摘要
【目的】观察温针灸配合穴位注射治疗湿热型腰椎间盘突出症的临床疗效。【方法】将84例湿热型腰椎间盘突出症患者随机分为观察组和对照组,每组各42例,对照组给予常规推拿及中频、红外线治疗,观察组给予温针灸配合穴位注射及中频、红外线治疗。2组均每天治疗1次,周日休息,共治疗2周。治疗2周后,评价2组临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分、膝关节骨性关节炎日本骨科协会(JOA)评分的变化情况,以及白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)水平的情况。比较2组患者住院时间和住院费用的情况。治疗结束3个月后随访,比较2组的复发率。【结果】(1)观察组总有效率为92.86%(39/42),对照组为73.81%(31/42)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的VAS评分、JOA评分明显改善(P<0.05),且观察组在改善VAS评分、JOA评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者IL-6、TNF-α水平均明显改善(P<0.05),且观察组在改善IL-6、TNF-α方面明显优于对照组,差异有统计学意义(P<0.05)。(4)2组患者的住院时间及住院费用相比较,观察组的住院时间及住院费用明显低于对照组,差异有统计学意义(P<0.05)。(5)2组患者在治疗结束后3个月进行随访,对照组复发率为30.95%(13/42),观察组为9.52%(4/42),观察组的复发率明显低于对照组,差异有统计学意义(P<0.05)。【结论】温针灸治疗湿热型腰椎间盘突出症,能明显改善患者的疼痛症状,减少住院时间,降低住院费用,从而提高患者生活质量,疗效显著。
Objective To observe the clinical efficacy of warming-needle moxibustion combined with acupoint injection in treating lumbar disc herniation(LDH)of damp-heat syndrome type.Methods Eighty-four patients with damp-heat type of LDH were randomly divided into the observation group and the control group,with 42 patients in each group.Patients in the control group were treated with conventional tuina and medium-frequency infrared therapy,while the observation group was treated with warming-needle moxibustion combined with acupoint injection and medium-frequency infrared therapy.After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the visual analogue scale(VAS)score,the Japanese Orthopaedic Association(JOA)score for knee osteoarthritis,and the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)were observed in the two groups before and after treatment.The length of stay and hospital costs in the two groups were compared.The recurrence rate of the two groups was compared at follow-up after 3 months of the treatment.Results(1)The total effective rate of the observation group was 92.86%(39/42)and that of the control group was 73.81%(31/42).The efficacy of the observation group was superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the VAS scores and JOA scores of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving VAS scores and JOA scores,and the difference was statistically significant(P<0.05).(3)After treatment,the levels of IL-6 and TNF-αwere significantly improved in both groups(P<0.05),and the observation group was significantly superior to the control group in improving IL-6 and TNF-αlevels,and the difference was statistically significant(P<0.05).(4)When comparing the length of stay and hospitalization cost of the two groups,the length of stay and hospitalization cost of the observation group were
作者
王俊
老锦雄
李倩
冯嘉欣
赵娥
WANG Jun;LAO Jin-Xiong;LI Qian;FENG Jia-Xin;ZHAO E(School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Foshan Hospital of Traditional Chinese Medicine,Foshan 528000 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2023年第5期1173-1178,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省中医药管理局科研资助项目(编号:20181253)。
关键词
温针灸
湿热型
腰椎间盘突出症
疗效观察
生活质量
warming-needle moxibustion
damp-heat type
lumbar disc herniation(LDH)
clinical observation
quality of life
