针灸联合中医定向透药治疗寒湿痹阻型腰椎间盘突出症患者的效果分析  

Curative Effect of Acupuncture and Moxibustion Combined with Traditional Chinese Medicine Directional Transdrug Therapy on Patients with Cold-Dampness Obstruction Lumbar Disc Herniation

作　　者：刘炳洋 徐敏 张婷 LIU Bingyang;XU Min;ZHANG Ting(Department of Rehabilitation Medicine,Linyi Central Hospital,Linying 276000,China)

机构地区：[1]山东省临沂市中心医院康复医学科,山东临沂276000

出　　处：《中国伤残医学》2024年第23期111-114,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨针灸联合中医定向透药治疗对寒湿痹阻型腰椎间盘突出症(LDH)患者的影响。方法:选取2020年5月—2022年5月临沂市中心医院收治的200例寒湿痹阻型LDH患者为研究对象,采用随机数字表法将其分为对照组和研究组,各100例。对照组采用中医定向透药治疗,研究组在对照组基础上加用针灸。比较两组临床疗效、腰椎功能、疼痛程度、炎症反应、生活质量。结果:研究组临床治疗总有效率为95.00%,高于对照组的81.00%,差异有统计学意义(P<0.05)。治疗后,研究组的日本骨科协会评分、各项生活质量综合评定问卷评分均高于对照组,疼痛视觉模拟评分、白细胞介素6水平、C反应蛋白水平均低于对照组,差异有统计学意义(P<0.05)。结论:针灸与中医定向透药相结合的治疗方式效果显著,能够促进患者的腰椎功能得到改善,减轻身体的炎症反应,缓解疼痛度,有助于提高生活质量。Objective:To investigate the clinical effect of acupuncture and moxibustion combined with traditional Chinese medicine for the treatment of cold-dampness impediment type lumbar disc herniation(LDH).Methods:A total of 200 patients with cold dampness obstruction type LDH admitted to the Linyi Central Hospital from May 2020 to May 2022 were selected as the research subjects.They were randomly divided into a control group and an study group,with 100 patients in each group,using a random number table method.The control group was treated with TCM,and the study group was treated with acupuncture and moxibustion.Clinical efficacy,lumbar function,pain,inflammatory response,and quality of life were compared between the two groups.Results:The total clinical effective rate of the study group was 95.00%,which was higher than 81.00%of the control group,the difference was statistically significant(P<0.05).After treatment,the Japanese Orthopaedic Association score and GQOLI-74 scores in the study group were higher than those in the control group,and the Pan Visual Analogue Score,interleukin-6 and C-reactive protein levels were lower than those in the control group,with statistical significance(P<0.05).Conclusion:The combination of acupuncture and traditional Chinese medicine has a very significant effect,which can promote the improvement of patients’lumbar function,reduce the body’s inflammatory response,relieve pain,and help improve the quality of life.

关 键 词：腰椎间盘突出症 寒湿痹阻型 临床效果 中医定向透药 腰椎功能 针灸 疼痛 

分 类 号：R[医药卫生]