目的:观察浮针联合腰痛舒方治疗寒湿痹阻型盘源性腰痛(Discogenic Back Pain,DBP)患者的临床疗效.方法:选取盘源性腰痛患者80例,分为观察组和对照组(各40例).两组患者均采用口服腰痛舒方治疗,观察组在对照组基础上增加浮针治疗.对比两组患者疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、白介素-6(IL-6)、白介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)水平及临床疗效.结果:观察组疗效优于对照组,差异有统计学意义(P＜0.05);两组患者治疗后的VAS评分和ODI评分均比治疗前降低,差异有统计学意义(P＜0.05),且观察组明显低于对照组,差异有统计学意义(P＜0.05);两组患者治疗后的IL-6、L-10和TNF-α水平均比治疗前下降,差异有统计学意义(P＜0.05),且观察组明显低于对照组,差异有统计学意义(P＜0.05);观察组的优良率明显高于对照组,差异有统计学意义(P＜0.05),治疗过程中无严重不良反应.结论:浮针联合腰痛舒方治疗寒湿痹阻型盘源性腰痛临床效果显著,缓解疼痛明显,促进功能恢复.
Clinical Efficacy of FU's Subcutaneous Needling Combined with Yaotongshu Formula on the Treatment of Cold-Damp Obstruction Syndrome Type Discogenic Back Pain
Objective:The clinical efficacy of FU's subcutaneous needling combined with Yaotongshu formula in treating patients with cold-damp obstruction syndrome in discogenic back pain(DBP).Methods:80 patients with discogenic back pain were selected and they were divided into observation group and control group with 40 cases in each group according to the method of randomized numerical table.Both groups were treated with oral Yaotongshu formula,and observation group was treated with FU's subcutaneous needling treatment in addition to control group.The two groups were compared in terms of pain visual analogue scale(VAS),Oswestry disability index(ODI),interleukin-6(IL-6),interleukin-10(IL-10),tumor necrosis factor-α(TNF-α)levels and clinical efficacy.Results:The therapeutic efficacy of observation group was better than that of control group(P＜0.05).The VAS scores and ODI scores of the two groups were lower than those of the pre-treatment period(P＜0.05),and observa-tion group was significantly lower than that of control group(P＜0.05).The levels of IL-6,L-10 and TNF-α in both groups decreased after treatment compared with those before treatment(P＜0.05),and observation group was significant-ly lower than that of control group(P＜0.05).The excellent rate of observation group was significantly higher than that of control group(P＜0.05).Conclusion:FU's subcutaneous needling combined with Yaotongshu formula for treating cold-damp obstruction syndrome type discogenic back pain is clinically effective,relieves pain significantly,and promotes functional recovery.
discogenic back painFU's subcutaneous needlingYaotongshu formulacold-damp obstruction syndrome
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