摘要
目的:探讨采用海泥灸贴联合电针疗法治疗风寒夹湿型LDH的临床疗效。方法:将符合相应标准的117例风寒夹湿型LDH患者按就诊顺序入结合组、电针组、西医组各39例,西医组给予患者单纯的西医综合保守疗法进行治疗,电针组在西医组治疗的基础上增加电针疗法,结合组在电针组治疗的基础上增加海泥灸贴进行治疗;3组治疗均10 d为1个疗程,治疗2个疗程。结果:3组在腰部SF-MPQ评分方面,经治疗后均有所降低(P<0.05),且与西医组相比,电针组有所降低(P<0.05),结合组的降低程度更为明显(P<0.01),且结合组亦要优于电针组(P<0.05);3组在下肢EMG检测方面,经治疗后均有所降低(P<0.05),且在第1疗程治疗完成后,与西医组相比,结合组与电针组均有所降低(P<0.05),而在第2疗程治疗完成后,与西医组相比,电针组有所降低(P<0.05),结合组的降低程度更为明显(P<0.01),但两组相比,并无统计学意义(P>0.05);3组在血清炎性细胞因子水平方面,经治疗后均有显著的降低(P<0.01),且与西医组相比,电针组有所降低(P<0.05),结合组的降低程度更为明显(P<0.01),且结合组亦要优于电针组(P<0.05);3组在临床疗效方面,结合组与电针组的总好转率均要高于西医组(P<0.05),且在治愈率方面,与西医组相比,电针组有所提高(P<0.05),结合组的提高程度更为明显(P<0.01),且结合组亦要优于电针组(P<0.05);3组在腰部症状消失时间方面,与西医组相比,电针组有所减少(P<0.05),结合组的减少程度更为明显(P<0.01),且结合组亦要优于电针组(P<0.05),在腰部症状消失时间方面,与西医组相比,结合组与电针组均有所降低(P<0.05),但两组相比,并无统计学意义(P>0.05)。结论:采用海泥灸贴联合电针疗法治疗风寒夹湿型LDH的临床应用疗效显著。
Objective:To explore the clinical efficacy of sea mud moxibustion combined with electroacupuncture in the treatment of wind-cold and damp type oflumbar disc herniation(LDH).Methods:According to the corresponding criteria,117 patients with wind-cold and damp type of LDH were randomly divided into the combined group,the electroacupuncture group and the western medicine group according to the order of treatment.The western medicine group was treated with simple Western medicine conservative treatment.The electroacupuncture group on the basis added electroacupuncture therapy and the combination group was treated with electroacupuncture therapy and sea mud moxibustion.The three groups were treated for 10 days for 1 course and totally 2 courses.Results:The SF-MPQ scores of the three groups were lower after treatment(P<0.05),and compared with the western medicine group,the electroacupuncture group’s was decreased(P<0.05).The reduction degree of the combined group was more obvious(P<0.01)and the combination group’s was better than the electroacupuncture group’s(P<0.05).The three groups’lower limb EMG tests were lower after treatment(P<0.05)and the treatment was completed in the first course.After that,compared with the Western medicine group,both the combination group and the electroacupuncture group’s were decreased(P<0.05).And after the second treatment,the electroacupuncture group’s was lower than the Western medicine group’s(P<0.05).The degree of reduction in the combination group was more significant(P<0.01),but there was no statistically significant difference between the two groups(P>0.05).In the three groups,the levels of serum inflammatory cytokines were significantly decreased after treatment(P<0.01),and compared with the western medicine group,the electroacupuncture group’s was decreased(P<0.05)and the combined group’s was more reduced.It was obvious(P<0.01),and the combination group was also superior to the electroacupuncture group(P<0.05).In the clinical efficacy,the total improvement rate
作者
乔野
张立德
程岩岩
QIAO Ye;ZHANG Lide;CHENG Yanyan(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)
出处
《中华中医药学刊》
CAS
北大核心
2019年第9期2280-2285,共6页
Chinese Archives of Traditional Chinese Medicine
基金
辽宁省教育厅基础研究项目(L201707)
关键词
海泥灸贴
电针疗法
风寒夹湿型
腰椎间盘突出症
sea mud moxibustion
electroacupuncture
wind-cold and damp
lumbar disc herniation
