益气舒筋汤联合针刺治疗颈肩腰腿痛临床研究
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Clinical Study on Yiqi Shujin Decoction Combined with Acupuncture for Pain in Neck, Shoulder,Low-Back and Leg
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    摘要:

    目的:观察益气舒筋汤联合针刺治疗颈肩腰腿痛的临床疗效。方法:选取120 例颈肩腰腿痛患 者,按随机数字表法分为观察组和对照组各60 例。对照组实施常规康复治疗,观察组在对照组基础上给予益 气舒筋汤联合针刺治疗。2 组均治疗1 个月。评价2 组临床疗效,比较2 组疼痛持续时间、疼痛评分及疼痛发 作频率。比较2 组颈椎功能、肩关节功能、腰椎功能及膝关节功能情况。检测2 组治疗前后5-羟色 胺(5-HT)、神经生长因子(NGF) 及前列腺素E2(PGE2) 水平,并记录治疗期间不良反应情况。结果:观 察组总有效率为96.67%,高于对照组86.67%(P<0.05)。治疗后,2 组疼痛评分、疼痛持续时间、疼痛发作 频率较治疗前降低(P<0.05);且观察组疼痛评分、疼痛持续时间、疼痛发作频率均低于对照组(P<0.05)。 治疗后,2 组腰椎功能评分、肩关节功能评分、膝关节功能评分、颈椎功能评分均较治疗前升高(P<0.05), 且观察组各项评分均高于对照组(P<0.05)。治疗后,2 组5-HT、NGF 及PGE2 水平均较治疗前降低(P< 0.05),且观察组5-HT、NGF 及PGE2 水平均低于对照组(P<0.05)。结论:益气舒筋汤联合针刺治疗颈肩腰 腿痛患者能够有效抑制致痛因子的释放,减轻患者疼痛,提高临床疗效,改善患者颈肩腰腿功能。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Yiqi Shujin Decoction combined with acupuncture on pain in neck,shoulder,low-back and leg. Methods:A total of 120 cases of patients with pain in neck, shoulder, low- back and leg were selected and divided into the observation group and the control group according to the random number table method,with 60 cases in each group. The control group received routine rehabilitation treatment, and the observation group received Yiqi Shujin Decoction combined with acupuncture based on the treatment of the control group. Both groups were treated for one month. The clinical effects were evaluated in the two groups. The pain duration, pain scores, and frequency of pain attacks were compared between the two groups. The cervical function, shoulder joint function, lumbar function, and knee joint function were compared between the two groups. The levels of 5- hydroxytryptamine (5-HT),nerve growth factor (NGF),and prostaglandin E2 (PGE2) were detected before and after treatment in two groups. The adverse reactions during the treatment period were recorded. Results:The total effective rate was 96.67% in the observation group,higher than that of 86.67% in the control group (P<0.05). After treatment,the pain scores,pain duration,and frequency of pain attacks in the two groups were decreased when compared with those before treatment (P<0.05); the pain score, pain duration,and frequency of pain attacks in the observation group were lower than those in the control group (P<0.05). After treatment, the scores of lumbar function, shoulder joint function, knee joint function, and cervical function in the two groups were increased when compared with those before treatment (P<0.05),and the scores in the observation group were higher than those in the control group (P<0.05). After treatment,the levels of 5-HT,NGF,and PGE2 in the two groups were decreased when compared with those before treatment (P<0.05), and the levels of 5- HT, NGF, and PGE2 in the observation group were lower than those in the control group (P<0.05). Conclusion:Yiqi Shujin Decoction combined with acupuncture can effectively inhibit the release of pain factors in patients with pain in neck, shoulder,low- back and leg,alleviate pain,improve clinical effects,and improve the function of neck, shoulder,waist and leg in patients.

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余佳,屈庆,余世海,朱邦顺.益气舒筋汤联合针刺治疗颈肩腰腿痛临床研究[J].新中医,2024,56(5):123-127

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  • 在线发布日期: 2024-03-14
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