中药熏蒸联合牵引治疗气滞血瘀型腰椎间盘突出症临床观察  

Effect of Chinese fumigation with traction on lumbar disc Herniation of Qi stagnation and blood stasis

作　　者：梁世晅 陈国庆[1] 邵亚楠 LIANG Shixuan;CHEN Guoqing;SHAO Yanan(Department of Orthopedics and Traumatology,Huaian Hospital of Traditional Chinese Medicine,Huaian,Jiangsu 223001;Outpatient Department,Huaian Hospital of Traditional Chinese Medicine,Huaian,Jiangsu 223001)

机构地区：[1]江苏省淮安市中医院骨伤科,江苏淮安223001 [2]江苏省淮安市中医院门诊部,江苏淮安223001

出　　处：《河北中医》2022年第9期1483-1487,共5页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的 观察中药熏蒸联合牵引治疗气滞血瘀型腰椎间盘突出症(LDH)的临床疗效。方法 将86例气滞血瘀型LDH患者按照随机数字表法分为2组,对照组43例予牵引治疗,治疗组43例在对照组治疗基础上加用中药熏蒸。2组均1周为1个疗程,治疗6个疗程。比较2组疗效;比较2组治疗前后日本骨科协会(JOA)腰椎功能评分、炎症因子[白细胞介素1β(IL-1β)、IL-6、IL-17、TNF-α]水平、中医证候评分、健康调查简表(SF-36)评分变化。结果 治疗组总有效率95.35%(41/43),对照组总有效率81.40%(35/43),治疗组疗效优于对照组(P<0.05)。2组治疗后JOA腰椎功能各项评分及总评分均较本组治疗前升高(P<0.05),治疗后治疗组JOA腰椎功能各项评分及总评分均高于对照组(P<0.05)。2组治疗后IL-1β、IL-6、IL-17、TNF-α水平均较本组治疗前下降(P<0.05),治疗后治疗组IL-1β、IL-6、IL-17、TNF-α均低于对照组(P<0.05)。2组治疗后中医证候各项评分及总评分均较本组治疗前下降(P<0.05),治疗后治疗组中医证候各项评分及总评分均低于对照组(P<0.05)。2组治疗后SF-36各项评分及总评分均较本组治疗前升高(P<0.05),治疗后治疗组SF-36各项评分及总评分均高于对照组(P<0.05)。结论 中药熏蒸联合牵引治疗气滞血瘀型LDH,可改善患者腰椎功能、临床症状、生活质量,降低炎症因子水平,提高疗效。Objective To observe the efficacy of Chinese fumigation with traction in the treatment of lumbar disc herniation(LDH)of Qi stagnation and blood stasis.Methods A total of 86 LDH patients(Qi stagnation and blood stasis)were randomly assigned to the control group(n=43)and the treatment group(n=43),the treatment group received Chinese fumigation+traction,the control group only received traction.Six courses of treatment were performed(1 week as a course),aiming to compare curative effects,the score of Japanese Orthopedic Association(JOA)-lumbar function,the levels of inflammatory factors(interleukin-1β[IL-1β],IL-6,IL-17,tumor necrosis factor-α[TNF-α]),traditional Chinese medicine(TCM)syndrome score,as well as 36-item Short-Form Health Survey(SF-36)Score.Results The total effective rate in the treatment group was significantly better than that in the control group(95.35%[41/43]vs 81.40%[35/43],[P<0.05],respectively).The JOA-lumbar function in both groups after treatment were significantly higher than that before treatment(P<0.05),which in the treatment group were significantly higher than that in the control group(P<0.05).The levels of IL-1β,IL-6,IL-17 and TNF-αin both groups were decreased after treatment(P<0.05),which was lower in the treatment group than the control group(P<0.05).TCM syndromes scores in both groups were lower after treatment(P<0.05),which in the treatment group was more prevalent(P<0.05).The SF-36 in both groups were higher after treatment(P<0.05),which in the treatment group were more common(P<0.05).Conclusion For LDH patients(Qi stagnation and blood stasis),Chinese fumigation with traction is capable of improving their lumbar function,clinical symptoms,quality-of-life,reducing the level of inflammation,and promoting prognosis.

关 键 词：腰椎 椎间盘移位 中药疗法 熏洗 牵引术 

分 类 号：R681.533.1[医药卫生—骨科学] R687.35[医药卫生—外科学]