中药药熨联合皮内针治疗腰椎间盘突出症的效果  

Chinese medicine ironing and intradermal acupuncture for lumbar disc herniation

作　　者：刘琪玉[1] 陈梦[1] 张曼竹 李沙 Liu Qiyu;Chen Meng;Zhang Manzhu;Li Sha(Department of Orthopedics,Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou 510095,China)

机构地区：[1]广东省第二中医院骨科,广州510095

出　　处：《国际医药卫生导报》2023年第4期488-491,共4页International Medicine and Health Guidance News

基　　金：广东省中医药局科研项目(20211037)。

摘　　要：目的观察中药药熨联合皮内针治疗腰椎间盘突出症的效果。方法选取2021年1月至2022年6月在广东省第二中医院骨科住院的腰椎间盘突出症90例患者进行随机对照试验,男54例,女36例,年龄18~80岁。采用随机数字表法将其分为对照组、观察1组、观察2组,各30例。对照组口服塞来昔布;观察1组在对照组的基础上用中药药熨腰部;观察2组在观察1组的治疗方案上运用皮内针刺肾俞、大肠俞、委中、腰阳关、足三里等穴。观察并对比3组腰椎疼痛程度、腰椎功能及活动度、临床疗效。符合正态分布的计量资料组间比较采用独立样本t检验,组内比较采用配对t检验;计数资料比较采用χ^(2)检验。结果观察1组、观察2组腰椎疼痛程度视觉模拟量表(Visual Analogue Scale,VAS)评分分别为(2.5±0.3)分、(2.1±0.5)分,明显低于对照组的(3.9±0.8)分,差异均有统计意义(P=0.041、0.032);观察2组VAS评分低于观察1组。观察1组、观察2组日本骨科协会改良功能障碍指数量表(Oswestry Disability Index,ODI)评分分别为(14.6±1.6)分、(13.19±2.8)分,明显低于对照组的(19.7±1.2)分,差异均有统计意义(P=0.031、0.025);观察2组ODI评分低于观察1组(P<0.05);观察1组、观察2组、对照组临床疗效分别为80.00%(24/30)、93.30%(28/30)、66.67%(20/30);观察1组、观察2组与对照组比较,差异均有统计学意义(P=0.045、0.037);观察2组与观察1组比较,差异无统计学意义(P>0.05)。结论中药药熨联合皮内针刺穴位治疗腰椎间盘突出症能明显缓解疼痛症状,有效提高治疗效果,促进患者生活质量提高,提高腰椎功能。Objective To observe the efficacy of Chinese medicine ironing combined with intradermal acupuncture in the treatment of lumbar disc herniation.Methods A total of 90 patients with lumbar disc herniation hospitalized in Department of Orthopedics,Guangdong Second Hospital of Traditional Chinese Medicine from January 2021 to June 2022 were selected for the random xontrol trial,including 54 males and 36 females who were 18-80 years old.They were divided into a control group,an observation group 1,and an observation group 2,with 30 cases in each group.The control group orally took celecoxib.On the basis of the control group,the observation group 1 were ironed with Chinese medicine.On the basis of the observation group 1,the observation group 2 took intradermal acupuncture at Shenshu,Danshu,Weizhong,Yaoyangguan,Zusanli,etc.The degrees of lumbar pain,lumbar function and range of motion,and clinical efficacies of the three groups were observed and compared.The measurement data of normal distribution were compared between these 3 groups by independent sample t test and within the group by paired t test.The enumeration data were compared by χ^(2) test.Results The Visual Analogue Scale(VAS)scores in the observation group 1 and the observation group 2 were(2.5±0.3)and(2.1±0.5),which were significantly lower than that in the control group[(3.9±0.8)],with statistical differences(P=0.041 and 0.032);the VAS score of the observation group 2 was lower than that of the observation group 1.The scores of the Modified Oswestry Disability Index(ODI)of the Japanese Orthopaedic Association in the observation group 1 and the observation group 2 were(14.6±1.6)and(13.19±2.8),which were significantly lower than that in the control group[(19.7±1.2)],with statistical differences were(P=0.031 and 0.025);the ODI score of the observation group 2 was lower than that of the observation group 1(P<0.05).The clinical efficacies of the observation group 1,the observation group 2,and the control group were 80.00%(24/30),93.33%(28/30),and 66.67%(20

关 键 词：腰椎间盘突出症 皮内针 中药药熨 疼痛 功能障碍 

分 类 号：R681.53[医药卫生—骨科学]