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督脉针灸治疗寒湿痹阻型腰椎间盘突出症患者的效果

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目的:探讨督脉针灸治疗寒湿痹阻型腰椎间盘突出症(LDH)患者的效果.方法:选取 2022 年 6 月至 2023 年 12 月该院收治的 90 例寒湿痹阻型LDH患者进行前瞻性研究,采用随机数字表法将其分为对照组和观察组各 45 例.对照组口服塞来昔布胶囊治疗,观察组采用督脉针灸(督灸+针刺穴位)治疗.比较两组临床疗效,治疗前后中医证候积分、腰椎功能[日本骨科协会腰痛量表(JOA)]、生命质量[Oswestry功能障碍指数(ODI)]、血清疼痛因子[5-羟色胺(5-HT)、前列腺素E2(PGE2)]水平,以及不良反应发生率.结果:观察组治疗总有效率为 93.33%(42/45),高于对照组的 75.56%(34/45),差异有统计学意义(P<0.05);治疗 4 周后,观察组JOA评分均高于对照组,中医证候积分、ODI评分及血清 5-HT、PGE2 水平均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:督脉针灸治疗寒湿痹阻型LDH患者可提高治疗总有效率,降低中医证候积分、ODI评分和血清疼痛因子水平,提高腰椎功能,效果优于常规西药治疗.
Effects of Governor vessel acupuncture on patients with lumbar disc herniation of cold-dampness obstruction type
Objective:To explore effects of Governor vessel acupuncture on patients with lumbar disc herniation(LDH)of cold-dampness obstruction type.Methods:A prospective study was conducted on 90 patients with LDH of cold-dampness obstruction type admitted to this hospital from June 2022 to December 2023.They were divided into control group and observation group by using the random number table method,45 cases in each group.The control group was treated with oral Celecoxib capsules,while the observation group was treated with Governor vessel acupuncture(Governor vessel moxibustion+points acupuncture).The clinical efficacy,the TCM syndrome scores,the lumbar function[Japanese Orthopaedic Association low back pain scale(JOA)],the quality of life[Oswestry dysfunction index(ODI)],the serum pain factors[5-hydroxytryptamine(5-HT),prostaglandin E2(PGE2)]levels,and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 93.33%(42/45),which was higher than 75.56%(34/45)of the control group,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,the JOA score of the observation group was higher than that of the control group;the TCM syndrome score,the ODI score and the serum 5-HT and PGE2 levels were lower than those of the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Governor Vessel acupuncture can improve the total effective rate of treatment,reduce the TCM syndrome scores,the ODI scores and the serum pain factor levels,and improve the lumbar function in the patients with LDH of cold-dampness obstruction type.Moreover,it is superior to the conventional Western medicine treatment.

Governor vesselMoxibustionAcupunctureLumbar disc herniationCold-dampness obstructionCelecoxib

刘淑珍、李渊

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武威市中医医院康复科,甘肃 武威 733000

督脉 艾灸 针刺 腰椎间盘突出 寒湿痹阻 塞来昔布

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(13)