Clinical Study on the Treatment of Lumbar Disc Herniation of Cold-dampness Blocking Collaterals Type with Internal Heating Acupuncture Needle Combined with Modified Duhuo Jisheng Decoction
Clinical Study on the Treatment of Lumbar Disc Herniation of Cold-dampness Blocking Collaterals Type with Internal Heating Acupuncture Needle Combined with Modified Duhuo Jisheng Decoction
Objective To analyze the therapeutic effect of internal heating acupuncture needle combined with modified Duhuo Jisheng decoction on lumbar disc herniation of cold-dampness blocking collaterals type.Methods A total of 147 patients with lumbar disc herniation of cold-dampness blocking collaterals type were randomly divid-ed into the acupuncture group,traditional Chinese medicine group,and the combination of acupuncture and tradi-tional Chinese medicine group according to 1∶1∶1,with 49 cases in each group.The acupuncture group was trea-ted with internal heating acupuncture needle,the traditional Chinese medicine group was treated with modified Du-huo Jisheng decoction,and the combination of acupuncture and traditional Chinese medicine group was treated with internal heating acupuncture needle combined with modified Duhuo Jisheng decoction.After four weeks of treat-ment,the clinical total effective rate,degree of pain,lumbar function and serum levels of pain-inducing factors were compared among the three groups.Results After treatment,the total effective rate of the combination of acupunc-ture and traditional Chinese medicine group was 91.84％,which was significantly higher than the 75.51％of the acupuncture group and the 69.39％of the traditional Chinese medicine group(all P＜0.05).The pain scores of Quebec back pain disability scale(QBPDS)and visual analogue scale(VAS)in the combination group were signifi-cantly lower than those of the acupuncture group and the traditional Chinese medicine group(all P＜0.05).The waist function scores of Roland-Morris disability questionnaire(RMDQ)and Oswestry disability index(ODI)in the combination group were significantly lower than those in the acupuncture group and the traditional Chinese medi-cine group(all P＜0.05).The serum levels of pain-inducing factors such as prostaglandin E2(PGE2),5-hydroxytryptamine(5-HT)and substance P(SP)in the combination group were significantly lower than those in the acupuncture group and traditional Chinese medicine group(all P＜0.05).Conclusion The application of internal heating acupuncture needle combined with modified Duhuo Jisheng decoction in the treatment of lumbar disc herni-ation of cold-dampness blocking collaterals could enhance the therapeutic effect,promote the improvement of pain symptoms and lumbar dysfunction,and effectively reduce serum levels of pain-inducing factors.
维普
万方数据