祛湿通络方熏蒸联合小针刀治疗湿热型腰椎间盘突出症临床研究
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R681.5+3

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丽水市自筹类公益性技术应用研究项目(2022SJZC034)


Clinical Study on Fumigation of Qushi Tongluo Prescription Combined with Acu⁃ potomy for Lumbar Disc Herniation of Damp-Heat Type
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    摘要:

    目的:观察祛湿通络方熏蒸联合小针刀治疗湿热型腰椎间盘突出症(LDH) 的临床疗效。方法: 选取66例湿热型LDH患者,根据随机数字表法分为对照组和观察组各33例。对照组给予小针刀治疗,观察组 给予祛湿通络方熏蒸联合小针刀治疗,疗程均为4周。比较2组临床疗效,腰痛疼痛视觉模拟评分法(VAS) 评分、日本骨科协会腰椎功能(JOA) 评分、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β) 水平。结 果:治疗后,观察组总有效率为93.94%,对照组为75.76%,2组比较,差异有统计学意义(P<0.05)。治疗 后,2组腰痛VAS评分较治疗前降低(P<0.05),且观察组腰痛VAS评分低于对照组(P<0.05)。治疗后, 2 组JOA评分均较治疗前升高(P<0.05),且观察组JOA评分高于对照组(P<0.05)。治疗后,2组TNF-α、 IL-1β水平较治疗前降低(P<0.05),且观察组2项指标水平均低于对照组(P<0.05)。结论:祛湿通络方熏 蒸联合小针刀治疗湿热型LDH疗效显著,能有效降低血清炎症因子水平,减轻疼痛症状,改善腰椎功能活动。

    Abstract:

    Abstract: Objective: To observe the clinical effect of fumigation of Qushi Tongluo Prescription combined with acupotomy on lumbar disc herniation (LDH) of damp-heat type. Methods:A total of 66 LDH patients of damp-heat type were selected and divided into the control group and the observation group according to the random number grouping method, with 33 cases in each group. The control group was given acupotomy, and the observation group was given fumigation of Qushi Tongluo Prescription combined with acupotomy. Both groups were treated for 4 weeks. The clinical effects, scores of Visual Analogue Scale (VAS), scores of low back pain, Japanese Orthopaedic Accociation (JOA) scores, and levels of tumor necrosis factor- α (TNF- α) and interleukin-1β (IL-1β) were compared between the two groups. Results: After treatment, the total effective rate was 93.94% in the observation group, and 75.76% in the control group,the difference being significant (P<0.05). After treatment,the VAS scores of low back pain in the two groups were decreased when compared with those before treatment (P<0.05), and the VAS score of low back pain in the observation group was lower than that in the control group (P< 0.05). After treatment, the JOA scores in the two groups were increased when compared with those before treatment (P<0.05),and the JOA score in the observation group was higher than that in the control group (P<0.05). After treatment,the levels of TNF-α and IL-1β in the two groups were decreased when compared with those before treatment (P<0.05),and the two levels in the observation group were lower than those in the control group (P<0.05). Conclusion:Fumigation of Qushi Tongluo Prescription combined with acupotomy has a significant effect on LDH of damp-heat type,which can effectively reduce the levels of serum inflammatory factors,relieve pain symptoms and improve lumbar function activities.

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林宏正,张兴洋,周健.祛湿通络方熏蒸联合小针刀治疗湿热型腰椎间盘突出症临床研究[J].新中医,2024,56(10):86-90

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  • 在线发布日期: 2024-05-28
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