火熨术治疗腰痛(寒湿证)的临床观察
Analysis of the Effect of Fire-Iron Technique for pain and Its Efficacy for Patients with Lumbago of Cold-Dampness Syndrome
陈海艳 1张春丽 1吴飞 1吕计宝1
作者信息
- 1. 广西中医药大学附属国际壮医医院,广西南宁 530001
- 折叠
摘要
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.
Abstract
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.
关键词
腰痛/寒湿证/火熨术/炎症因子Key words
Pain/Cold-dampness syndrome/Fire-iron technique/Inflammatory factors引用本文复制引用
基金项目
&&(桂科AB21196035)
广西中医药局重点学科建设项目(GZXK-Z-20-61)
广西中医药适宜技术开发与推广项目(GZSY23-53)
出版年
2024
NETL
NSTL
万方数据