独活寄生汤联合电针夹脊穴对腰椎间盘突出症患者生活质量的改善效果分析
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摘要
目的:分析独活寄生汤联合电针夹脊穴对腰椎间盘突出症患者生活质量的改善效果。方法:选择本院在2015年3月—2017年2月间收治的120例腰椎椎间盘突出症的患者参与研究,按照随机数字表法随机分为两组,对照组和观察组各60例。对照组采用电针夹脊穴加服用双氯芬酸钠缓释片治疗;观察组采用电针夹脊穴结合独活寄生汤治疗。比较两组临床疗效,以视觉模拟评分法(Visual Analogue Scale/Score,VAS)和日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)对患者治疗前后疼痛情况及临床症状进行评分,并检测两组患者治疗前后相关炎症因子水平。结果:观察组总有效率96.67%,对照组总有效率86.67%,两组经秩和检验,u=3.0532,P=0.0023,差异有统计学意义(P<0.05)。两组患者治疗后VAS评分显著降低,观察组治疗后VAS评分明显低于对照组(P<0.05);两组治疗后JOA评分显著升高,观察组JOA评分明显高于对照组(P<0.05)。两组治疗后患者的IL-6和CRP水平均显著降低;观察组检测的炎症因子水平明显低于对照组(P<0.05)。结论:电针夹脊穴结合独活寄生汤治疗腰椎间盘突出症具有良好疗效,能有效缓解患者临床症状及炎症反应。
Objective:To analyze the effect of Duhuo Jisheng Decoction combined with acupuncture on improving life quality lumbar intervertebral disc herniation patients. Methods:A total of 120 patients with lumbar disc herniation in our hospital from March 2015 to February 2017,according to the random number table method,were randomly divided into the control group and the observation group,60 cases in each. The control group was treated by electroacupuncture at Jiaji points and taking Diclofenac Sodium Sustained Release Tablets treatment. The observation group was treated with electroacunputure at Jiaji points combin ed with Duhuo Jisheng Decoction. We compared the clinical efficacy of two groups. The visual analogue scale( Visual Analogue Scale/Score,VAS) and the Japan Association for Department of orthopedics( Japanese Orthopaedic Association evaluation scores of Scores,JOA) were used to assessed pain patients before and after treatment,clinical symptoms,and we detected two groups' related inflammatory factors before and after treatment. Results:The total effective rate of the observation group was 96. 67% and that of control group was 86. 67%,and the difference between the two groups was statistically significant( P < 0. 05) by rank sum test,u = 3. 0532,P = 0. 0023. Two groups' VAS score after treatment decreased significantly. VAS score in the observation group after treatment was significantly lower than that of the control group( P < 0. 05). The two groups' JOA score after treatment increased significantly and JOA score of the observation group was significantly higher than that of the control group( P < 0. 05). After treatment,the IL-6 and CRP levels of the two groups were significantly lower,and the levels of inflammatory factors in the observation group were significantly lower than those in the control group( P < 0. 05). Conclusion:Electroacupuncture at Jiaji points combined with Duhuo Jisheng Decoction in the treatment of lumbar disc herniation has good curative effect,and can effectively relieve the clinical symptoms and inflammatory reaction of patients.
Objective:To analyze the effect of Duhuo Jisheng Decoction combined with acupuncture on improving life quality lumbar intervertebral disc herniation patients. Methods:A total of 120 patients with lumbar disc herniation in our hospital from March 2015 to February 2017,according to the random number table method,were randomly divided into the control group and the observation group,60 cases in each. The control group was treated by electroacupuncture at Jiaji points and taking Diclofenac Sodium Sustained Release Tablets treatment. The observation group was treated with electroacunputure at Jiaji points combin ed with Duhuo Jisheng Decoction. We compared the clinical efficacy of two groups. The visual analogue scale( Visual Analogue Scale/Score,VAS) and the Japan Association for Department of orthopedics( Japanese Orthopaedic Association evaluation scores of Scores,JOA) were used to assessed pain patients before and after treatment,clinical symptoms,and we detected two groups' related inflammatory factors before and after treatment. Results:The total effective rate of the observation group was 96. 67% and that of control group was 86. 67%,and the difference between the two groups was statistically significant( P < 0. 05) by rank sum test,u = 3. 0532,P = 0. 0023. Two groups' VAS score after treatment decreased significantly. VAS score in the observation group after treatment was significantly lower than that of the control group( P < 0. 05). The two groups' JOA score after treatment increased significantly and JOA score of the observation group was significantly higher than that of the control group( P < 0. 05). After treatment,the IL-6 and CRP levels of the two groups were significantly lower,and the levels of inflammatory factors in the observation group were significantly lower than those in the control group( P < 0. 05). Conclusion:Electroacupuncture at Jiaji points combined with Duhuo Jisheng Decoction in the treatment of lumbar disc herniation has good curative effect,and can effectively relieve the clinical symptoms and inflammatory reaction of patients.
引文
[1]Eijiro Okada,Morio Matsumoto,Hirokazu Fujiwara.Disc degeneration of cervical spine on MRI in patients with lumbar disc herniation:comparison study with asymptomatic volunteers[J].Eur Spine J,2011,20(4):585-591.
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[3]Grace D.O'Connell,J.Kent Leach,Eric O.Klineberg.Tissue Engineering a Biological Repair Strategy for Lumbar Disc Herniation[J].Biores Open Access,2015,4(1):431-445.
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[7]徐宏光,张敏,王弘,等.QLS-DSD与JOA评分量表在脊柱退行性疾病患者评分应用中的比较[J].中国骨与关节外科,2013,6(6):482-486.
[8]李君,冯艺,韩济生,等.中文版简版Mc Gill疼痛问卷-2的制定与多中心验证[J].中国疼痛医学杂志,2013,19(1):42-46.
[9]张卫东,李俊莲,高丽娜,等.调神、温经、通督综合疗法治疗腰椎间盘突出症31例临床观察[J].中医杂志,2015,56(8):672-675.
[10]阿日嘎太,阿古拉,闫金玉,等.针刺拔罐治疗腰椎间盘突出症的临床研究[J].中华物理医学与康复杂志,2011,33(2):144-146.
[11]唐森,罗湘筠,石琴大,等.电针夹脊穴治疗颈型颈椎病疗效观察[J].上海针灸杂志,2014,33(9):840-842.
[12]高杰,张茜,夏联恒,等.电针夹脊穴治疗下肢动脉硬化闭塞症的临床疗效[J].中国老年学杂志,2016,36(10):2460-2461.
[13]夏炳江,童培建,韦金忠,等.电针夹脊穴治疗脊髓型颈椎病颈前路椎间盘切除减压植骨融合术后残留神经症状[J].中医正骨,2016,28(12):46-48.
[14]Manish Chadha,Gaurav Sharma,Shobha S.Arora.Association of facet tropism with lumbar disc herniation[J].Asian Spine J.2014 December,8(6):813-819.
[15]王延玲.不同针刺治疗方法对腰椎间盘突出症的疗效观察[J].中国针灸,2013,33(7):605-608.
[16]李具宝,熊启良,屈尚可,等.中医推拿治疗腰椎间盘突出症:应用规律10年文献分析[J].中国组织工程研究,2014,18(44):7211-7216.
[17]王盛春,孟迎春,郑宏,等.动针通督刺络法治疗腰椎间盘突出症效果观察[J].山东医药,2016,56(34):20-22.
[18]黄一琳,侯晓桦,李西林,等.针刺配合推拿治疗腰椎间盘突出症的临床观察[J].陕西中医,2015,23(8):1063-1064,1065.
[19]张素杰,何鹏宇.电针夹脊穴结合中频理疗治疗腰椎间盘突出症28例[J].河南中医,2015,35(6):1427-1429.
[20]张齐娟,李绪贵,邱云辉,等.中药塌渍方联合电针夹脊穴治疗腰椎间盘突出症疗效观察[J].湖北中医药大学学报,2015,17(5):90-91,92.
[21]严峻,郑勇,谢耀杰,等.腰椎间盘突出症合并背根神经节异位的临床疗效分析[J].颈腰痛杂志,2015,36(4):308-309.
[22]宋瑞军,董莉莉,吴威,等.正骨理筋手法结合运动疗法治疗腰椎间盘突出症疗效观察[J].中医临床研究,2015,14(34):107-108.
[23]李红卫,马勇,俞鹏飞,等.镇痛下大剂量牵引结合手法治疗腰椎间盘突出症30例[J].南京中医药大学学报,2014,30(4):326-328.
[24]丁永国,孙建民,张骋,等.腰椎间盘突出症术后复发原因分析及临床治疗研究进展[J].中国疼痛医学杂志,2013,19(4):237-240.
[2]姚坤.中医针灸推拿加牵引治疗腰椎间盘突出症疗效观察[J].现代中西医结合杂志,2014,23(19):2120-2121.
[3]Grace D.O'Connell,J.Kent Leach,Eric O.Klineberg.Tissue Engineering a Biological Repair Strategy for Lumbar Disc Herniation[J].Biores Open Access,2015,4(1):431-445.
[4]李志敏,姜蓉.腰椎间盘突出症治疗进展[J].华南国防医学杂志,2014,1(4):9.
[5]国家中医药管理局.中医病症诊断疗效标准[J].南京:南京大学出版社,1995:201-202.
[6]张君亮,谢春林,龙绍华,等.针刺结合关节松动术治疗腰椎间盘突出症疗效观察[J].现代中西医结合杂志,2012,21(25):2779-2780.
[7]徐宏光,张敏,王弘,等.QLS-DSD与JOA评分量表在脊柱退行性疾病患者评分应用中的比较[J].中国骨与关节外科,2013,6(6):482-486.
[8]李君,冯艺,韩济生,等.中文版简版Mc Gill疼痛问卷-2的制定与多中心验证[J].中国疼痛医学杂志,2013,19(1):42-46.
[9]张卫东,李俊莲,高丽娜,等.调神、温经、通督综合疗法治疗腰椎间盘突出症31例临床观察[J].中医杂志,2015,56(8):672-675.
[10]阿日嘎太,阿古拉,闫金玉,等.针刺拔罐治疗腰椎间盘突出症的临床研究[J].中华物理医学与康复杂志,2011,33(2):144-146.
[11]唐森,罗湘筠,石琴大,等.电针夹脊穴治疗颈型颈椎病疗效观察[J].上海针灸杂志,2014,33(9):840-842.
[12]高杰,张茜,夏联恒,等.电针夹脊穴治疗下肢动脉硬化闭塞症的临床疗效[J].中国老年学杂志,2016,36(10):2460-2461.
[13]夏炳江,童培建,韦金忠,等.电针夹脊穴治疗脊髓型颈椎病颈前路椎间盘切除减压植骨融合术后残留神经症状[J].中医正骨,2016,28(12):46-48.
[14]Manish Chadha,Gaurav Sharma,Shobha S.Arora.Association of facet tropism with lumbar disc herniation[J].Asian Spine J.2014 December,8(6):813-819.
[15]王延玲.不同针刺治疗方法对腰椎间盘突出症的疗效观察[J].中国针灸,2013,33(7):605-608.
[16]李具宝,熊启良,屈尚可,等.中医推拿治疗腰椎间盘突出症:应用规律10年文献分析[J].中国组织工程研究,2014,18(44):7211-7216.
[17]王盛春,孟迎春,郑宏,等.动针通督刺络法治疗腰椎间盘突出症效果观察[J].山东医药,2016,56(34):20-22.
[18]黄一琳,侯晓桦,李西林,等.针刺配合推拿治疗腰椎间盘突出症的临床观察[J].陕西中医,2015,23(8):1063-1064,1065.
[19]张素杰,何鹏宇.电针夹脊穴结合中频理疗治疗腰椎间盘突出症28例[J].河南中医,2015,35(6):1427-1429.
[20]张齐娟,李绪贵,邱云辉,等.中药塌渍方联合电针夹脊穴治疗腰椎间盘突出症疗效观察[J].湖北中医药大学学报,2015,17(5):90-91,92.
[21]严峻,郑勇,谢耀杰,等.腰椎间盘突出症合并背根神经节异位的临床疗效分析[J].颈腰痛杂志,2015,36(4):308-309.
[22]宋瑞军,董莉莉,吴威,等.正骨理筋手法结合运动疗法治疗腰椎间盘突出症疗效观察[J].中医临床研究,2015,14(34):107-108.
[23]李红卫,马勇,俞鹏飞,等.镇痛下大剂量牵引结合手法治疗腰椎间盘突出症30例[J].南京中医药大学学报,2014,30(4):326-328.
[24]丁永国,孙建民,张骋,等.腰椎间盘突出症术后复发原因分析及临床治疗研究进展[J].中国疼痛医学杂志,2013,19(4):237-240.
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