益气舒筋汤联合针刺治疗颈肩腰腿痛临床研究  

Clinical Study on Yiqi Shujin Decoction Combined with Acupuncture for Pain in Neck,Shoulder,Low-Back and Leg

作　　者：余佳 屈庆 余世海 朱邦顺 YU Jia;QU Qing;YU Shihai;ZHU Bangshun(Tuina Department,Chun'an County Hospital of Chinese Medicine,Chun'an Zhejiang 311700,China;Tuina Department,Hangzhou Traditional Chinese Medicine Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 311700,China;Orthopedics Department,Chun'an County Hospital of Chinese Medicine,Chun'an Zhejiang 311700,China)

机构地区：[1]淳安县中医院推拿科,浙江淳安311700 [2]浙江中医药大学附属杭州市中医院推拿科,浙江杭州310007 [3]淳安县中医院骨科,浙江淳安311700

出　　处：《新中医》2024年第5期123-127,共5页New Chinese Medicine

摘　　要：目的:观察益气舒筋汤联合针刺治疗颈肩腰腿痛的临床疗效。方法:选取120例颈肩腰腿痛患者,按随机数字表法分为观察组和对照组各60例。对照组实施常规康复治疗,观察组在对照组基础上给予益气舒筋汤联合针刺治疗。2组均治疗1个月。评价2组临床疗效,比较2组疼痛持续时间、疼痛评分及疼痛发作频率。比较2组颈椎功能、肩关节功能、腰椎功能及膝关节功能情况。检测2组治疗前后5-羟色胺(5-HT)、神经生长因子(NGF)及前列腺素E2 (PGE2)水平,并记录治疗期间不良反应情况。结果:观察组总有效率为96.67%,高于对照组86.67%(P<0.05)。治疗后,2组疼痛评分、疼痛持续时间、疼痛发作频率较治疗前降低(P<0.05);且观察组疼痛评分、疼痛持续时间、疼痛发作频率均低于对照组(P<0.05)。治疗后,2组腰椎功能评分、肩关节功能评分、膝关节功能评分、颈椎功能评分均较治疗前升高(P<0.05),且观察组各项评分均高于对照组(P<0.05)。治疗后,2组5-HT、NGF及PGE2水平均较治疗前降低(P<0.05),且观察组5-HT、NGF及PGE2水平均低于对照组(P<0.05)。结论:益气舒筋汤联合针刺治疗颈肩腰腿痛患者能够有效抑制致痛因子的释放,减轻患者疼痛,提高临床疗效,改善患者颈肩腰腿功能。Objective:To observe the clinical effect of Yiqi Shujin Decoction combined with acupuncture on pain in neck,shoulder,low-back and leg. Methods:A total of 120 cases of patients with pain in neck,shoulder,low-back and leg were selected and divided into the observation group and the control group according to the random number table method,with 60 cases in each group. The control group received routine rehabilitation treatment,and the observation group received Yiqi Shujin Decoction combined with acupuncture based on the treatment of the control group. Both groups were treated for one month. The clinical effects were evaluated in the two groups. The pain duration,pain scores,and frequency of pain attacks were compared between the two groups. The cervical function, shoulder joint function, lumbar function, and knee joint function were compared between the two groups. The levels of 5-hydroxytryptamine(5-HT),nerve growth factor(NGF),and prostaglandin E2(PGE2) were detected before and after treatment in two groups. The adverse reactions during the treatment period were recorded.Results:The total effective rate was 96.67% in the observation group,higher than that of 86.67% in the control group(P<0.05). After treatment,the pain scores,pain duration,and frequency of pain attacks in the two groups were decreased when compared with those before treatment(P<0.05);the pain score,pain duration,and frequency of pain attacks in the observation group were lower than those in the control group(P<0.05). After treatment, the scores of lumbar function, shoulder joint function, knee joint function, and cervical function in the two groups were increased when compared with those before treatment(P<0.05),and the scores in the observation group were higher than those in the control group(P<0.05). After treatment,the levels of 5-HT,NGF,and PGE2 in the two groups were decreased when compared with those before treatment(P<0.05), and the levels of 5-HT, NGF, and PGE2 in the observation group were lower than those in the control group(P<0.05).

关 键 词：颈肩腰腿痛 益气舒筋汤 针刺 致痛因子 颈椎功能 腰椎功能 肩关节功能 膝关节功能 

分 类 号：R681.5[医药卫生—骨科学]