摘要
目的探讨活血利水方联合补肾祛瘀针法在腰椎间盘突出症(LDH)患者中的应用效果。方法选取2018年2月至2019年12月河南省省立医院收治的97例LDH患者,按照随机数表法分为两组。两组均接受牵引与理疗,在此基础上针刺组(48例)接受补肾祛瘀针法治疗,联合组(49例)接受活血利水方联合补肾祛瘀针法治疗。比较两组临床疗效、血液流变学指标、视觉模拟评分法(VAS)评分和日本骨科协会(JOA)治疗评分。结果联合组治疗总有效率(93.88%)较针刺组(72.92%)高(P<0.05)。治疗后联合组血浆黏度(PV)、全血高切黏度(HWBV)及全血低切黏度(LWBV)低于针刺组(P<0.05)。治疗2、4周后,联合组VAS评分低于对照组(P<0.05)。联合组治疗后JOA评分高于针刺组(P<0.05)。结论活血利水方联合补肾祛瘀针法治疗LDH患者效果较好,可有效降低血液黏度,减轻患者疼痛程度,改善腰椎功能。
Objective To explore the application effect of Huoxue Lishui Decoction combined with Kidney Tonifying Quyu Acupuncture in patients with lumbar disc herniation(LDH).Methods A total of 97 LDH patients in Henan Provincial Hospital from February 2018 to December 2019 were randomly divided into two groups.Both groups received traction and physical therapy.On the basis of this,acupuncture group(48 cases)was treated with Kidney Tonifying Quyu Acupuncture,and combination group(49 cases)was treated with Kidney Tonifying Quyu Acupuncture and Huoxue Lishui Decoction.Therapeutic effect,hemorheological,visual analogue scale(VAS)score and Japanese Orthopaedic Association evaluation(JOA)score were compared between the two groups.Results The total effective rate of combination group was higher than that of acupuncture group(93.88%vs.72.92%,P<0.05).After treatment,plasma viscosity(PV),whole blood high-cut viscosity(HWBV)and whole blood low-cut viscosity(LWBV)in combination group were lower than those in acupuncture group(P<0.05).After 2 and 4 weeks of treatment,the VAS scores of combination group were lower than those of acupuncture group(P<0.05).After treatment,JOA score in combination group was higher than that in acupuncture group(P<0.05).Conclusion Huoxue Lishui Decoction combined with Kidney Tonifying Quyu Acupuncture is effective in the treatment of LDH,which could reduce the blood viscosity,relieve the pain degree,and improve the function of lumbar spine.
作者
王妞
高丙南
WANG Niu;GAO Bingnan(Department of Pain,Henan Provincial Hospital,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2021年第23期4373-4375,共3页
Henan Medical Research
关键词
腰椎间盘突出症
活血利水方
补肾祛瘀针法
腰椎功能
血液黏度
lumbar disc herniation
Huoxue Lishui Decoction
Kidney Tonifying Quyu Acupuncture
lumbar function
blood viscosity
