摘要
目的 探讨杜仲白芍补肾强筋汤联合电针治疗肾虚证腰椎间盘突出症(LDH)的临床疗效。方法 我院收治的96例LDH患者,按随机数字表法分为针药组与电针组各48例,电针组予电针治疗,针药组予电针联合杜仲白芍补肾强筋汤治疗。比较两组中医症状积分、疼痛程度、炎症因子、腰椎功能的变化,测定腰背伸表面肌电信号的变化,记录临床疗效。结果 针药组临床总有效率高于电针组(P<0.05);两组治疗后中医证候积分均降低,针药组低于电针组(P<0.05);针药组治疗后各阶段视觉模拟评分法(VAS)评分均低于电针组(P<0.05);血清白细胞介素-1(IL-1)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均低于电针组,日本骨科协会评分(JOA)、表面肌电参数积分肌电值(IEMG)及平均功率频率(MPF)均高于电针组(P<0.05)。两组治疗过程中及治疗后均未出现不良反应。结论 杜仲白芍补肾强筋汤联合电针治疗可提高疗效,缓解LDH临床不适症状,并促使其腰椎功能恢复接近于正常状态,使腰背伸肌群疲劳得以减轻,并改善相关炎症因子,提高腰背伸肌群肌力,缓解肌疲劳。
Objective To investigate the clinical efficacy of Du-zhong-bai-shao-bu-shen-qiang-jin decoctioncombined with electroacupuncture in the treatment of patients with lumbar disc herniation(LDH) with kidney deficiency syndrome.Methods Ninety-six patients with LDH who were treated in our hospital were selected. The patients were divided into an acupuncture-medicine group and an electroacupuncture group by means of the random number table method, 48 in each group. The electroacupuncture group was treated with electroacupuncture while the acupuncture-medicine group was treated withelectroacupuncture combined with the decoction. The changes in TCM symptom scores, pain degree, inflammatory factors and lumbar vertebral function were compared before and after treatment. The surface electromyogram signal of lumbodorsal extensor before and after treatment was measured and the clinical efficacy was recorded.Results The total clinical effective rate in the acupuncture-medicine group was higher than that in the electroacupuncture group(P<0.05). After treatment, the scores of TCM symptom were reduced in both group, and the scores in the acupuncture-medicine group were lower than those in the electroacupuncture group(P<0.05). After treatment, the scores of Visual Analogue Scale(VAS) at various stages were lower in the acupuncture-medicine group than those in the electroacupuncture group(P<0.05). After treatment, the levels of serum interleukin-1(IL-1), interleukin-6(IL-6) and tumor necrosis factor-α(TNF-α) in the acupuncture-medicine group were lower than those in the electroacupuncture group(P<0.05). After treatment, the scores of Japanese Orthopaedic Association(JOA) and surface electromyogram parameters such as integral electromyography(IEMG) and mean power frequency(MPF) in the acupuncture-medicine group were higher than those in the electroacupuncture group(P<0.05). There were no adverse reactions in both groups during and after treatment.Conclusions Du-zhong-bai-shao-bu-shen-qiang-jin decoction combined with electroacupunct
作者
张鑫博
马双
方剑
王耀生
冯克
ZHANG Xin-bo;MA Shuang;FANG Jian;WANG Yao-sheng;FENG Ke(Sanmenxia Hospital of the Yellow River,Sanmenxia 472000,China)
出处
《实用医院临床杂志》
2023年第1期146-149,共4页
Practical Journal of Clinical Medicine
关键词
杜仲白芍补肾强筋汤
电针治疗
腰椎间盘突出
腰椎功能
Du-zhong-bai-shao-bu-shen-qiang-jin decoction
Electroacupuncture
Lumbar disc herniation
Lumbar function
