腰腿痛方联合针刺对慢性腰背痛患者腰肌功能及临床症状的影响  

Effect of Yaotuitong Prescription Combined with Acupuncture on Lumbar Muscle Function and Clinical Symptoms of Patients with Chronic Low Back Pain

作　　者：徐向晖 XU Xianghui

机构地区：[1]常山县人民医院,浙江常山324200

出　　处：《新中医》2021年第10期72-76,共5页New Chinese Medicine

摘　　要：目的:探讨腰腿痛方联合针刺治疗慢性腰背痛的疗效,并观察该疗法对患者腰肌功能和临床症状的影响。方法:随机将126例慢性腰背痛患者分为观察组和对照组各63例。对照组在常规治疗基础上给予针刺治疗,观察组在对照组基础上联合使用腰腿痛方治疗。比较治疗前、治疗4周后2组患者中医证候(腰背疼痛如刺、得温痛减、舌紫暗/苔白滑、脉沉迟而缓)积分、腰痛情况[视觉模拟评分法(VAS)、日本骨科学会腰痛评分(JOA)]及炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C-反应蛋白(CRP)]水平变化,记录2组患者临床疗效。结果:观察组临床总有效率为96.83%,明显高于对照组的87.30%(P<0.05)。治疗4周后,2组患者腰背疼痛如刺、得温痛减、舌紫暗/苔白滑、脉沉迟而缓等中医证候积分、VAS评分及IL-6、TNF-α、CRP水平较治疗前显著降低,且观察组降低更明显(P<0.05);2组JOA评分较治疗前显著增高,且观察组增高更明显(P<0.05)。结论:腰腿痛方联合针刺治疗慢性腰背痛效果显著,可显著改善患者临床症状体征,降低炎性水平,降低疼痛程度,恢复腰部功能。Objective:To discuss the therapy of Yaotuitong prescription combined with acupuncture in the treatment of chronic low back pain,and to observe its effect on the lumbar muscle function and clinical symptoms of patients.Methods:A total of 126 cases of patients with chronic low back pain were enrolled as the analysis objects,and divided into the observation group and the control group according to the random number table method,63 cases in each group.The control group was given acupuncture on the basis of routine treatment,and the observation group was additionally given Yaotuitong prescription based on the treatment of the control group.Before treatment and after four-week treatment,the changes in Chinese medicine syndrome scores[stabbing pain in the low back,pain relief with warmth,purple and dusky tongue/white and slippery fur,sunken,slow,and relaxed pulse],difference in pain degree evaluated by score of Visual Analogue Scale(VAS)score,and score of Japanese Orthopedic Association(JOA)of low back pain were compared between the two groups.Before treatment and after four-week treatment,the changes in levels of inflammatory factors in serum[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),C-reactive protein(CRP)]were compared between the two groups.The clinical effect was recorded in the two groups.Results:The total clinical effective rate in the observation group(96.83%)was higher than that in the control group(87.30%)(P<0.05).After four-week treatment,syndrome scores of stabbing pain in the low back,pain relief with warmth,purple and dusky tongue/white and slippery fur,sunken,slow,and relaxed pulse,as well as the total score in the two groups were decreased when compared with those before treatment,and the scores in the observation group were lower than those in the control group(P<0.05).After four-week treatment,VAS scores in the two groups were lower than those before treatment,and the score in the observation group was lower than that in the control group(P<0.05);JOA scores in the two groups were higher than

关 键 词：慢性腰背痛 腰腿痛方 针刺 腰肌功能 

分 类 号：R681.55[医药卫生—骨科学]