舒筋止痛凝胶贴膏联合石墨烯热敷治疗腰椎间盘突出症的临床观察  

Clinical effect of Chinese herbal gel patches combined with graphene against lumbar disc protrusion

作　　者：郭伟 贾海燕 刘作旭 金银珍 吴羽童 段玲霞 赵平 吴燕 GUO Wei;JIA Haiyan;LIU Zuoxu;JIN Yinzhen;WU Yutong;DUAN Lingxia;ZHAO Ping;WU Yan(Department of TCM Manipulative Orthopedics,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142;Department of Pharmacy,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142,China)

机构地区：[1]空军军医大学空军特色医学中心中西医结合正骨科,北京100142 [2]空军军医大学空军特色医学中心药剂科,北京100142

出　　处：《空军航空医学》2024年第6期502-505,共4页AVIATION MEDICINE OF AIR FORCE

摘　　要：目的以脊柱定点旋转复位法为基础治疗,观察舒筋止痛凝胶贴膏联合石墨烯热敷治疗腰椎间盘突出症的临床疗效。方法选取2024年5—7月收治的120例腰椎间盘突出症患者为研究对象,利用随机数字表法将其分为对照组和治疗组,每组60例。2组均以脊柱定点旋转复位法为基础治疗,对照组予寒痛乐熨剂常规热敷治疗,治疗组予舒筋止痛凝胶贴膏联合石墨烯热敷治疗,2次/d,观察治疗10 d后的疗效。采用手持测温红外热像仪检测治疗前、后的腰部皮肤温度;应用疼痛视觉模拟评分法(Visual Analogu Scale,VAS)和Oswestry功能障碍指数问卷表(Oswestry Disability Index,ODI)评定治疗前、后的疼痛和腰椎功能变化情况。结果治疗后,2组红外热像图温度差值均降低(t=6.616、7.227,P均<0.001),且治疗组低于对照组(F_(组别)=4.159,P=0.044);治疗后,2组VAS评分降低(t=8.182、10.056,P均<0.001),治疗组低于对照组(F_(组别)=11.430,P_(组别)<0.001),治疗组VAS评分总有效率高于对照组(χ^(2)=4.357,P=0.037);治疗后,2组ODI评分降低(t=7.317、9.368、P均<0.001),治疗组低于对照组(F_(组别)=12.152,P_(组别)<0.001),治疗组ODI评分总有效率比对照组高(χ^(2)=12.570,P<0.001)。结论采用舒筋止痛凝胶贴膏联合石墨烯热敷治疗腰椎间盘突出症,能更有效地缓解疼痛、改善腰椎功能,值得临床进一步推广应用。Objective To study the clinical efficacy of Shujin Zhitong gel patches combined with hot compress patches and Feng's spinal manipulation treatment against lumbar disc protrusion.Methods A total of 120 patients with lower back pain admitted between May 2024 and July 2024 were selected as subjects,who were randomly divided into two groups using a random number table method.Both groups(120 cases)received Feng's spinal manipulation treatment,but the control group(60 cases)was additionally given conventional hot compress treatment with the Hantongle paste patch while the treatment group(60 cases)was treated with Shujin Zhitong gel patches combined with graphene hot compress patches.One course of treatment lasted 10 days,and the therapeutic effect was assessed after treatment.A handheld infrared thermometer was used to observe temperature changes before and after treatment.The Visual Analog Scale(VAS)was employed to assess pain changes before and after treatment while the Oswestry Disability Index questionnaire(ODI)was used to evaluate changes of lumbar function.Results After treatment,the temperature difference in infrared thermography decreased in both groups(t=6.616,7.227,both P<0.001),especially in the treatment group(F_(group)=4.159,P_(group)=0.044).Additionally,VAS scores decreased in both groups(t=8.182,10.056,both P<0.001),particularly in the treatment group(F_(group)=11.430,P_(group)<0.001).The total effective rate in the treatment group was higher than that of the control group(χ^(2)=4.357,P=0.037).Furthermore,ODI scores decreased in both groups after treatment(t=7.317,9.368,both P<0.001),especially in the treatment group(F_(group)=12.152,P_(group)<0.001).The total effective rate in the treatment group was significantly higher than that of the control group(χ^(2)=12.570,P<0.001).Conclusion For patients with lower back pain,the combined use of Shujin Zhitong gel patches with graphene hot compress patches can effectively relieve pain and improve lumbar function,demonstrating good clinical efficacy.

关 键 词：腰椎间盘突出症 石墨烯 凝胶贴膏 红外热成像 临床疗效 

分 类 号：R274.9[医药卫生—中西医结合]