摘要
目的观察温针灸联合中药塌渍对腰椎间盘突出症(LDH)患者疼痛、腰椎功能和生活质量的影响。方法选取2021年1月—2022年2月在成都市3家医院(新津区人民医院、邛崃市医疗中心医院、新津区第二人民医院)接受治疗的LDH患者300例,以随机数字表法将患者分为两组,对照组接受电针治疗(150例),试验组给予温针灸联合中药塌渍治疗(150例),3个中心,每个中心试验组50例,对照组50例。比较两组疗程结束时临床治疗效果;对比两组治疗前后疼痛视觉模拟评分(visual analogue scale,VAS)及腰椎日本骨科协会评估治疗分数(Japanese orthopaedic association,JOA);比较两组治疗前后健康状况调查简表(short form 36-item health survey,SF-36)评分;治疗期间,对比两组不良反应发生情况。结果治疗后,试验组治疗总有效率高于对照组(P<0.05)。治疗后,试验组VAS疼痛评分较对照组低(P<0.05)。治疗后,试验组腰椎功能JOA评分较对照组高(P<0.05)。试验组治疗后生活质量SF-36各项指标评分高于对照组(P<0.05)。治疗期间不良反应发生率差异无统计学意义(P>0.05)。结论温针灸联合中药塌渍用于LDH患者能缓解患者疼痛,促进腰椎功能恢复,提高治疗效果及生活质量,且具有较高的安全性。
Objective To observe the effects of warm acupuncture combined with Chinese herbal medicine soaking on pain,lumbar function and quality of life in patients with lumbar disc herniation(LDH).Methods A total of 300 patients with LDH treated in three hospitals in Chengdu(Xinjin District People′s Hospital,Qionglai Medical Center Hospital,The Second People′s Hospital of Xinjin District)were enrolled between January 2021 and February 2022.According to random number table method,they were divided into control group(electroacupuncture,150 cases)and experimental group(warm acupuncture combined with Chinese herbal medicine soaking,150 cases).The clinical curative effect after treatment,scores of Visual Analogue Scale(VAS),Japanese Orthopaedic Association(JOA)and Short Form 36-item Health Survey(SF-36)before and after treatment,and the occurrence of adverse reactions during treatment were compared between the two groups.Results After treatment,the total response rate of treatment in the experimental group was higher than that in the control group(P<0.05).After treatment,the VAS score in the experimental group was lower than that in the control group(P<0.05),and the scores of JOA and SF-36 were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions during treatment between the two groups(P>0.05).Conclusion The warm acupuncture combined with Chinese herbal medicine soaking can relieve pain,promote the recovery of lumbar function,improve curative effect and quality of life in LDH patients,with high safety.
作者
李佳
肖丽萍
曾俊
杨叶
黄榕芳
岳琳
LI Jia;XIAO Liping;ZENG Jun;YANG Ye;HUANG Rongfang;YUE Lin(Department of Traditional Chinese Medicine,Xinjin Branch of Sichuan Provincial People′s Hospital of Xijin District,Chengdu 611430,Sichuan,China;Department of Traditional Chinese Medicine,Qionglai Medical Center Hospital,Qionglai 611530,Sichuan,China;Rehabilitation Department of The Second People′s Hospital of Xinjin District,Chengdu 611430,Sichuan,China)
出处
《辽宁中医杂志》
CAS
北大核心
2024年第11期164-167,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
四川省中医药管理局科学技术研究专项课题(2020LC0230)。
关键词
腰椎间盘突出症
温针灸
中药塌渍
疼痛
腰椎功能
生活质量
lumbar disc herniation
warm acupuncture
Chinese herbal medicine soaking
pain
lumbar function
quality of life
作者简介
李佳(1981-),女,四川成都人,副主任中医师,硕士,研究方向:中西医结合临床、针灸治疗。
