内热针针法治疗寒湿痹阻型腰椎间盘突出症临床研究  

Clinical Study on Internal Heat Needling Method for Lumbar Disc Herniation of Cold-Damp Obstruction Type

作　　者：陈叶海 杨俊涛 叶春平[1] 殷凯卫 严雁程 CHEN Yehai;YANG Juntao;YE Chunping;YIN Kaiwei;YAN Yancheng(Jinhua People's Hospital,Jinhua Zhejiang 321000,China;Huayuantian Hospital of Dongyang,Dongyang Zhejiang 322121,China)

机构地区：[1]金华市人民医院,浙江金华321000 [2]东阳花园田氏医院,浙江东阳322121

出　　处：《新中医》2023年第19期162-166,共5页New Chinese Medicine

摘　　要：目的:观察内热针针法治疗寒湿痹阻型腰椎间盘突出症的临床疗效。方法:将352例寒湿痹阻型腰椎间盘突出症患者按随机数字表法分为对照组和观察组各176例。对照组给予腰椎牵引联合功能锻炼治疗,观察组在对照组基础上联合内热针针法治疗。比较2组治疗前后中医证候评分、疼痛视觉模拟评分法(VAS)评分、日本骨科学会下腰痛评定量表(JOA)评分和腰椎功能障碍指数(ODI)评分,检测炎性因子水平,评价2组临床疗效及不良反应发生情况。结果:观察组总有效率为98.86%,高于对照组93.75%(P<0.05)。治疗后,2组腰部疼痛、遇寒痛增、得热则减、面色[白光]白评分较治疗前降低(P<0.05),且观察组各项评分低于对照组(P<0.05)。治疗后,2组VAS、ODI评分较治疗前降低,JOA评分较治疗前升高(P<0.05);且观察组VAS、ODI评分低于对照组,JOA评分高于对照组(P<0.05)。治疗后,2组C-反应蛋白(CRP)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)水平较治疗前降低(P<0.05),且观察组CRP、IL-6、TNF-α水平低于对照组(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:内热针针法治疗寒湿痹阻型腰椎间盘突出症患者疗效显著,能改善临床症状,减轻患者疼痛,改善腰椎功能,提高腰椎活动度,抑制炎性因子表达。Objective:To observe the clinical effect of internal heat needling method for lumbar disc herniation of cold-damp obstruction type.Methods:A total of 352 cases of patients with lumbar disc herniation of cold-damp obstruction type were divided into the control group and the observation group according to the random number table method,with 176 cases in each group.The control group was treated with lumbar traction combined with motion exercise,and the observation group was additionally treated with internal heat needling method based on the treatment of the control group.Before and after treatment,traditional Chinese medicine syndrome scores,Visual Analogue Scale(VAS) scores,Japanese Orthopaedic Association(JOA) scores,and Oswestry Disability Index(ODI) scores were compared between the two groups.The levels of inflammatory factors were detected.The clinical effects and incidence of adverse reactions were evaluated between the two groups.Results:The total effective rate was 98.86% in the observation group,higher than that of 93.75% in the control group(P<0.05).After treatment,the scores of lower back pain,increased pain when encountering cold,decreased pain when experiencing heat,and pale complexion in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,VAS and ODI scores in the two groups were decreased when compared with those before treatment,and JOA scores were increased when compared with those before treatment(P<0.05);the VAS and ODI scores in the observation group were lower than those in the control group,and the JOA score was higher than that in the control group(P 0.05).After treatment,the levels of C-reactive protein(CRP),interleukin 6(IL-6),and tumor necrosis factor-α(TNF-α) were decreased when compared with those before treatment(P<0.05),and the levels of CRP,IL-6 and TNF-α in the observation group were lower than those in the control group(P<0.05).There was no signif

关 键 词：腰椎间盘突出症 寒湿痹阻型 内热针针法 疼痛程度 腰椎功能 炎症因子 

分 类 号：R681.53[医药卫生—骨科学]