牛角罐治疗急性期腰椎间盘突出症的临床观察
|
摘要
[目的]观察牛角罐治疗急性期腰椎间盘突出症的临床疗效。[方法]纳入2017年4月-2018年10月我科就诊的急性期腰椎间盘突出症患者80例,随机分为治疗组与对照组各40例。对照组采用骨科常规治疗,治疗组在对照组基础上,采用牛角罐治疗。对比两组治疗前后视觉模拟评分法(visual analogue scale,VAS)、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)以及腰椎活动度,比较临床疗效。[结果]治疗后,治疗组临床疗效明显优于对照组,差异具有统计学意义(P<0.05);两组治疗后的VAS评分量表分值、JOA评分量表分值、腰椎活动度改善均明显优于治疗前,差异具有统计学意义(P<0.05);治疗组VAS评分量表分值、JOA评分量表分值、腰椎活动度改善均明显优于对照组,差异均具有统计学意义(P<0.05)。[结论]牛角罐联合骨科常规治疗急性期腰椎间盘突出症疗效显著,优于单纯骨科常规治疗,说明牛角罐在缓解腰部疼痛和改善活动功能方面,具有一定的优势。
[Objective] To observe the effects of horns cupping in the treatment of the patients with acute stage of lumbar disc herniation. [Methods] 80 patients with acute lumbar disc herniation in Foshan Hospital of Traditional Chinese Medicine from April 2017 to October 2018 were randomly divided into the treatment group(n=40) and the control group(n=40) according to the random number table method. The patients of the control group were used the routine treatment in Department of Orthopedics, and those of the treatment group were treated with horns cupping on the basis of the control group. The clinical effects, the scores of visual analogue scale(VAS),the scores of Japanese Orthopaedic Association(JOA), the lumbar spinal motion were compared between the two groups. [Results]After treatment, the clinical efficacy of the treatment group was significantly better than that of the control group( P<0.05),and the VAS score, JOA score and lumbar mobility of the two groups after treatment were significantly better than those before treatment( P<0.05), and the VAS score, JOA score and lumbar mobility of the treatment group were significantly better than those of the control group. The difference was statistically significant(P <0.05). [Conclusions] The horns cupping in the treatment of the patients with acute lumbar disc herniation, could relieve the waist pain,improve lumbar motor function and promote the recovery of the disease.
[Objective] To observe the effects of horns cupping in the treatment of the patients with acute stage of lumbar disc herniation. [Methods] 80 patients with acute lumbar disc herniation in Foshan Hospital of Traditional Chinese Medicine from April 2017 to October 2018 were randomly divided into the treatment group(n=40) and the control group(n=40) according to the random number table method. The patients of the control group were used the routine treatment in Department of Orthopedics, and those of the treatment group were treated with horns cupping on the basis of the control group. The clinical effects, the scores of visual analogue scale(VAS),the scores of Japanese Orthopaedic Association(JOA), the lumbar spinal motion were compared between the two groups. [Results]After treatment, the clinical efficacy of the treatment group was significantly better than that of the control group( P<0.05),and the VAS score, JOA score and lumbar mobility of the two groups after treatment were significantly better than those before treatment( P<0.05), and the VAS score, JOA score and lumbar mobility of the treatment group were significantly better than those of the control group. The difference was statistically significant(P <0.05). [Conclusions] The horns cupping in the treatment of the patients with acute lumbar disc herniation, could relieve the waist pain,improve lumbar motor function and promote the recovery of the disease.
引文
[1]朱丹阳,郑萍.乌头健肾汤联合深刺夹脊穴治疗腰椎间盘突出症急性期的疗效及对TNF-α、CD62P的影响[J].四川中医,2018,36(4):119-122.
[2]怀娟,岳寿伟.腰椎间盘突出症康复治疗进展[J].华西医学,2018,33(10):1-5.
[3]任萍,胡红,李剑岚.运动疗法参与治疗急性期腰椎间盘突出症临床观察[J].实用中医药杂志,2013,29(6):458-459.
[4]胡有谷.腰椎间盘突出症[M].4版.北京:人民卫生版社,2011:218-220.
[5] Kreiner DS, Hwang SW, Easa JE, et al.An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy[J]. The Spine Journal, 2014, 14(1):180-191.
[6]王志峰,沈建新,刘文宝.腰痹通胶囊治疗腰椎间盘突出症临床观察[J].新中医,2017,49(6):69-71.
[7] Hazel M.Clarkson.Musculoskeletal Assessment[M].New York:Woler Kluwer,2000:70-77.
[8]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京中医药大学出版社,2002:201.
[9]彭正成,胡建方,周维.不同推拿方法治疗腰椎间盘突出症临床观察[J].辽宁中医药大学学报,2015,17(6):198-200.
[10]杨舟,艾坤,于隽,等.浅谈点按法的临床应用现状[J].中华中医药杂志,2015,30(6):2026-2028.
[11]谢巧瑜,廖军,黄萍萍,等.点按法应用研究[J].河南中医,2016,36(6):1084-1086.
[12]许世雄,计琳,王庆伟.中医滚法推拿对血液流动影响的数值研究[J].应用数学和力学,2005(6):694-700.
[13]方顺济.擦法结合强腰操治疗腰肌劳损52例疗效观察[J].上海医药,2016,37(8):33-34.
[14]田宇瑛,王广军,黄涛,等.不同方向循经走罐对皮肤血流量的影响[J].中国针灸,2013,33(3):247-251.
[15]王莹莹,杨莉,杨金生,等.刮痧治疗腰肌劳损疗效评价及影响因素研究[J].南京中医药大学学报,2013,29(5):422-425.
[16]陈华,徐桂华,姜荣荣,等.刮痧对腰椎间盘突出症大鼠血清IgG及椎间盘组织病理改变的影响[J].南京中医药大学学报,2014,30(5):450-453.
[17]娄宇明,徐敏,黄承军,等.王力平教授“脊柱整体辨治”思想指导下辨证论治腰椎间盘突出症的临床研究[J].中国中医骨伤杂志,2010,17(5):33-35.
[18]杨传崇,董秀真.脊柱(定点)旋转复位法配合针灸拔罐治疗腰椎间盘突出症临床研究[J].浙江中医药大学学报,2013,37(7):914-916.
[19]徐敏,唐汉武,黄承军,等.牛角罐治疗腰椎间盘突出症120例的疗效分析[J].颈腰痛杂志,2011,32(1):78-79.
[20]崔帅,崔瑾.拔罐疗法的负压效应机制研究进展[J].针刺研究,2012,37(6):506-510.
[21]刘睿.水牛角解热效应评价与珍珠产品开发[D].镇江:江苏大学, 2007:12.
[2]怀娟,岳寿伟.腰椎间盘突出症康复治疗进展[J].华西医学,2018,33(10):1-5.
[3]任萍,胡红,李剑岚.运动疗法参与治疗急性期腰椎间盘突出症临床观察[J].实用中医药杂志,2013,29(6):458-459.
[4]胡有谷.腰椎间盘突出症[M].4版.北京:人民卫生版社,2011:218-220.
[5] Kreiner DS, Hwang SW, Easa JE, et al.An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy[J]. The Spine Journal, 2014, 14(1):180-191.
[6]王志峰,沈建新,刘文宝.腰痹通胶囊治疗腰椎间盘突出症临床观察[J].新中医,2017,49(6):69-71.
[7] Hazel M.Clarkson.Musculoskeletal Assessment[M].New York:Woler Kluwer,2000:70-77.
[8]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京中医药大学出版社,2002:201.
[9]彭正成,胡建方,周维.不同推拿方法治疗腰椎间盘突出症临床观察[J].辽宁中医药大学学报,2015,17(6):198-200.
[10]杨舟,艾坤,于隽,等.浅谈点按法的临床应用现状[J].中华中医药杂志,2015,30(6):2026-2028.
[11]谢巧瑜,廖军,黄萍萍,等.点按法应用研究[J].河南中医,2016,36(6):1084-1086.
[12]许世雄,计琳,王庆伟.中医滚法推拿对血液流动影响的数值研究[J].应用数学和力学,2005(6):694-700.
[13]方顺济.擦法结合强腰操治疗腰肌劳损52例疗效观察[J].上海医药,2016,37(8):33-34.
[14]田宇瑛,王广军,黄涛,等.不同方向循经走罐对皮肤血流量的影响[J].中国针灸,2013,33(3):247-251.
[15]王莹莹,杨莉,杨金生,等.刮痧治疗腰肌劳损疗效评价及影响因素研究[J].南京中医药大学学报,2013,29(5):422-425.
[16]陈华,徐桂华,姜荣荣,等.刮痧对腰椎间盘突出症大鼠血清IgG及椎间盘组织病理改变的影响[J].南京中医药大学学报,2014,30(5):450-453.
[17]娄宇明,徐敏,黄承军,等.王力平教授“脊柱整体辨治”思想指导下辨证论治腰椎间盘突出症的临床研究[J].中国中医骨伤杂志,2010,17(5):33-35.
[18]杨传崇,董秀真.脊柱(定点)旋转复位法配合针灸拔罐治疗腰椎间盘突出症临床研究[J].浙江中医药大学学报,2013,37(7):914-916.
[19]徐敏,唐汉武,黄承军,等.牛角罐治疗腰椎间盘突出症120例的疗效分析[J].颈腰痛杂志,2011,32(1):78-79.
[20]崔帅,崔瑾.拔罐疗法的负压效应机制研究进展[J].针刺研究,2012,37(6):506-510.
[21]刘睿.水牛角解热效应评价与珍珠产品开发[D].镇江:江苏大学, 2007:12.