摘要
目的:观察温针灸治疗腰椎间盘突出症的临床疗效及其对患者腰腿疼痛及复发率的影响。方法:将120例腰椎间盘突出症患者随机均分为观察组和对照组各60例。对照组采用牵引疗法,观察组在对照组基础上给以温针灸治疗。比较2组临床疗效,比较2组治疗前后视觉模拟评分法(VAS)评分、腰椎功能、血浆黏度、红细胞聚集指数、凝血因子Ⅰ、全血高切黏度及全血低切黏度水平,比较2组不良反应发生情况及腰腿疼痛复发情况。结果:观察组治疗后临床总有效率93.33%,高于对照组70.00%(P<0.05)。与同组治疗前比较,治疗后2组VAS评分及血浆黏度、红细胞聚集指数、凝血因子Ⅰ、全血高切黏度及全血低切黏度水平均降低(P<0.05),腰椎功能评分均升高(P<0.05);与对照组治疗后比较,观察组治疗后VAS评分及血浆黏度、红细胞聚集指数、凝血因子Ⅰ、全血高切黏度及全血低切黏度水平较低(P<0.05),腰椎功能评分较高(P<0.05)。观察组复发率低于对照组(P<0.05)。结论:温针灸治疗腰椎间盘突出症疗效显著,能有效缓解疼痛,促进腰椎功能恢复,且疼痛复发率低。
Objective:To observe the clinical effect of warming-needle moxibustion for lumbar disc herniation and its effect on lumbocrural pain and recurrence rate.Methods:A total of 120 cases of patients with lumbar disc herniation were randomly divided into the observation group and the control group,with 60 cases in each group.The control group was treated with traction therapy,and the observation group was additionally treated with warming-needle moxibustion based on the treatment of the control group.The clinical effects in the two groups were compared;Visual Analogue Scale(VAS)scores and the levels of lumbar function,blood plasma viscosity,erythrocyte aggregation indexes,coagulation factor I,whole blood high shear viscosity and whole blood low shear viscosity before and after treatment in the two groups were compared;the incidence of adverse reactions and the recurrence of lumbocrural pain in the two groups were compared.Results:The total clinical effective rate was 93.33%in the observation group,higher than that of 70.00%in the control group(P<0.05).After treatment,VAS scores and the levels of blood plasma viscosity,erythrocyte aggregation indexes,coagulation factor I,whole blood high shear viscosity and whole blood low shear viscosity in the two groups were decreased when compared with those before treatment(P<0.05),and lumbar function scores were increased(P<0.05);the VAS score and the levels of blood plasma viscosity,erythrocyte aggregation indexes,coagulation factor I,whole blood high shear viscosity and whole blood low shear viscosity in the observation group were lower than those in the control group(P<0.05),and lumbar function score was higher(P<0.05).The recurrence rate in the observation group was lower than that in the control group(P<0.05).Conclusion:Warming-needle moxibustion for lumbar disc herniation has a significant curative effect,which can effectively relieve pain,and promote the recovery of lumbar function,with a low recurrence rate of pain.
作者
吕林英
吕祺美
何幸峰
LYU Linying;LYU Qimei;HE Xingfeng
出处
《新中医》
CAS
2022年第17期206-209,共4页
New Chinese Medicine
关键词
腰椎间盘突出症
温针灸
腰腿痛
血液流变学
腰椎功能
Lumbar disc herniation
Warming-needle moxibustion
Lumbocrural pain
Hemorheology
Lumbar function
作者简介
吕林英(1975-),女,副主任中医师,E-mail:shixie2273951843@163.com。
