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化瘀理筋针刺法联合中药热奄包对腰椎间盘突出症的治疗效果

Therapeutic effect on the treatment of lumbar intervertebral disc herniation with the acupuncture method of Huayu Lijin combined with the traditional Chinese medicine Reyan Bao

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目的 探讨化瘀理筋针刺法联合中药热奄包治疗腰椎间盘突出症的临床效果及对患者疼痛、腰椎功能及炎症水平的影响.方法 选取2020年6月-2022年6月唐山市丰润区人民医院收治的80例腰椎间盘突出症患者,采用随机数字表法将患者分为化瘀理筋针刺法组与联合组,每组40例,化瘀理筋针刺法组给予化瘀理筋针刺法治疗,联合组给予化瘀理筋针刺法配合中药热奄包治疗.以2周为1个疗程,2组均治疗2个疗程.比较2组临床疗效及治疗前后腰椎功能、疼痛程度、肌电图及促炎因子水平变化.结果 联合组总有效率为92.50%(37/40),化瘀理筋针刺法组总有效率为70.00%(28/40),差异有统计学意义(P<0.05).联合组治疗后Oswestry功能障碍指数低于化瘀理筋针刺法组,差异均有统计学意义(P<0.05).联合组治疗后2周、1个月及3个月VAS评分低于化瘀理筋针刺法组,差异均有统计学意义(P<0.05).联合组治疗后左侧平均功率频率(MPF)、右侧MPF、左侧积分肌电值(EMG)、右侧EMG均高于化瘀理筋针刺法组,差异均有统计学意义(P<0.05).联合组治疗后血清IL-23、前列腺素E2水平低于化瘀理筋针刺法组,差异均有统计学意义(P<0.05).结论 化瘀理筋针刺法配合中药热奄包可有效缓解腰椎间盘突出症患者腰椎疼痛,改善腰椎功能及腰背伸肌群肌电图指标,减轻机体炎症反应,值得推广应用.
Objective To study the clinical efficacy of the Huayu Lijin acupuncture method combined with traditional Chi-nese medicine Reyan Bao in the treatment of lumbar disc herniation,and to evaluate the effects of this therapy on the degree of pain,lumbar function,and inflammatory response in patients.Methods A total of 80 patients with lumbar disc hernia-tion admitted to Tangshan Fengrun People's Hospital in Tangshan City from June 2020 to June 2022 were randomly divided into two groups using a random number table method:the Huayu Lijin acupuncture group and the combination group,with 40 cases in each group.The Huayu Lijin acupuncture group received treatment with the Huayu Lijin acupuncture method,while the combination group received treatment with the Huayu Lijin acupuncture method combined with traditional Chinese medicine heat therapy.Both groups were treated for 2 weeks as a course of treatment,with 2 courses of treatment.The ther-apeutic effects,the changes in lumbar spine function,pain level,electromyography,and pro-inflammatory factor levels be-tween two groups before and after treatment were compared.Results The total effective rate of the combined group was 92.50%(37/40),the total effective rate of the Huayu Lijin acupuncture group was 70.00%(28/40),and the difference was statistically significant(P<0.05).After treatment,the Oswestry disability index of the combined group was lower than that of the Huayu Lijin acupuncture group(P<0.05).After 2 weeks,1 month,and 3 months of treatment,the VAS scores of the combination group were lower than that of the Huayu Lijin acupuncture group(P<0.05).After combined treatment,the left mean power frequency(MPF),right MPF,left electromyographic(EMG),and right EMG in the combination group were higher than those in the Huayu Lijin acupuncture group(P<0.05).After treatment,the serum levels of IL-23 and prostaglandin E2 in the combination group were lower than those in the Huayu Lijin acupuncture group(P<0.05).Conclusion For patients with lumbar disc herniation,the acupuncture method of Huayu Lijin combined with traditional Chinese medicine Reyan Bao has a prominent effect in treating lumbar disc herniation.It can effectively alleviate lumbar pain,improve lumbar function and electromyographic indicators of the lumbar extensor muscle group,reduce body inflam-matory reactions,and is worthy of promotion and application.

Acupuncture method of Huayu LijinTraditional Chinese medicine Reyan BaoLumbar disc herniationLumbar functionElectromyogram

王照平、何嘉、杨亚军、王立娜、王辉

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唐山市丰润区人民医院骨一科,河北唐山 064000

唐山市丰润区人民医院骨三科

唐山市丰润区中医医院外科,河北唐山 064000

化瘀理筋针刺法 中药热奄包 腰椎间盘突出症 腰椎功能 肌电图

河北省中医药类科研计划(2022)

2022559

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(5)
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