than those of the simple acupuncture group and the simple drug permeation group after 2 weeks' treatment,4 weeks'treatment,and 2 weeks after treatment respectively,with statistically significant differences(P<0.05).The JOA score of the acupunc-ture-drug permeation group was higher than that of the simple acupuncture group and that of the simple drug permeation group after 2 weeks'treatment,4 weeks'treatment,and 2 weeks after treatment respectively,with statistically significant differences(P<0.05).The effective rate of the simple acupuncture group was73.33%,that of the simple drug permeation group was76.67%,and that of the acu-puncture-drug permeation group was 96.67%,with statistically significant differences(P<0.05).The levels of β-cryptoxanthin,citric acid,pyruvic acid,and lysine in the acupuncture-drug permeation group were higher than those of the simple acupuncture group and the simple drug permeation group after treatment,with statistically significant differences(P<0.05).Conclusion:Acupuncture combined with TCM directional drug permeation therapy for LDH can relieve the patients'pain and improve lumbar function.

lumbar disc herniation(LDH)acupuncture therapyTCM directional drug permeation

李海涛、张殷杰、陈辉、江树

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上海市崇明区城桥镇社区卫生服务中心,上海 202150

上海交通大学医学院附属新华医院崇明分院,上海 202150

高安市人民医院,江西 高安 330899

腰椎间盘突出症 针刺疗法 中医定向透药

2021年度崇明区可持续发展科技创新行动计划(医疗卫生)上海市"医苑新星"青年人才培养资助计划项目第二轮上海市中专家社区师带徒项目

CKY2020-14沪卫计人事201972号沪卫中管[2020]13号

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(3)
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