首页|瘀血痹片治疗腰椎间盘突出症的疗效及对炎性水平的影响观察

瘀血痹片治疗腰椎间盘突出症的疗效及对炎性水平的影响观察

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目的 探究瘀血痹片治疗腰椎间盘突出症的疗效及对炎性水平的影响。方法 86 例腰椎间盘突出症患者,基于治疗方法不同分为对照组(n=43,给予氟比洛芬凝胶贴膏治疗)与观察组(n=43,给予氟比洛芬凝胶贴膏+瘀血痹片治疗)。比较两组治疗效果,炎性指标[白介素-21(IL-21)、白介素-22(IL-22)、转化生长因子-β1(TGF-β1)]水平,疼痛[视觉模拟评分法(VAS)]及腰椎功能[Oswestry功能障碍指数问卷表(ODI)]评分,T淋巴细胞亚群(CD3+、CD4+和CD4+/CD8+)水平。结果 观察组治疗总有效率 90。70%(39/43)明显高于对照组的 72。09%(31/43)(P<0。05)。治疗后,观察组患者的IL-21(30。27±4。26)pg/ml、IL-22(31。22±4。18)pg/ml、TGF-β1(3。14±1。02)pg/ml均明显低于对照组的(41。02±4。85)、(41。49±4。93)、(4。86±1。57)pg/ml(P<0。05)。治疗后,观察组患者的VAS、ODI评分分别为(2。14±1。02)、(17。12±5。53)分,均明显低于对照组的(4。63±1。08)、(22。17±5。84)分(P<0。05)。治疗后,观察组患者的CD3+(65。13±4。55)%、CD4+(38。26±4。41)%、CD4+/CD8+(1。59±0。42)明显高于对照组的(60。36±4。24)%、(34。59±4。58)%、(1。24±0。38)(P<0。05)。结论 在腰椎间盘突出症治疗中,瘀血痹片可以有效改善炎性水平、降低疼痛程度,并有效提高腰椎功能,具有显著的综合治疗效果,值得推广应用。
Observation on the efficacy of Yuxuebi tablets on lumbar disc herniation and its impact on inflammatory levels
Objective To explore the efficacy of Yuxuebi tablets on lumbar disc herniation and its impact on inflammatory levels.Methods Based on different treatment methods,86 patients with lumbar disc herniation were divided into the control group(n=43 cases,treated with flurbiprofen plaster)and the observation group(n=43 cases,treated with flurbiprofen plaster+Yuxuebi tablets).Comparison was made on therapeutic effect,inflammatory markers[interleukin-21(IL-21),interleukin-22(IL-22),transforming growth factor-β1(TGF-β1)],pain[visual analogue scale(VAS)]and lumbar function[Oswestry disability index(ODI)]scores,level of T lymphocyte subsets(CD3+,CD4+,and CD4+/CD8+)between the two groups.Results The total effective rate of the observation group was 90.70%(39/43),which was significantly higher than 72.09%(31/43)of the control group(P<0.05).After treatment,the observation group had IL-21 of(30.27±4.26)pg/ml,IL-22 of(31.22±4.18)pg/ml,and TGF-β1 of(3.14±1.02)pg/ml,which were significantly lower than(41.02±4.85),(41.49±4.93),and(4.86±1.57)pg/ml in the control group(P<0.05).After treatment,VAS and ODI scores of the observation group were(2.14±1.02)and(17.12±5.53)points,which were significantly lower than(4.63±1.08)and(22.17±5.84)points of the control group(P<0.05).After treatment,the observation group had CD3+of(65.13±4.55)%,CD4+of(38.26±4.41)%,and CD4+/CD8+of(1.59±0.42),which were significantly higher than(60.36±4.24)%,(34.59±4.58)%,and(1.24±0.38)in the control group(P<0.05).Conclusion In the treatment of lumbar disc herniation,Yuxuebi tablets can effectively improve the inflammatory level,reduce the degree of pain,and effectively improve the lumbar function.It has significant comprehensive treatment effects,and is worth promoting and applying.

Lumbar disc herniationYuxuebi tabletsEfficacyInflammatory levelsImpact

叶勇祥、刘敏

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330006 江西中医药大学附属医院脊柱一科

腰椎间盘突出症 瘀血痹片 疗效 炎性水平 影响

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(22)