针灸联合西药治疗腰椎间盘突出症腰腿痛肾虚血瘀证疗效观察  

Curative Observation on Acupuncture Combined with Western Medicine in the Treatment of Low-back Pain with Kidney Deficiency Blood Stasis Type of Leg Pain Due to LDH

作　　者：李鹏来 李涛[2] 郭玲玲[2] LI Penglai;LI Tao;GUO Lingling(Clinical Medical College of Weifang Medical College,Weifang 261000,China;Zibo Central Hospital,Zibo 255000,China)

机构地区：[1]潍坊医学院临床医学院,山东潍坊261000 [2]淄博市中心医院,山东淄博255000

出　　处：《西部中医药》2024年第8期98-101,共4页Western Journal of Traditional Chinese Medicine

基　　金：山东省医药卫生科技发展计划(202104070065)。

摘　　要：目的:探讨针灸联合西药治疗腰椎间盘突出症(lumbar disc herniation,LDH)腰腿痛肾虚血瘀证的疗效。方法:纳入LDH腰腿痛肾虚血瘀证患者66例,根据随机数字表法分为观察组和对照组,每组33例。对照组采取甲钴胺片+塞来昔布胶囊治疗,观察组在对照组治疗基础上给予针灸治疗,两组疗程均为2周。比较两组腰腿疼痛程度、腰椎功能、肾虚血瘀证症状评分、临床疗效及不良反应。结果:治疗后两组腰部与腿部疼痛视觉模拟量表评分、症状评分均降低(P<0.05),日本骨科协会评分增加(P<0.05),且观察组降低或增加较对照组明显(P<0.05)。观察组总有效率为93.94%(31/33),高于对照组的69.70%(23/33)(P<0.05)。不良反应发生率观察组为3.03%(1/33),低于对照组的6.06%(2/33),但差异无统计学意义(P>0.05)。结论:在西医常规治疗的基础上,针灸联合艾灸治疗有助于缓解LDH患者腰腿痛,减轻临床症状,改善腰椎功能,提高治疗效果,且安全性好。Objective:To discuss therapeutic effects of acupuncture and Western medicine in the treatment of kidney deficiency blood stasis type low-back pain and leg pain due to lumbar disc herniation(LDH).Methods:All 66 patients were allocated to the observation group and the control group with 33 cases in each group according to random number table method.The control group adopted mecobalamin tablets and celecoxib capsules,and the observation group was treated with acupuncture based on the therapy the control group accepted,the course of the treatment was two weeks.To compare the degrees of low-back pain and leg pain,lumbar function,symptom scores of renal deficiency and blood stasis pattern,curative effects and adverse reaction in the two groups.Results:After the treatment,the VAS scores of low-back and leg and symptom scores reduced in the two groups(P<0.05),the scores of the Japanese Orthopaedic Association(JOA)increased(P<0.05),and the decrease or increase of the observation group was more obvious than that of the control group(P<0.05).Total effective rate of the observation group was 93.94%(31/33),higher than 69.70%(23/33)of the control group(P<0.05).The incidence of adverse reaction of the observation group was[3.03%(1/33)],lower than[6.06%(2/33)]of the control group,while the difference had no statistical meaning(P>0.05).Conclusion:On the foundation of conventional therapy of Western medicine,acupuncture and moxibustion could relieve low-back pain and leg pain,and clinical symptoms in LDH patients,improve lumbar function,and raise therapeutic effects with good safety.

关 键 词：腰椎间盘突出症 肾虚血瘀证 针刺 艾灸 疼痛视觉模拟量表评分 

分 类 号：R274.9[医药卫生—中西医结合]