针刺联合物理疗法在高龄腰椎间盘突出症肾虚证患者中的应用  

Application of acupuncture combined with physical therapy in elderly patients with kidney deficiency syndrome of lumbar disc herniation

作　　者：吴海贤 侯先锋 徐敏铭 WU Haixian;HOU Xianfeng;XU Minming(Department of Orthopedics,Shangrao Maternal and Child Health Hospital,Shangrao,Jiangxi,334000,China)

机构地区：[1]上饶市妇幼保健院骨科,江西上饶334000

出　　处：《当代医学》2024年第24期54-58,共5页Contemporary Medicine

摘　　要：目的探究针刺联合物理疗法在高龄腰椎间盘突出症肾虚证患者中的应用。方法选取2019年1月至2022年3月上饶市妇幼保健院收治的80例高龄腰椎间盘突出症肾虚证患者作为研究对象,按照随机数字表法分为对照组与观察组,每组40例。对照组采用中频电疗法治疗,观察组采用针刺联合中频电疗法治疗。比较两组临床疗效、证候积分、视觉模拟评分法(visual analog scale,VAS)评分、日本整形外科协会(Japanese Orthopaedic Association,JOA)腰椎评分、炎症因子[白细胞介素-17(interleukin-17,IL-17)、白细胞介素-6(interleukin-6,IL-6)、C反应蛋白(C-reactive protein,CRP)]水平及不良反应发生情况。结果观察组治疗总有效率为95.00%,高于对照组的76.67%,差异有统计学意义(P<0.05);治疗后,两组主症积分、次症积分及总分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组主观症状、临床体征、日常活动受限评分及总分均高于治疗前,VAS评分均低于治疗前,且观察组主观症状、临床体征、日常活动受限评分及总分均高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);治疗后,两组血清IL-17、IL-6、CRP水平均低于治疗前,且观察组低于对照组,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。结论针刺联合中频电疗法用于高龄腰椎间盘突出症肾虚证患者中疗效确切,可提高患者腰椎功能,缓解患者疼痛及临床症状,改善机体内局部炎症环境,安全性较高。Objective To explore the application of acupuncture combined with physical therapy in elderly patients with kidney deficiency syndrome of lumbar disc herniation.Methods 80 elderly patients with kidney deficiency syndrome of lumbar disc herniation admitted to Shangrao Maternal and Child Health Hospital from January 2019 to March 2022 were selected as the research subjects,and they were divided into the control group and the observation group according to random number table method,with 40 cases in each group.The control group was treated with medium frequency electrotherapy,and the observation group was treated with acupuncture combined with medium frequency electrotherapy.The clinical efficacy,syndrome score,visual analogue scale(VAS)score,Japanese Orthopaedic Association(JOA)lumbar spine score,levels of inflammatory factors(interleukin-17[IL-17],interleukin-6[IL-6],C-reactive protein[CRP])and adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 95.00%,which was higher than 76.67%in the control group,and the difference was statistically significant(P<0.05);after treatment,the main disease score,secondary disease score and total score of the two groups were lower than before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05);after treatment,the scores of subjective symptoms,clinical signs,limitations in daily activities and total scores of the two groups were higher than before treatment,and the VAS scores were lower than before treatment,and the scores of subjective symptoms,clinical signs,limitations in daily activities and total scores in the observation group were higher than those in the control group,and the VAS scores was lower than that in the control group,and the differences were statistically significant(P<0.05);after treatment,the levels of serum IL-17,IL-6 and CRP of the two groups were lower than before treatment,and the observation group was lower

关 键 词：针刺 中频电疗法 高龄腰椎间盘突出 肾虚证 日本整形外科协会腰椎评分 

分 类 号：R68[医药卫生—骨科学]