温针联合清热通痹汤对腰椎间盘突出症急性发作期患者JOA、PPI、VAS 评分的影响
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R274.9

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Effect of Warming Needle Combined with Qingre Tongbi Tang on Scores of JOA,PPI and VAS in Patients with Lumbar Disc Herniation at Acute Attack Stage
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    摘要:

    目的:观察温针联合清热通痹汤治疗腰椎间盘突出症急性发作的临床疗效及对日本骨科协会评估治疗(JOA)、现有疼痛强度(PPI)、疼痛视觉模拟评分法(VAS) 评分的影响。方法:选取98 例腰椎间盘突出症急性发作期患者,按随机数字表法分为对照组及研究组各49 例,对照组给予温针治疗,研究组在对照组基础上联合清热通痹汤治疗,2 组均持续治疗2 周。比较2 组临床疗效,比较2 组治疗前后JOA、PPI、VAS 评分的变化。结果:研究组临床疗效总有效率为91.84%,对照组临床疗效总有效率为73.47%,2 组比较,差异有统计学意义(P<0.05)。治疗2 周后,2 组JOA 评分均较治疗前升高,研究组JOA 评分高于对照组,差异均有统计学意义(P<0.05)。治疗2 周后,2 组PPI 评分均较治疗前下降,研究组PPI 评分低于对照组,差异均有统计学意义(P<0.05)。治疗2 周后,2 组VAS 评分均较治疗前下降,研究组VAS 评分低于对照组,差异均有统计学意义(P<0.05)。结论:温针联合清热通痹汤对腰椎间盘突出症急性发作期的疗效确切,可改善临床症状,强化镇痛效果较好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of warming needle combined with Qingre Tongbi tang for acute attack of lumbar disc herniation and its effect on the scores of Japanese Orthopaedic Association(JOA) evaluation treatment, Present Pain Intensity(PPI) and Visual Analogue Scale(VAS). Methods:A total of 98 cases of patients with acute attack stage of lumbar disc herniation were selected and divided into the control group and the study group according to the random number table method, with 49 cases in each group. The control group was treated with warming needle, and the study group was additionally treated with Qingre Tongbi tang based on the treatment of the control group. Both groups were treated for two weeks. The changes in the scores of JOA,PPI and VAS before and after treatment as well as the clinical effects in the two groups were compared. Results:The total effective rate of clinical effect was 91.84% in the study group and 73.47% in the control group,the difference being significant(P<0.05). After two weeks of treatment,JOA scores in the two groups were increased when compared with those before treatment,and the JOA score in the study group was higher than that in the control group,differences being significant(P<0.05). After two weeks of treatment,PPI scores in the two groups were decreased when compared with those before treatment, and the PPI score in the study group was lower than that in the control group, differences being significant(P<0.05). After two weeks of treatment, VAS scores in the two groups were decreased when compared with those before treatment,and the VAS score in the study group was lower than that in the control group, differences being significant(P<0.05). Conclusion: The therapy of warming needle combined with Qingre Tongbi tang has a definite curative effect on lumbar disc herniation at acute attack stage, which can improve the clinical symptoms and enhance the analgesic effect.

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潘则昂,郭文忠,程立良,俞雷.温针联合清热通痹汤对腰椎间盘突出症急性发作期患者JOA、PPI、VAS 评分的影响[J].新中医,2022,54(9):189-193

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  • 在线发布日期: 2022-05-09
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