电针联合调身通痹方治疗老年性腰椎间盘突出症(肝肾不足型)的临床研究
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摘要
目的 :观察电针联合调身通痹方治疗老年性腰椎间盘突出症(肝肾不足型)的疗效。方法 :收集2016年11月—2017年12月就诊的腰椎间盘突出症患者80例,分为治疗组和对照组各40例。对照组给予单纯电针治疗,隔天1次,连续4周为1个疗程,共2个疗程,疗程间休息1周。治疗组给予电针联合调身通痹方治疗,电针治疗方法同对照组,调身通痹方每剂煎取300 ml,分早、晚2次饭后30 min温服,每次150 ml,连续4周为1个疗程,共2个疗程。分别观察两组治疗前、治疗4周和8周后的疗效,以及视觉模拟评分(VAS)和日本骨科协会评估治疗分数(JOA)。结果 :两组治疗后的VAS评分和JOA评分均显著低于治疗前(P <0.05),但治疗组的评分差值大于对照组(P <0.05)。治疗组的治疗总有效率为94.6%(35/38),优于对照组的89.5%(34/37,P <0.05)。结论 :电针联合调身通痹方治疗在改善肝肾不足型老年性腰椎间盘突出症患者的腰腿疼痛和腰椎功能方面均安全、有效。
Objective: To observe the curative effect of senile lumbar disc herniation(liver and kidney deficiency type)treated with electroacupuncture combined with Tiaoshentongbi recipe. Methods: From November 2016 to December 2017, 80 patients with lumbar disc herniation treated in the community were collected and divided into a treatment group and a control group with 40 cases each. The control group received simple electroacupuncture treatment once every other day, for 4 consecutive weeks as a course of treatment, a total of 2 courses, and 1 week of rest was between courses. The treatment group was treated with electro-acupuncture combined with Tiaoshentongbi recipe, and the electro-acupuncture treatment method was the same as the control group, Tiaoshentongbi recipe was decocted for 300 ml per dose, which was taken warm 30 min after meals for two times in the morning and evening, 150 ml each time, and it was a course of treatment for 4 consecutive weeks, a total of two courses of treatment. The effects of the two groups before treatment, after treatment of 4 weeks and 8 weeks and visual analogue score(VAS) and Japanese orthopaedic association assessment treatment score(JOA) were observed. Results: The VAS and JOA scores after treatment in both groups were significantly lower than those before treatment(P<0.05), but the difference of scores in the treatment group was greater than that in the control group(P<0.05). The total effective rate in the treatment group was94.6%(35/38), which was better than that in the control group 89.5%(34/37, P<0.05). Conclusion: Electroacupuncture combined with Tiaoshentongbi recipe is safe and effective methods in improving lumbocrural pain and lumbar spine function in elderly patients with lumbar disc herniation.
Objective: To observe the curative effect of senile lumbar disc herniation(liver and kidney deficiency type)treated with electroacupuncture combined with Tiaoshentongbi recipe. Methods: From November 2016 to December 2017, 80 patients with lumbar disc herniation treated in the community were collected and divided into a treatment group and a control group with 40 cases each. The control group received simple electroacupuncture treatment once every other day, for 4 consecutive weeks as a course of treatment, a total of 2 courses, and 1 week of rest was between courses. The treatment group was treated with electro-acupuncture combined with Tiaoshentongbi recipe, and the electro-acupuncture treatment method was the same as the control group, Tiaoshentongbi recipe was decocted for 300 ml per dose, which was taken warm 30 min after meals for two times in the morning and evening, 150 ml each time, and it was a course of treatment for 4 consecutive weeks, a total of two courses of treatment. The effects of the two groups before treatment, after treatment of 4 weeks and 8 weeks and visual analogue score(VAS) and Japanese orthopaedic association assessment treatment score(JOA) were observed. Results: The VAS and JOA scores after treatment in both groups were significantly lower than those before treatment(P<0.05), but the difference of scores in the treatment group was greater than that in the control group(P<0.05). The total effective rate in the treatment group was94.6%(35/38), which was better than that in the control group 89.5%(34/37, P<0.05). Conclusion: Electroacupuncture combined with Tiaoshentongbi recipe is safe and effective methods in improving lumbocrural pain and lumbar spine function in elderly patients with lumbar disc herniation.
引文
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[8]许金海,王晶,叶洁,等.益气化瘀补肾法治疗腰椎间盘突出症的随机对照临床研究[J].世界科学技术-中医药现代化,2013,15(5):1074-1080.
[9]朱宗明.辨证施治腰椎间盘突出症193例疗效观察[J].世界中医骨科杂志,2005,7(1):61-62.
[10]周就荣.腰椎间盘突出症分期治疗135例[J].中国民间疗法,2005,13(11):51-52.
[11]张海清,赵继荣,陈文.腰椎间盘突出症的中医药治疗概述[J].西部中医药,2012,25(12):124-126.
[12]柯玲玲.腹针疗法配合针刺委中穴治疗腰椎间盘突出症的临床研究[J].中医临床研究,2013,5(11):54-55.
[13]辛明,程施瑞,王芹芹.针刺董氏奇穴治疗腰椎间盘突出症35例[J].湖南中医杂志,2015,31(3):87-88.
[14]洪雁,赵枫林,崔卫东.腰突穴电针加推拿牵引治疗腰椎间盘突出症39例[J].中国针灸,2007,27(9):671-672.
[2]秦晓洁,陈丽,许艳.浅谈腰椎间盘突出症的中医疗法[J].当代医药丛,2014,12(1):164-165.
[3]国家中医药管理局.中医病证诊断疗效标准[M].北京:国家中医药管理局医政司,2016:214.
[4]上海市卫生和计划生育委员会.上海市中医病证诊疗常规[M].2版.上海:上海中医药大学出版社,2003:410-411.
[5]视觉模拟疼痛(VAS)评分[EB/OL].(2019-03-01).https://baike.so.com/doc/4062052-4260476.html
[6]中华人民共和国医政司.中国康复医学诊疗规范[M].北京:华夏出版社,1998:327.
[7]郑磊.浅谈椎间盘突出中医药疗法[J].中国中医药现代远程教育,2010,8(17):20-21.
[8]许金海,王晶,叶洁,等.益气化瘀补肾法治疗腰椎间盘突出症的随机对照临床研究[J].世界科学技术-中医药现代化,2013,15(5):1074-1080.
[9]朱宗明.辨证施治腰椎间盘突出症193例疗效观察[J].世界中医骨科杂志,2005,7(1):61-62.
[10]周就荣.腰椎间盘突出症分期治疗135例[J].中国民间疗法,2005,13(11):51-52.
[11]张海清,赵继荣,陈文.腰椎间盘突出症的中医药治疗概述[J].西部中医药,2012,25(12):124-126.
[12]柯玲玲.腹针疗法配合针刺委中穴治疗腰椎间盘突出症的临床研究[J].中医临床研究,2013,5(11):54-55.
[13]辛明,程施瑞,王芹芹.针刺董氏奇穴治疗腰椎间盘突出症35例[J].湖南中医杂志,2015,31(3):87-88.
[14]洪雁,赵枫林,崔卫东.腰突穴电针加推拿牵引治疗腰椎间盘突出症39例[J].中国针灸,2007,27(9):671-672.