补气活血方联合火龙罐治疗寒湿痹阻证腰椎间盘突出症临床研究
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R681.5+3

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Clinical Study on Buqi Huoxue Prescription Combined with Huolong Cupping for Lumbar Disc Herniation with Cold-Damp Obstruction Syndrome
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    摘要:

    目的:观察补气活血方联合火龙罐治疗寒湿痹阻证腰椎间盘突出症(LDH) 的临床疗效。方法: 选取LDH 患者90 例,按随机数字表法分为对照组与观察组各45 例。研究过程中,对照组失访2 例,最终完 成43 例;观察组未按要求服药2 例,失访1 例,最终完成42 例。对照组给予塞来昔布胶囊口服,观察组给予 补气活血方联合火龙罐治疗。2 组均连续治疗4 周,比较2 组临床疗效和不良反应发生率,2 组治疗前后疼痛 视觉模拟评分法(VAS)、腰痛日本骨科学会(JOA) 评分和Oswestry 功能障碍指数(ODI)、匹兹堡睡眠质量 指数(PSQI)、健康调查简表(SF-36) 评分,以及血清β-内啡肽(β-EP)、前列腺素E2 (PGE2) 水平。结 果:观察组总有效率为95.24%,对照组79.07%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组 VAS、ODI 评分均较治疗前降低(P<0.05),JOA 评分较治疗前增高(P<0.05);且观察组VAS、ODI 评分低 于对照组(P<0.05),JOA 评分高于对照组(P<0.05)。治疗后,2 组PSQI 评分均较治疗前降低(P<0.05), SF-36 评分均较治疗前升高(P<0.05);且观察组PSQI 评分低于对照组(P<0.05),SF-36 评分高于对照 组(P<0.05)。治疗后,2 组血清β-EP 水平较治疗前升高(P<0.05),PGE2 水平较治疗前降低(P<0.05); 且观察组β-EP 水平高于对照组(P<0.05),PGE2 水平低于对照组(P<0.05)。观察组不良反应发生率为 4.76%,对照组为27.91%,2 组比较,差异有统计学意义(P<0.05)。结论:补气活血方联合火龙罐治疗寒湿 痹阻证LDH 能够明显缓解疼痛症状,改善腰椎功能,提高患者睡眠质量和生活质量,且安全性良好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Buqi Huoxue Prescription combined with Huolong Cupping for lumbar disc herniation (LDH) with cold-damp obstruction syndrome. Methods : A total of 90 cases of LDH patients were selected and divided into the control group and the observation group according to the random number table method,with 45 cases in each group. During the research,2 cases lost follow- up in the control group, and finally, 43 cases completed the process; in the observation group, 2 cases did not take medicine as required and 1 case lost follow- up, and finally, 42 cases completed the research. The control group was treated with the oral administration of Celecoxib Capsules, and the observation group was treated with Buqi Huoxue Prescription combined with Huolong Cupping. Both groups were continuously treated for four weeks. Clinical effects and the incidence of adverse reactions were compared between the two groups. The scores of Visual Analogue Scale (VAS) for pain, Japanese Orthopaedic Association (JOA),Oswestry Disability Index (ODI),Pittsburgh Sleep Quality Index (PSQI), and 36- Item Short Form Survey (SF- 36), as well as the levels of β- endorphin (β- EP) and prostaglandin E2 (PGE2) were compared before and after treatment between the two groups. Results:The total effective rate was 95.24% in the observation group and 79.07% in the control group,the difference being significant (P<0.05). After treatment,the scores of VAS and ODI in the two groups were decreased when compared with those before treatment (P<0.05),and JOA scores were increased when compared with those before treatment (P<0.05); the scores of VAS and ODI in the observation group were lower than those in the control group (P<0.05),and JOA score in the observation group was higher than that in the control group (P<0.05). After treatment, the PSQI scores in the two groups were decreased when compared with those before treatment (P<0.05),and SF-36 scores were increased when compared with those before treatment (P<0.05); the PSQI score in the observation group was lower than that in the control group (P<0.05),and SF-36 score in the observation group was higher than that in the control group (P<0.05). After treatment,the levels of β-EP in serum in the two groups were increased when compared with those before treatment (P<0.05),and the levels of PGE2 were decreased when compared with those before treatment (P<0.05); the β- EP level in the observation group was higher than that in the control group (P<0.05),and PGE2 level in the observation group was lower than that in the control group (P<0.05). The incidence of adverse reactions was 4.76% in the control group and 27.91% in the control group,the difference being significant (P<0.05). Conclusion: Buqi Huoxue Prescription combined with Huolong Cupping for LDH with cold- damp obstruction syndrome can significantly relieve the pain symptom of patients and improve their lumbar vertebral function,sleep quality,and life quality,with good safety.

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傅娟,陈秋婉,王凌燕,范旭莉.补气活血方联合火龙罐治疗寒湿痹阻证腰椎间盘突出症临床研究[J].新中医,2023,55(18):77-81

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  • 在线发布日期: 2023-09-22
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