首页|中药泥灸联合杵针疗法治疗寒湿痹阻型腰椎间盘突出症患者的疗效评价

中药泥灸联合杵针疗法治疗寒湿痹阻型腰椎间盘突出症患者的疗效评价

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目的 观察中药泥灸联合杵针疗法治疗寒湿痹阻型腰椎间盘突出症(LDH)患者的效果。方法 109 例寒湿痹阻型腰椎间盘突出症患者,采用随机数字表法分为对照组(54 例)和观察组(55 例)。观察组先予杵针疗法后给予中药泥灸治疗,对照组单纯行杵针疗法。比较两组患者治疗效果、治疗后日本骨科协会(JOA)评分优良率以及治疗前后的视觉模拟评分法(VAS)评分、JOA评分、直腿抬高试验角度、血清血栓素B2(TXB2)、血清白细胞介素(IL)-1β、血清 5-羟色胺(5-HT)。结果 观察组治疗总有效率 96。4%高于对照组的 83。3%(P<0。05)。观察组JOA评分优良率 96。4%高于对照组的 38。9%,差异显著(P<0。05)。治疗后,两组患者VAS评分均低于治疗前,JOA评分、直腿抬高试验角度均高于治疗前,且观察组患者VAS评分(1。35±0。87)分低于对照组的(4。09±1。43)分,JOA评分(25。20±3。55)分、直腿抬高试验角度(76。69±14。04)°均高于对照组的(14。11±4。84)分、(51。31±17。49)°,差异显著(P<0。05)。治疗后,两组患者血清TXB2、IL-1β、5-HT与治疗前相比均降低,且观察组患者血清TXB2(24。97±1。96)ng/ml、IL-1β(83。28±7。44)μg/ml、5-HT(456。32±22。96)ng/ml均低于对照组的(31。36±3。10)ng/ml、(116。17±10。41)μg/ml、(649。64±38。41)ng/ml,差异显著(P<0。05)。结论 中药泥灸联合杵针疗法可以有效缓解寒湿痹阻型腰椎间盘突出症患者疼痛症状,改善其腰椎功能。
Evaluation of curative effect of traditional Chinese medicine mud-moxibustion combined with pestle scupuncture therapy on patients with cold-dampness obstruction type lumbar disc herniation
Objective To observe the effect of traditional Chinese medicine mud-moxibustion combined with pestle scupuncture therapy on patients with cold-dampness obstruction type lumbar disc herniation(LDH).Methods 109 patients with cold-dampness obstruction type lumbar disc herniation were divided into a control group(54 cases)and an observation group(55 cases)according to random numerical table.The observation group was treated with pestle scupuncture therapy followed by traditional Chinese medicine mud-moxibustion,while the control group was treated with pestle scupuncture therapy.Both groups were compared in terms of therapeutic effect,excellent rate of Japanese Orthopaedic Association(JOA)score after treatment,visual analogue scale(VAS)score,JOA score,straight leg raising angle,serum thromboxane B2(TXB2),serum interleukin(IL)-1β,and serum 5-hydroxytryptamine(5-HT)before and after treatment.Results The total effective rate of treatment was 96.4%,which was higher than 83.3%in the observation group(P<0.05).The excellent rate of JOA score of the observation group was 96.4%,which was higher than 38.9%of the control group,and the difference was significant(P<0.05).After treatment,VAS score in both groups was lower than that before treatment,and JOA score and straight leg raising angle were higher than those before treatment;VAS score of(1.35±0.87)points in the observation group was lower than(4.09±1.43)points in the control group;JOA score of(25.2±3.55)points and straight leg raising angle of(76.69±14.04)°in the observation group were higher than(14.11±4.84)and(51.31±17.49)° in the control group;the difference was significant(P<0.05).After treatment,the serum TXB2,IL-1β and 5-HT decreased in both groups compared with those before treatment;the observation group had serum TXB2 of(24.97±1.96)ng/ml,IL-1β of(83.28±7.44)μg/ml and 5-HT of(456.32±22.96)ng/ml,which were lower than(31.36±3.10)ng/ml,(116.17±10.41)μg/ml and(649.64±38.41)ng/ml in the control group;the difference was significant(P<0.05).Conclusion Traditional Chinese medicine mud-moxibustion combined with pestle acupuncture therapy can effectively relieve the pain symptoms of patients with cold-dampness obstruction type lumbar disc herniation and improve their lumbar function.

Traditional Chinese medicine mud-moxibustionPestle scupuncture therapyLumbar disc herniationCold-dampness obstruction typeInterleukin-1β

黄扬云、杨信强、吴靖敏、杜俊毅、唐雨轩

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537000 玉林市中西医结合骨科医院颈肩腰腿痛科

中药泥灸 杵针疗法 腰椎间盘突出症 寒湿痹阻型 白细胞介素-1β

广西中医药局自筹经费科研课题

GXZYZ20210161

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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