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针刺联合中药塌渍对腰椎间盘突出症腰椎功能及疼痛的影响

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目的 观察针刺联合中药塌渍对腰椎间盘突出症(LDH)患者腰椎功能及疼痛的影响。方法 选取 66 例LDH患者,采取随机数字表法分为观察组(常规干预+针刺联合中药塌渍干预)和对照组(常规干预),每组 33 例。比较两组临床疗效、腰椎功能[日本骨科协会评估治疗评分量表(JOA)评分]及疼痛程度[视觉模拟评分法(VAS)评分]、炎症因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)]水平。结果 观察组患者总有效率 93。94%高于对照组的 72。73%,差异显著(P<0。05)。干预后,两组患者JOA评分均高于干预前,VAS评分均低于干预前,且观察组患者JOA评分(23。13±2。92)分高于对照组的(16。15±2。46)分,VAS评分(1。02±0。46)分低于对照组的(2。41±0。56)分,差异显著(P<0。05)。干预后,两组患者IL-6、TNF-α、CRP水平均较干预前下降,且观察组患者IL-6(102。12±10。54)pg/ml、TNF-α(1。01±0。53)ng/ml、CRP(4。12±0。63)mg/L均低于对照组的(113。54±11。55)pg/ml、(2。64±0。42)ng/ml、(5。63±0。57)mg/L,差异显著(P<0。05)。结论 针刺与中药塌渍相结合可改善LDH患者腰椎功能,缓解疼痛,降低炎症因子水平,效果显著。
The effect of acupuncture combined with traditional Chinese medicine on lumbar function and pain in patients with lumbar disc herniation
Objective To observe the effect of acupuncture combined with traditional Chinese medicine on lumbar function and pain in patients with lumbar disc herniation(LDH).Methods 66 cases of LDH patients were divided into an observation group(conventional intervention+acupuncture combined with Chinese medicine hot compress)and a control group(conventional intervention)according to random numerical table,with 33 cases in each group.Both groups were compared in terms of clinical efficacy,lumbar function[Japanese Orthopaedic Association(JOA)score]and pain level[Visual Analogue Scale(VAS)score],and levels of inflammatory factors[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),C-reactive protein(CRP)].Results The total effective rate of 93.94%in the observation group was higher than 72.73%in the control group,and the difference was significant(P<0.05).After intervention,both groups had higher JOA score and lower VAS score than those before intervention;the observation group had higher JOA score of(23.13±2.92)points than(16.15±2.46)points in the control group,and lower VAS score of(1.02±0.46)points than(2.41±0.56)points in the control group;the difference was significant(P<0.05).After intervention,the levels of IL-6,TNF-α,and CRP in both groups decreased compared to those before intervention;the observation group had IL-6 of(102.12±10.54)pg/ml,TNF-α of(1.01±0.53)ng/ml,and CRP of(4.12±0.63)mg/L,which were lower than(113.54±11.55)pg/ml,(2.64±0.42)ng/ml,and(5.63±0.57)mg/L in the control group;the difference was significant(P<0.05).Conclusion The combination of acupuncture and Chinese medicine hot compress can improve lumbar function,relieve pain,and lower levels of inflammatory factors in LDH patients,with significant effects.

Lumbar disc herniationAcupunctureChinese medicine hot compressLumbar functionInflammatory cytokine

罗园、贾金凤

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330800 高安市中医院骨伤科

腰椎间盘突出症 针刺 中药塌渍 腰椎功能 炎症因子

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)