摘要
目的观察督灸配合DSA引导小针刀松解治疗寒湿痹阻型腰椎间盘突出症患者的临床疗效。方法选取2018年6月至2019年10月在辽宁中医药大学附属第二医院骨科接受住院治疗的腰椎间盘突出症患者90例,按随机数字表将患者随机分为3组(督灸组、针刀组、联合组),每组30例,督灸组进行督灸治疗;针刀组进行DSA引导下针刀松解治疗;联合组两种方法联合治疗。所有患者进行2周治疗,比较三组患者治疗前后的VAS评分、JOA评分、ODI评分。结果联合组有效率为93.33%,高于其余两组,差异有统计学意义(P<0.05)。VAS评分比较,在治疗后,联合组为(2.14±1.47)分,针刀组为(2.94±0.15)分,督脉灸组为(3.38±0.70)分,联合组低于其余两组,差异有统计学意义(P<0.05);治疗结束后1个月,联合组为(2.25±0.73)分,而针刀组为(3.28±0.12)分,督脉灸组为(3.75±1.09)分,联合组低于其余两组,差异有统计学意义(P<0.05)。JOA评分比较,在治疗后,联合组为(22.24±2.55)分,针刀组为(19.64±2.06)分,督脉组为(19.04±2.33)分,联合组高于其余两组,差异有统计学意义(P<0.05);治疗结束后1个月,联合组为(21.64±2.13)分,针刀组为(19.08±2.12)分,督脉组为(18.75±2.29)分,联合组高于其余两组,差异有统计学意义(P<0.05)。ODI评分比较,治疗后,联合组为(11.64±3.52)分,针刀组为(19.63±3.06)分,督脉组为(20.10±3.72)分,联合组低于其余两组,差异有统计学意义(P<0.05);治疗结束后1个月,联合组为(12.65±2.93)分,针刀组为(20.08±3.12)分,督脉组为(20.85±3.29)分,联合组低于其余两组,差异有统计学意义(P<0.05)。结论督灸配合DSA引导小针刀松解治疗腰椎间盘突出症(寒湿痹阻型)疗效良好,值得推广应用。
Objective To observe the clinical curative effect of Du-moxibustion combined with needle-knife release guided by Digital Substract Angiography(DSA)in the treatment of patients with lumbar intervertebral disc herniation of cold-dampness and obstruction type.Methods From June 2018 to October 2019,90 patients with lumbar disc herniation hospitalized in the Department of Orthopedics,the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were selected.All patients were randomly divided into three groups according to the random number table:moxibustion group,needle-knife group and combined group,30 cases in each group,the moxibustion group was given Du-moxibustion treatment;the acupuncture group was given DSA-guided needle-knife release treatment;the combined group was treated with both of the two methods.All patients were treated for 2 weeks.After treatment,the clinical efficacy of each group of patients was observed.The VAS scores,JOA scores and ODI scores for the lumbar spine of the three groups of patients before and after treatment were compared and analyzed.Results The effective rate of the combined group was 93.33%,which was higher than the other two groups(P<0.05).After treatment,the VAS score of the combined group was(2.14±1.47),in the needle-knife group it was(2.94±0.15),and in the moxibustio group it was(3.38±0.70);the combined group was lower than the other two groups,and the differences were significant(P<0.05).One month after treatment,the VAS score of combined group was(2.25±0.73),in the needle-knife group it was(3.28±0.12),and in the governor moxibustion group it was(3.75±1.09);the combined group was lower than the other two groups,and the differences were significant(P<0.05).After treatment,the JOA score of the combined group was(22.24±2.55),in the needle-knife group it was(19.64±2.06),and in the moxibustion group it was(19.04±2.33);the combined group was higher than the other two groups,and the differences were significant(P<0.05).At one month after stopping the treatment,the JOA score of the combined group was(21.64±2.13),that of the needle-knife group was(19.08±2.12),and in the moxibustion group it was(18.75±2.29);the combined group was higher than the ather two groups,and the differences were significant(P<0.05).After treatment,ODI score of the combined group was(11.64±3.52),in the needle-knife group it was(19.63±3.06),and in the moxibustio group it was(20.10±3.72);the combined group was lower than the other two groups,and the differences were significant(P<0.05).One month after treatment,in the combined group it was(12.65±2.93),in the needle-knife group it was(20.08±3.12),and in the moxibustion group it was(20.85±3.29);the combined group was lower than the other two groups,and the differences were significant(P<0.05).Conclusion The Du-moxibustion combined with DSA-guided needle-knife release treatment for lumbar disc herniation(cold-dampness and obstruction type)has good curative effect,and it is worthy of popularization and application.
作者
宫云昭
刘春雷
张长春
李连泰
王世轩
GONG Yun-zhao;LIU Chun-lei;ZHANG Chang-chun;LI Lian-tai;WANG Shi-xuan(The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110034,China;The Affiliated Hospital of Chengde Medical College,Chengde 067000,China)
出处
《实用药物与临床》
CAS
2021年第5期441-444,共4页
Practical Pharmacy and Clinical Remedies
基金
第六批全国老中医药专家学术经验继承工作[国中医药人教发(2017)29号]。
关键词
督灸
针刀松解
数字减影技术
腰椎间盘突出症
寒湿痹阻证
Du-moxibustion
Needle-knife release
Digital subtraction angiography
Lumbar disc herniation
Cold-dampness and obstruction syndrome
