中医定向透药疗法联合辨证取穴针刺疗法治疗老年腰椎间盘突出症患者的效果  

Effects of traditional Chinese medicine directional penetration therapy combined with Dialectical acupoint acupuncture therapy in treatment of elderly patients with lumbar disc herniation

作　　者：张赛杰 ZHANG Saijie(TCM Day Ward of Kaifeng Second Hospital of Traditional Chinese Medicine,Kaifeng 475000 Henan,China)

机构地区：[1]开封市第二中医院中医日间病房,河南开封475000

出　　处：《中国民康医学》2025年第4期97-99,103,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察中医定向透药疗法联合辨证取穴针刺疗法治疗老年腰椎间盘突出症(LDH)患者的效果。方法:回顾性分析2021年5月至2023年6月该院收治的62例老年LDH患者的临床资料,依据治疗方法不同将其分为对照组和研究组各31例。对照组给予辨证取穴针刺疗法治疗,研究组在对照组基础上联合中医定向透药疗法治疗。比较两组临床疗效,治疗前后疼痛程度[视觉模拟评分法(VAS)]和腰椎功能[日本骨科学会腰痛评价量表(JOA)]评分,疼痛介质指标[P物质(SP)、前列腺素E2(PGE2)、β-内啡肽(β-EP)]水平,以及不良反应发生率。结果:研究组治疗总有效率为90.32%(28/31),高于对照组的67.74%(21/31),差异有统计学意义(P<0.05);治疗后,两组JOA评分均高于治疗前,且研究组高于对照组,两组VAS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组β-EP水平均高于治疗前,且研究组高于对照组,两组PGE2、SP水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:中医定向透药疗法联合辨证取穴针刺疗法治疗老年LDH患者可提高临床疗效,减轻疼痛程度,改善腰椎功能,调节疼痛介质指标水平,效果优于单纯辨证取穴针刺疗法。Objective:To observe effects of traditional Chinese medicine directional penetration therapy combined with Dialectical acupoint acupuncture therapy in treatment of elderly patients with lumbar disc herniation(LDH).Methods:The clinical data of 62 elderly patients with LDH admitted to this hospital from May 2021 to June 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and study group,31 cases in each group.The control group was treated with dialectical acupoint acupuncture therapy,while the study group was treated with traditional Chinese medicine directional penetration therapy on the basis of that of the control group.The clinical efficacy,the pain degree[visual analogue scale(VAS)]score and the lumbar function[Japanese orthopaedic association low back pain evaluation scale(JOA)]score before and after the treatment,the pain medium indexes[substance P(SP),prostaglandin E2(PGE2),β-endorphin(β-EP)]levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 90.32%(28/31),which was higher than 67.74%(21/31)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the JOA scores of the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;the VAS scores of the two groups were lower than those before the treatment,and that in the study group was lower than that in the control group;and the differences were statistically significant(P<0.05).After the treatment,the levels ofβ-EP in the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;the levels of PGE2 and SP in the two groups were lower than those before the treatment,and those in the study group were lower than those in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in t

关 键 词：针刺 辨证取穴 中医定向透药疗法 腰椎间盘突出症 老年 

分 类 号：R274.9[医药卫生—中西医结合]