腕踝针疗法联合中药药罐法治疗血瘀型腰椎间盘突出症疗效观察
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摘要
目的:观察腕踝针疗法联合中药药罐法治疗血瘀型腰椎间盘突出症的疗效。方法:纳入160例血瘀型腰椎间盘突出症患者为研究对象,随机分为对照组和研究组各80例,对照组采用腕踝针疗法治疗,研究组采用腕踝针疗法联合加味桃红四物汤药罐法治疗,2组疗程均为7天。2组患者治疗前后进行疼痛视觉模拟评分法(VAS)评分、日本骨科协会下腰痛评价量表(JOA)评分及中医证候积分的评定,检测血清炎症因子肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)和白细胞介素-6(IL-6)水平。结果:治疗7天后,研究组总有效率95.00%,高于对照组的81.25%,差异有统计学意义(P<0.01);2组VAS评分均低于治疗前,研究组VAS评分低于对照组,差异均有统计学意义(P<0.05);2组腰痛、下肢疼痛JOA评分均高于治疗前,研究组2项评分值均高于对照组,差异均有统计学意义(P<0.05);2组腰腿痛、腰部板硬、下肢麻木、腰膝沉重评分均低于治疗前,研究组4项评分均低于对照组,差异均有统计学意义(P<0.05);2组TNF-α、CRP和IL-6水平均低于治疗前(P<0.05),研究组3项指标水平均低于对照组(P<0.05)。结论:腕踝针疗法联合中药药罐法治疗血瘀型腰椎间盘突出症患者具有较好的临床疗效,可有效缓解临床症状,减轻疼痛程度与炎症反应,值得在临床应用。
Objectives:To observe the clinical effect of wrist-ankle acupuncture combined with medicinal cupping method of Chinese medicine for lumbar disc herniation of blood stasis type. Methods:Selected 160 cases of patients with lumbar disc herniation of blood stasis type as study objects and divided them into the control group and the study group randomly,80 cases in each group. The control group received wrist-ankle acupuncture for treatment, while the study group received wrist-ankle acupuncture combined with medicinal cupping method of modified Taohong Siwu tang. The treatment of the two groups lasted for seven days. Evaluated pain scores of visual analogue scales(VAS),scores of low back pain evaluation scale of Japanese Orthopedic Association(JOA) and Chinese medicine syndrome scores,and detected levels of serum inflammatory factors as tumor necrosis factor-α(TNF-α),C-reactive protein(CRP) and interleukins-6(IL-6) of patients in the two groups before and after treatment. Results:After seven days of treatment,the total effective rate was 95.00% in the study group,being higher than that in the control group which was 81.25%,the difference being significant(P < 0.01). VAS scores in the two groups were lower than those before treatment,and VAS scores in the study group were lower than those in the control group,differences being significant(P < 0.05). JOA scores of low back pain and lower limb pain in the two groups were higher than those before treatment,and the two scores in the study group were higher than those in the control group,differences being significant(P < 0.05). Scores of lumbocrural pain,stiff loin,lower limb numbness and heaviness in waist and knee were lower than those before treatment, and the four scores in the study group were lower than those in the control group,differences being significant(P < 0.05). Levels of TNF-α,CRP and IL-6 in the two groups were lower than those before treatment(P < 0.05),and the three levels in the study group were lower than those in the control group(P < 0.05). Conclusion:The therapy of wrist-ankle acupuncture combined with medicinal cupping method of Chinese medicine has significant effect in treating patients with lumbar disc herniation of blood stasis type,which can effectively relieve clinical symptoms,pain degree and inflammatory reactions of patients and is worthy of clinical application.
Objectives:To observe the clinical effect of wrist-ankle acupuncture combined with medicinal cupping method of Chinese medicine for lumbar disc herniation of blood stasis type. Methods:Selected 160 cases of patients with lumbar disc herniation of blood stasis type as study objects and divided them into the control group and the study group randomly,80 cases in each group. The control group received wrist-ankle acupuncture for treatment, while the study group received wrist-ankle acupuncture combined with medicinal cupping method of modified Taohong Siwu tang. The treatment of the two groups lasted for seven days. Evaluated pain scores of visual analogue scales(VAS),scores of low back pain evaluation scale of Japanese Orthopedic Association(JOA) and Chinese medicine syndrome scores,and detected levels of serum inflammatory factors as tumor necrosis factor-α(TNF-α),C-reactive protein(CRP) and interleukins-6(IL-6) of patients in the two groups before and after treatment. Results:After seven days of treatment,the total effective rate was 95.00% in the study group,being higher than that in the control group which was 81.25%,the difference being significant(P < 0.01). VAS scores in the two groups were lower than those before treatment,and VAS scores in the study group were lower than those in the control group,differences being significant(P < 0.05). JOA scores of low back pain and lower limb pain in the two groups were higher than those before treatment,and the two scores in the study group were higher than those in the control group,differences being significant(P < 0.05). Scores of lumbocrural pain,stiff loin,lower limb numbness and heaviness in waist and knee were lower than those before treatment, and the four scores in the study group were lower than those in the control group,differences being significant(P < 0.05). Levels of TNF-α,CRP and IL-6 in the two groups were lower than those before treatment(P < 0.05),and the three levels in the study group were lower than those in the control group(P < 0.05). Conclusion:The therapy of wrist-ankle acupuncture combined with medicinal cupping method of Chinese medicine has significant effect in treating patients with lumbar disc herniation of blood stasis type,which can effectively relieve clinical symptoms,pain degree and inflammatory reactions of patients and is worthy of clinical application.
引文
[1]谢卫东,吴风军.丁丙诺啡透皮贴剂辅助射频消融治疗腰椎间盘突出症有效性及安全性[J].中国疼痛医学杂志,2017,23(8):589-593.
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[5]赵永.针灸治疗腰椎间盘突出性疼痛疗效观察[J].光明中医,2017,32(7):1016-1018.
[6]张永臣,贾红玲,卢承顶.微针系统治疗腰椎间盘突出症的概况与展望[J].四川中医,2013,31(2):156-157.
[7]张晓峰.中医理疗对腰椎间盘突出症患者疼痛及活动功能的影响[J].现代中西医结合杂志,2016,25(18):2009-2011.
[8]李亚红.腕踝针埋针治疗腰椎间盘突出症的临床体会[J].医学信息,2016,29(1):183-184.
[9]王冠军,梁晖,解纪惠,等.活血化瘀法治疗血瘀型腰椎间盘突出症[J].吉林中医药,2016,36(10):1016-1019.
[2]国家中医药管理局.ZY/T001.1~001.9-94中医病证诊断疗效标准[S].南京:南京大学出版社,1994:201-202.
[3]余维豪,霍速.介绍一种腰椎功能评定方法[J].中国康复医学杂志,1998,13(5):214.
[4]穆景颂,倪朝民.常见病康复诊疗规范——腰椎间盘突出症分级康复诊疗指南解读[J].安徽医学,2017,38(5):674-675.
[5]赵永.针灸治疗腰椎间盘突出性疼痛疗效观察[J].光明中医,2017,32(7):1016-1018.
[6]张永臣,贾红玲,卢承顶.微针系统治疗腰椎间盘突出症的概况与展望[J].四川中医,2013,31(2):156-157.
[7]张晓峰.中医理疗对腰椎间盘突出症患者疼痛及活动功能的影响[J].现代中西医结合杂志,2016,25(18):2009-2011.
[8]李亚红.腕踝针埋针治疗腰椎间盘突出症的临床体会[J].医学信息,2016,29(1):183-184.
[9]王冠军,梁晖,解纪惠,等.活血化瘀法治疗血瘀型腰椎间盘突出症[J].吉林中医药,2016,36(10):1016-1019.