摘要
目的:观察散寒除湿汤联合温针灸治疗寒湿型腰椎间盘突出症的临床疗效。方法:选取103例寒湿型腰椎间盘突出症患者,按随机数字表法分为研究组52例和对照组51例。对照组给予腰椎牵引治疗,研究组在对照组基础上加用散寒除湿汤联合温针灸治疗,2组均治疗4周。比较2组临床疗效,以及2组治疗前后腰椎功能、疼痛程度和压痛阈值(PPT),监测2组治疗前后的生命体征,记录不良反应。结果:研究组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后,研究组日本骨科协会评估治疗分数(JOA评分)、PPT均高于对照组(P<0.05),视觉模拟评分法(VAS)评分低于对照组(P<0.05)。2组治疗前后生命体征均正常,2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:散寒除湿汤联合温针灸治疗寒湿型腰椎间盘突出症,可有效改善患者的腰椎功能,缓解疼痛,且安全性较好。
Objective: To observe the clinical effect of Sanhan Chushi tang combined with warming acupuncture and moxibustion for lumbar disc herniation of cold-damp type. Methods:A total of 103 patients with lumbar disc herniation of cold-damp type were selected and divided into the study group(52 cases) and the control group(51 cases) according to the random number table method. The control group was treated with lumbar traction, and the study group was additionally treated with Sanhan Chushi tang combined with warming acupuncture and moxibustion based on the treatment of the control group. Both groups were treated for four weeks. The effect of clinical effect,lumbar function,pain degree and pressure pain threshold(PPT) before and after treatment were compared between the two groups. The vital signs of the two groups before and after treatment were monitored,and adverse reactions were recorded. Results:The clinical effect in the study group was better than that in the control group,the difference being significant(P<0.05). After treatment,the score of Japanese Orthopaedic Association(JOA) and the level of PPT in the study group were higher than those in the control group(P<0.05);the score of visual analogue scale(VAS) was lower than that in the control group(P<0.05). There was no significant difference in the comparison of the incidence of adverse reactions between the two groups(P>0.05). Conclusion: The therapy of Sanhan Chushi tang combined with warming acupuncture and moxibustion for lumbar disc herniation of cold-damp type,can effectively improve the lumbar function of patients,relieve pain,and has great safety.
作者
卢华锋
朱贝贝
任珊
LU Huafeng;ZHU Beibei;REN Shan
出处
《新中医》
CAS
2021年第13期83-86,共4页
New Chinese Medicine
关键词
腰椎间盘突出症
寒湿型
散寒除湿汤
温针灸
腰椎功能
疼痛
Lumbar disc herniation
Cold-damp type
Sanhan Chushi tang
Warming acupuncture and moxibustion
Lumbar function
Pain
