益气舒筋汤联合银质针治疗颈肩腰腿痛疗效观察及机制分析  

Analysis of the Mechanism and Clinical Observation on Benefiting-Qi Relaxing-Tendon Decoction and Silver Needle in the Treatment of Neck,Shoulder,Low Back and Leg Pain

作　　者：胡晓莉 范后宝 徐峰[1] 朱敏[1] 刘佩 HU Xiaoli;FAN Houbao;XU Feng;ZHU Min;LIU Pei(Xuzhou First People's Hospital,Xuzhou 221000,China;General Hospital of Xuzhou Coal Mining Group,Xuzhou 221000,China)

机构地区：[1]徐州市第一人民医院,江苏徐州221000 [2]徐州矿务集团总医院,江苏徐州221000

出　　处：《西部中医药》2023年第6期113-116,共4页Western Journal of Traditional Chinese Medicine

基　　金：徐州市科技项目(KC19037)。

摘　　要：目的:探讨益气舒筋汤联合银质针治疗颈肩腰腿痛的疗效及机制。方法:选择60例颈肩腰腿痛患者,随机分为观察组和对照组,每组30例。对照组采用银质针疗法,观察组采用益气舒筋汤联合银质针疗法,共干预6个月。观察两组临床疗效、疼痛程度、生存质量评分及氧化应激指标的变化。结果:观察组有效率[93.33%(28/30)]明显高于对照组[70.00%(21/30)](P<0.05);治疗后,两组疼痛评分、生存质量评分均明显降低(P<0.05),且观察组更低(P<0.05);治疗后,血清谷胱甘肽过氧化氢酶(glutathione peroxidase,GSH-Px)、总抗氧化能力(total antioxidant capacity,T-AOC)和超氧化物歧化酶(superoxide dismutase,SOD)水平明显升高(P<0.05),且观察组升高更加明显(P<0.05)。结论:益气舒筋汤联合银质针能改善颈肩腰腿痛患者的生活质量,减轻疼痛程度,其机制可能与减轻氧化应激损伤有关。Objective:To discuss clinical effects of benefiting-Qi relaxing-tendon decoction and silver needle in the treatment of neck,shoulder,low back and leg pain,and the mechanism.Methods:Sixty patients were chosen and allocated to the observation group and the control group randomly,30 cases in each group.The control group adopted silver needle therapy,and the observation group benefiting-Qi relaxing-tendon decoction and silver needle,intervening for six months.To observe clinical effects,VAS scores,the scores of quality of life and the changes of the indicators of oxidative stress between both groups.Results:The effective rate of the observation group was[93.33%(28/30)],noticeably higher than[70.00%(21/30)]of the control group(P<0.05);after the treatment,VAS scores and the scores of quality of life of the two groups lowered remarkably(P<0.05),and the observation group decreased more(P<0.05);after the treatment,the levels of GSH-Px,T-AOC and SOD increased apparently(P<0.05),and the raise of the observation group was more noticeable(P<0.05).Conclusion:Benefiting-Qi relaxing-tendon decoction and silver needle could improve quality of life,relieve pain,and its mechanism might be related to relieving oxidative stress injury.

关 键 词：颈肩腰腿痛 益气舒筋汤 银质针 生活质量 疼痛程度 氧化应激 

分 类 号：R246[医药卫生—针灸推拿学]