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杵针联合中药熏蒸用于气滞血瘀型腰腿痛痹患者中的效果

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目的 考察杵针联合中药熏蒸用于气滞血瘀型腰腿痛痹患者中的效果。方法 纳入南京中医药大学附属苏州市中医医院于2020年5月至2022年6月收治的106例气滞血瘀型腰腿痛痹患者为研究对象,使用简单随机法分别纳入观察组(53例)、对照组(53例)。2组均接受中药熏蒸治疗,观察组加用杵针治疗,持续3周。对比2组的中医症状评分、日本骨科协会改良腰痛评分(M-JOA)、疼痛视觉模拟量表(VAS)评分变化,并分析2组的治疗效果。结果 2组在治疗1周、2周、3周后的中医症状评分,M-JOA评分,VAS评分与治疗前相比均更低(P均<0。05);观察组在治疗1周、2周、3周后的中医症状评分,M-JOA评分,VAS评分均较同期对照组更低(P均<0。05)。观察组在治疗3周后的总有效率为94。34%,较对照组的81。13%显著更高(P<0。05)。结论 在中药熏蒸的基础上将杵针联合应用于气滞血瘀型腰腿痛痹的治疗,不仅能够减轻患者的症状、疼痛程度,改善腰腿功能,还能够提高临床疗效。
Effect of pestle needle combined with traditional Chinese medicine fumigation on patients with qi stagnation and blood stasis type of lumbocrural pain and arthralgia
Objective To investigate the effect of pestle needle combined with traditional Chinese medicine fumigation on patients with qi stagnation and blood stasis type of lumbocrural pain and arthralgia.Methods A total of 106 patients with qi stagnation and blood stasis type of lumbocrural pain and arthralgia admitted to Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine from May 2020 to June 2022 were included as the research subjects.They were randomly divided into an observation group(53 cases)and a control group(53 cases)by simple randomization method.Both groups were treated with traditional Chinese medicine fumigation,while the observation group received additional treatment with pestle needles for 3 weeks.The changes of TCM symptom scores,Modified Japanese Orthopaedic Association(M-JOA)scores,and Visual Analogue Scale(VAS)scores were compared between the two groups,and the treatment effect of the two groups was analyzed.Results The TCM symptom scores,M-JOA scores and VAS scores of the two groups after 1 week,2 weeks and 3 weeks of treatment were lower than those before treatment(all P<0.05).The TCM symptom score,M-JOA score and VAS score of the observation group after 1 week,2 weeks and 3 weeks of treatment were lower than those of the control group during the same period(all P<0.05).After 3 weeks of treatment,the total effective rate of the observation group was 94.34%,which was significantly higher than that of the control group(81.13%,P<0.05).Conclusion On the basis of traditional Chinese medicine fumigation,the combined use of pestle needles for the treatment of qi stagnation and blood stasis type of lumbocrural pain and arthralgia can not only alleviate the symptoms and degree of pain of patients,improve the function of waist and leg,but also enhance the clinical efficacy.

lumbocrural pain and arthralgiaqi stagnation and blood stasispestle needletraditional Chinese medicine fumigationTCM symptom

欧歌、宋远丽、许丽丹

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南京中医药大学附属苏州市中医医院,江苏苏州,215008

腰腿痛痹 气滞血瘀 杵针 中药熏蒸 中医症状

苏州市医学重点扶持学科建设项目

SZFCXK202102

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(7)