中医针灸联合独活寄生汤加减治疗急性腰间盘突出症的应用研究
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摘要
目的:研究中医针灸联合独活寄生汤加减治疗急性腰间盘突出症的应用效果。方法:选取2014年12月—2016年12月期间在本院接受诊治的50例急性腰间盘突出症患者作为研究对象,根据随机数表法分为对照组、研究组,各25例。对照组患者采用中医针灸治疗,研究组患者采用中医针灸联合独活寄生汤治疗,持续治疗3个月。比较两组患者治疗前后疼痛程度、腰间盘功能变化及临床疗效。结果:治疗前,两组患者VAS评分以及功能障碍指数评分差异无统计学意义(P>0.05);治疗后,两组患者疼痛VAS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组患者功能障碍指数均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组患者治疗总有效率(92.0%)高于对照组的(64.0%),差异有统计学意义(P<0.05)。结论:中医针灸联合独活寄生汤加减治疗急性腰间盘突出症效果显著,能有效缓解临床症状,减轻疼痛,促进腰间盘功能恢复,值得临床推广。
Objective:To study the effect of traditional Chinese medicine acupuncture combined with Duhuo Jisheng Decoction in the treatment of acute lumbar disc herniation. Methods:Fifty cases of patients with acute lumbar disc herniation who were treated in our hospital from December 2014 to December 2016 were selected as the subjects. All patients were divided into two groups according to the random number table method,25 cases in each group. The patients in the control group were treated with traditional Chinese medicine acupuncture. And the patients in the study group were treated with Duhuo Jisheng Decoction on the basis of the control group. The degree of pain,lumbar disc function changes and clinical efficacy were compared between the two groups before and after treatment. Results:There was no significant difference in VAS score and dysfunction index between the two groups before treatment( P > 0. 05). After treatment,the VAS scores of the two groups were lower than those before treatment,and the study group's was lower than that of the control group,and the difference was statistically significant( P < 0. 05). The scores of dysfunction in the two groups were lower than those in the control group,and the difference was statistically significant( P <0. 05). The total effective rate(92. 0%) was higher in the study group than that in the control group(64. 0%),and the difference was statistically significant( P < 0. 05). Conclusion:Chinese medicine acupuncture combined with Duhuo Jisheng Decoction in the treatment of acute lumbar disc herniation significantly and can effectively relieve clinical symptoms,reduce pain and promote lumbar disc function recovery,worthy of clinical promotion.
Objective:To study the effect of traditional Chinese medicine acupuncture combined with Duhuo Jisheng Decoction in the treatment of acute lumbar disc herniation. Methods:Fifty cases of patients with acute lumbar disc herniation who were treated in our hospital from December 2014 to December 2016 were selected as the subjects. All patients were divided into two groups according to the random number table method,25 cases in each group. The patients in the control group were treated with traditional Chinese medicine acupuncture. And the patients in the study group were treated with Duhuo Jisheng Decoction on the basis of the control group. The degree of pain,lumbar disc function changes and clinical efficacy were compared between the two groups before and after treatment. Results:There was no significant difference in VAS score and dysfunction index between the two groups before treatment( P > 0. 05). After treatment,the VAS scores of the two groups were lower than those before treatment,and the study group's was lower than that of the control group,and the difference was statistically significant( P < 0. 05). The scores of dysfunction in the two groups were lower than those in the control group,and the difference was statistically significant( P <0. 05). The total effective rate(92. 0%) was higher in the study group than that in the control group(64. 0%),and the difference was statistically significant( P < 0. 05). Conclusion:Chinese medicine acupuncture combined with Duhuo Jisheng Decoction in the treatment of acute lumbar disc herniation significantly and can effectively relieve clinical symptoms,reduce pain and promote lumbar disc function recovery,worthy of clinical promotion.
引文
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[4]杨丽.中医护理技术干预膨隆型腰间盘突出症临床疗效观察[J].辽宁中医药大学学报,2016,18(3):203-205.
[5]杨庆红,李宝田,刘小宁,等.独活寄生汤加减离子导入对椎间盘突出症脊柱内镜术后康复和残余症状的影响[J].中医学报,2017,32(6):1082-1085.
[6]樊海龙,赵凌,梁繁荣.针灸结合牵引治疗腰间盘突出症的Meta分析[J].针灸临床杂志,2015,31(8):53-56.
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[10]刘君正,朱海龙,周祖德,等.双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果[J].中国当代医药,2017,24(6):74-76.
[11]柯东港.腰椎间盘突出症发病危险因素及CT影像特点分析[J].中国CT和MRI杂志,2016,14(6):133-136.
[12]杨春平.独活寄生汤加减治疗急性腰间盘突出的临床观察[J].医药论坛杂志,2015,36(4):175-176.
[13]伊伟恩,李姿蓉,刘德果,等.活血通络汤联合疗法治疗腰椎间盘突出症临床疗效观察[J].中医药临床杂志,2016,28(7):999-1002.
[14]郭龙恩,苏楠,祝远瑞.中药热敷辨治腰椎间盘突出症随机平行对照研究[J].实用中医内科杂志,2017,31(7):60-63.
[15]谭艳.中医骨伤手法联合独活寄生汤加减治疗腰椎间盘突出症的疗效观察[J].中国社区医师,2017,33(16):84-85.
[16]钟敏莹,吴思平.齐刺配合腰椎牵引治疗腰椎间盘突出症的疗效观察[J].广州中医药大学学报,2013,30(1):37-39.
[17]张志南,武文.针灸推拿治疗腰椎间盘突出症的疗效分析[J].辽宁中医杂志,2014,41(11):2438-2440.
[18]郭清影.中西医结合治疗腰椎间盘突出症的临床效果观察[J].河南医学研究,2017,26(1):74-75.
[19]于永军.推拿联合针灸疗法在腰间盘突出症治疗中的应用研究[J].齐齐哈尔医学院学报,2015,36(2):229-230.
[2]闫树春,冯丽君,白俊海.腰间盘突出症临床症状与CT影像学分析[J].心理医生,2015,21(14):40-41.
[3]Vorobeychik Y,Sharma A,Smith CC,et al.The effectiveness and risks of non-image-guided lumbar interlaminar epidural steroid injections:a systematic review with comprehensive analysis of the published Data[J].Pain Med,2016,17(12):2185-2202.
[4]杨丽.中医护理技术干预膨隆型腰间盘突出症临床疗效观察[J].辽宁中医药大学学报,2016,18(3):203-205.
[5]杨庆红,李宝田,刘小宁,等.独活寄生汤加减离子导入对椎间盘突出症脊柱内镜术后康复和残余症状的影响[J].中医学报,2017,32(6):1082-1085.
[6]樊海龙,赵凌,梁繁荣.针灸结合牵引治疗腰间盘突出症的Meta分析[J].针灸临床杂志,2015,31(8):53-56.
[7]国家中医药管理局.《中医病症诊断疗效标准》[M].北京:中国中医药出版社,2014.
[8]张孔彬.独活寄生汤治疗膝关节退行性骨关节病及对膝关节液IL-1的影响[J].辽宁中医杂志,2014,41(5):938-939.
[9]Casa NL,Casa Junior AJ,Melo AV,et al.CASE-REPORT Association between an ACAN gene variable number tandem repeat polymorphism and lumbar disc herniation:a case control study[J].Genet Mol Res,2016,15(4):347-349.
[10]刘君正,朱海龙,周祖德,等.双排螺旋CT联合X线平片检查诊断腰椎间盘突出症的效果[J].中国当代医药,2017,24(6):74-76.
[11]柯东港.腰椎间盘突出症发病危险因素及CT影像特点分析[J].中国CT和MRI杂志,2016,14(6):133-136.
[12]杨春平.独活寄生汤加减治疗急性腰间盘突出的临床观察[J].医药论坛杂志,2015,36(4):175-176.
[13]伊伟恩,李姿蓉,刘德果,等.活血通络汤联合疗法治疗腰椎间盘突出症临床疗效观察[J].中医药临床杂志,2016,28(7):999-1002.
[14]郭龙恩,苏楠,祝远瑞.中药热敷辨治腰椎间盘突出症随机平行对照研究[J].实用中医内科杂志,2017,31(7):60-63.
[15]谭艳.中医骨伤手法联合独活寄生汤加减治疗腰椎间盘突出症的疗效观察[J].中国社区医师,2017,33(16):84-85.
[16]钟敏莹,吴思平.齐刺配合腰椎牵引治疗腰椎间盘突出症的疗效观察[J].广州中医药大学学报,2013,30(1):37-39.
[17]张志南,武文.针灸推拿治疗腰椎间盘突出症的疗效分析[J].辽宁中医杂志,2014,41(11):2438-2440.
[18]郭清影.中西医结合治疗腰椎间盘突出症的临床效果观察[J].河南医学研究,2017,26(1):74-75.
[19]于永军.推拿联合针灸疗法在腰间盘突出症治疗中的应用研究[J].齐齐哈尔医学院学报,2015,36(2):229-230.