TDP中药渗透配合温针灸“腰三针”治疗腰椎间盘突出症(肝肾两虚证)疗效观察  

Curative Observation of Using TDP Traditional Chinese Medicine Osmosis Combined with Needle Warming Moxibustion (Waist Three Needles) in the Treatment of Lumbar Disc Herniation (Liver-Kidney Deficiency Syndrome)

作　　者：王剑静 谭安源 WANG Jianjing;TAN Anyuan(Department of Traditional Chinese Medicine,The People's Hospital of Lingao County,Lingao Hainan 571800,China)

机构地区：[1]临高县人民医院中医科,海南临高571800

出　　处：《四川中医》2020年第3期186-189,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：海南省自然科学基金项目(编号:SQ2014ZRJJ0393)。

摘　　要：目的:观察特定电磁波谱(TDP)中药渗透配合温针灸"腰三针"治疗肝肾两虚证腰椎间盘突出症的疗效。方法:收集2015年1月至2018年1月本院收治的肝肾两虚证腰椎间盘突出症患者90例为本次研究对象,随机分为观察组(n=45,在常规治疗上予以中药渗透配合温针灸"腰三针"治疗)和对照组(n=45,在常规治疗上予以温针灸"腰三针"治疗),治疗2个疗程后评估两组疗效,分别以日本整形外科协会制定的腰椎疾病治疗评分系统(JOA)、简化McGill疼痛量表(SF-MPQ)、Oswestry功能障碍指数(ODI)评估其症状积分改变水平、腰椎疼痛程度及腰椎功能。结果:观察组91.11%(41/45)的治疗总有效率显著高于对照组的78.56%(34/45)(P<0.05);治疗后,两组JOA评分各维度(主观体征、客观体征、日常活动受限、膀胱功能)得分均较治疗前显著降低(P<0.05),且观察组治疗后的JOA各维度评分均显著低于对照组对应值(P<0.05);治疗后,两组SF-MPQ各维度得分均较治疗前显著降低(P<0.05),且观察组治疗后的SF-MPQ各维度得分均显著低于对照组对应值(P<0.05);治疗后1疗程、2疗程后,两组患者ODI评分均较治疗前显著降低(P<0.05),且观察组治疗1疗程和2疗程后的ODI评分均显著低于对照组对应值(P<0.05)。结论:TDP中药渗透配合温针灸"腰三针"可有效改善肝肾两虚证腰椎间盘突出症患者症状,缓解腰椎疼痛,改善腰椎功能。Objective:To observe the efficacy of using specific electromagnetic spectrum(TDP) traditional Chinese medicine osmosis combined with needle warming moxibustion(waist three needles) in the treatment of lumbar disc herniation with liver-kidney deficiency syndrome.Methods:A total of 90 patients with lumbar disc herniation of liver-kidney deficiency syndrome admitted to our hospital from January 2015 to January 2018 were enrolled in this study and were randomly divided into observation group(n=45,given traditional Chinese medicine acupuncture osmosis combined with needle warming moxibustion "waist three needles" based on routine therapy) and controlled group(n=45,given needle warming moxibustion "waist three needles" based on the routine therapy).The efficacy was evaluated in the two groups after 2 courses of treatment.The lumbar spine disease treatment scoring system developed by the Japanese Orthopaedic Association(JOA),simplified McGill pain scale(SF-MPQ) and Oswestry Disability Index(ODI) were used to assess the symptoms scores changes,lumbar pain level and lumbar function.Results:The total effective rate of the observation group was significantly higher than that in the controlled group [91.11%(41/45) vs 78.56%(34/45)](P < 0.05).After treatment,the scores of dimensions of JOA(subjective signs,objective signs,limited daily activities,bladder function] in the two groups were significantly decreased compared with those before treatment(P < 0.05),and the scores of dimensions of JOA in the observation group after treatment were significantly lower than those in the controlled group(P < 0.05).After treatment,the scores of dimensions of SF-MPQ in the two groups were significantly decreased compared with those before treatment(P < 0.05),and the scores of dimensions of SF-MPQ in the observation group after treatment were significantly lower than those in the controlled group(P < 0.05).After 1 course and 2 courses of treatment,the ODI scores in the two groups were significantly decreased compared with those before treatme

关 键 词：腰椎间盘突出症 肝肾两虚 TDP中药渗透 腰三针 

分 类 号：R246.2[医药卫生—针灸推拿学]