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火熨术治疗腰痛(寒湿证)的临床观察

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目的 观察火熨术对腰痛(寒湿证)患者疼痛的影响及其疗效.方法 选取78例患者按随机数字表法分为观察组与对照组各39例,对照组行常规治疗联合常规护理干预,观察组在对照组基础上增加火熨术干预,对比两组临床疗效及疼痛视觉模拟量表(VAS)评分、日常功能障碍量表(ODI)评分、腰椎功能日本骨科协会量表(JOA)评分,血清炎症因子白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平.结果 两组干预2周后,观察组VAS评分、ODI评分显著低于对照组,JOA评分显著高于对照组(均P<0.01);两组血清IL-1β、IL-6、TNF-α水平均较治疗前降低,且观察组下降更明显(P<0.01);观察组总有效率92.30%,明显高于对照组的74.35%(P<0.05).结论 火熨术可降低腰痛(寒湿证)患者的炎症因子水平,有效改善其疼痛症状及腰椎活动度,提升腰椎功能,疗效肯定,操作安全.
Analysis of the Effect of Fire-Iron Technique for pain and Its Efficacy for Patients with Lumbago of Cold-Dampness Syndrome
Objective:To explore the effect of fire-iron technique for pain and its efficacy for patients with lum-bago of cold-dampness syndrome.Methods:A total of 78 patients with lumbar pain due to cold-dampness syn-drome were selected and divided into an observation group and a control group using the random number table method,39 cases in each group.The control group received routine treatment combined with routine nursing inter-vention,while the observation group received additional fire-iron intervention on top of the routine treatment.The clinical efficacy and pain intensity(VAS score),daily functional disability(ODI score),lumbar function(JOA score),and levels of serum inflammatory factors such as interleukin-1β(IL-1β),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α)were compared between the two groups.Results:Two weeks after intervention,the VAS and ODI scores in the observation group were significantly lower,and the JOA score was significantly higher than those in the control group(all P<0.01).The levels of serum IL-1 β,IL-6,and TNF-α in both groups de-creased compared to before treatment,with a more significant decrease observed in the observation group(P<0.01).The overall effective of the observation group was 92.30%,which was significantly higher than 74.35%of thd control group(P<0.05).Conclusion:Fire-iron technique can reduce the levels of inflammatory factors in pa-tients with lumbar pain due to cold-dampness syndrome,effectively alleviate their pain symptoms and improve lumbar mobility,enhance lumbar function,with confirmed efficacy and safe operation.

PainCold-dampness syndromeFire-iron techniqueInflammatory factors

陈海艳、张春丽、吴飞、吕计宝

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广西中医药大学附属国际壮医医院,广西南宁 530001

腰痛 寒湿证 火熨术 炎症因子

&&广西中医药局重点学科建设项目广西中医药适宜技术开发与推广项目

桂科AB21196035GZXK-Z-20-61GZSY23-53

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(8)