补肾祛湿汤联合调脊通督针法治疗腰椎间盘突出症临床研究
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R681.5;R274.9

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Clinical Study on Combination Use of Bushen Qushi Decoction and Tiaoji Tongdu Acupuncture Method for Lumbar Disc Herniation
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    摘要:

    目的:观察补肾祛湿汤联合调脊通督针法治疗腰椎间盘突出症的临床疗效。方法:选取78例腰椎 间盘突出症患者,按治疗方案不同分为对照组36例及研究组42例。对照组接受常规治疗,研究组给予补肾祛 湿汤联合调脊通督针法治疗。比较2组临床疗效,比较2组治疗前后Oswestry功能障碍指数(ODI) 评分、日本 骨科协会评估量表(JOA) 评分、血清炎症因子基质金属蛋白酶(MMP-9)、肿瘤坏死因子-α(TNF-α)、白细 胞介素-23(IL-23)、疼痛介质5-羟色胺(5-HT)、环氧化酶(COX-2)、前列腺素E2(PGE2) 水平的变化。 结果:研究组临床疗效总有效率为92.86%,对照组为75.00%,2组比较,差异有统计学意义(P<0.05)。治疗 后,2组ODI评分均较治疗前下降(P<0.05),JOA评分均较治疗前上升(P<0.05);研究组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组血清MMP-9、TNF-α、IL-23水平均较治疗前下 降(P<0.05),研究组上述3项水平均低于对照组(P<0.05)。治疗后,2组血清5-HT、COX-2、PGE2水平均 较治疗前下降(P<0.05),研究组上述3项水平均低于对照组(P<0.05)。结论:补肾祛湿汤联合调脊通督针 法治疗腰椎间盘突出症疗效较好,对机体炎症反应有抑制作用,可减轻患者腰腿痛程度,改善腰椎功能,提高 临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of combination use of Bushen Qushi Decoction and Tiaoji Tongdu acupuncture method on lumbar disc herniation. Methods : A total of 78 patients with lumbar disc herniation were selected and divided into the control group and the study group according to different treatment plans, with 36 and 42 cases in each group. The control group was given routine treatment,and the study group was treated with Bushen Qushi Decoction combined with Tiaoji Tongdu acupuncture method. The clinical effects,and the changes in scores of Oswestry Disability Index (ODI) and Japanese Orthopaedic Association (JOA),and levels of serum inflammatory factors,including matrix metalloproteinase (MMP-9), tumor necrosis factor- α (TNF- α), interleukin-23 (IL-23), and of pain mediators,including 5-hydroxytryptamine (5-HT),cyclooxygenase (COX-2) and prostaglandin E2 (PGE2) before and after treatment were compared between the two groups. Results: The total clinical effective rate was 92.86 % in the study group and 75.00 % in the control group,the difference being significant (P< 0.05). After treatment, the ODI scores in the two groups were decreased when compared with those before treatment (P<0.05), and the JOA scores were increased when compared with those before treatment (P<0.05);the ODI score in the study group was lower than that in the control group (P<0.05), and the JOA score was higher than that in the control group (P<0.05). After treatment,the levels of serum MMP-9,TNF-α and IL-23 in the two groups were reduced when compared with those before treatment (P<0.05), and the above three levels in the study group were lower than those in the control group (P< 0.05). After treatment, the levels of serum 5-HT, COX-2 and PGE2 in the two groups were downregulated when compared with those before treatment (P<0.05),and the above three levels in the study group were lower than those in the control group (P<0.05). Conclusion: The combination use of Bushen Qushi Decoction and Tiaoji Tongdu acupuncture method has an inhibitory effect on the body's inflammatory responses of patients with lumbar disc herniation, which can reduce the degree of low back pain, and improve the lumbar function and clinical effect.

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郭学永,袁芳杰,叶晒妮.补肾祛湿汤联合调脊通督针法治疗腰椎间盘突出症临床研究[J].新中医,2024,56(19):86-90

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  • 在线发布日期: 2024-10-14
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