摘要
目的:观察中药定向透药联合功能锻炼协同干预慢性腰痛患者的临床效果。方法:选取72例慢性腰痛患者,随机分为对照组(n=36例)和观察组(n=36例)。对照组给予腰腹肌功能锻炼联合双氯芬酸钠缓释片口服;观察组给予腰腹肌功能锻炼联合中药定向透药,两组均连续干预2周。观察两组腰椎疼痛、腰椎功能、腰椎活动度变化,监测血清中炎症因子水平。结果:治疗后,观察组VAS评分、ODI显著低于对照组(P<0.05);观察组的腰椎活动度改善优于对照组,腰椎右屈、左屈、后伸、前屈度明显大于对照组(P<0.05);观察组的血清中IL-1β、TNF-α、TXB2水平均低于对照组(P<0.05)。结论:中药定向透药联合功能锻炼协同干预更利于减轻慢性腰痛患者的痛感,提高腰椎功能,改善腰椎关节活动度,降低血清中IL-1β、TNF-α、TXB2等炎症因子水平。
Objective To observe the clinical effect of Chinese traditional medicine directed permeation therapy combined with functional exercise in chronic lumbago.Methods 72 patients with chronic low back pain who visited our hospitalwere randomly divided into control group(n=36)and observation group(n=36).Patients in the control group were given psoas abdominal muscle function exercise combined with diclofenac sodium sustained release tablets orally,and patients in the observation group were given psoas abdominal muscle function exercise combined with traditional Chinese medicine directed permeation.Patients in both groups were continuously interfered for 2 weeks.The changes of lumbar pain,lumbar function and lumbar mobility in the two groups were observed,and the levels of inflammatory factors in the serum were monitored.Results After treatment,the VAS score and ODI of the observation group were significantly lower than those of the control group(P<0.05).The improvement of lumbar mobility in the observation group was better than that in the control group,and the right flexion,left flexion,posterior extension and anterior flexion of the lumbar spine were significantly greater than that of the control group(P<0.05).The serum levels of IL-1β,TNF-αand TXB2 in the observation group were all lower than those in the control group(P<0.05).Conclusion Chinese traditional medicine directed permeation therapy combined with functional exercise is more conducive to alleviating the pain of patients with chronic low back pain,improving lumbar function,improving lumbar joint range of motion,and reducing serum levels of IL-1β,TNF-αand TXB2.
作者
王惠庭
张奕标
何丽丽
龚晓芳
许沛鑫
黄彩珍
WANG Huiting;ZHANG Yibiao;HE Lili;GONG Xiaofang;XU Peixin;HUANG Caizhen(Huazhong University of Science and Technology Union Shenzhen Hospital Gaoxin Health Center,Shenzhen 518000,China)
出处
《中国民族民间医药》
2021年第9期104-106,共3页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
慢性腰痛
中药定向透药
功能锻炼
腰椎功能
Chronic Low Back Pain
Directional Permeation of Traditional Chinese Medicine
Functional Exercise
Lumbar Function
