摘要
目的通过随机对照研究通络祛痛膏循经取穴贴敷对腰间盘突出患者止痛效果。方法110例腰间盘突出患者,采用随机数字表法分为观察组和对照组,每组55例。观察组采用循经取穴贴敷通络祛痛膏,对照组采用常规阿是穴贴敷通络祛痛膏。比较两组患者治疗前后及随访期间视觉模拟评分法(VAS)评分、伴随症状缓解效果、安全性。结果治疗前,观察组患者VAS评分(5.98±1.84)分与对照组的(6.10±2.20)分比较,无明显差异(P>0.05)。治疗后,两组患者VAS评分均低于治疗前,且观察组患者VAS评分(2.93±1.30)分低于对照组的(3.97±2.29)分(P<0.05)。观察组治疗后2周、1个月、3个月随访VAS评分分别为(2.79±1.68)、(2.67±1.38)、(2.37±1.95)分,均低于治疗前(P<0.05),略低于治疗后,但无明显差异(P>0.05)。对照组患者治疗后2周、1个月、3个月随访VAS评分分别为(3.67±2.54)、(4.67±2.63)、(4.59±2.98)分,治疗后2周随访VAS评分略低于治疗后,治疗后1、3个月随访VAS评分均高于治疗后,但均无明显差异(P>0.05)。观察组治疗后2周、1个月、3个月随访VAS评分均低于对照组(P<0.05)。观察组患者伴随症状缓解显效率94.6%高于对照组的76.4%(P<0.05)。观察组与对照组患者伴随症状缓解总有效率均为98.2%,无明显差异(P>0.05)。治疗过程中两组各发生轻度皮肤瘙痒3例,局部涂抹药膏后缓解,局部皮肤后期有轻微结痂,无感染及瘢痕产生。两组均未发生严重安全性问题,两组安全性比较无明显差异(P>0.05)。结论通络祛痛膏循经取穴贴敷疗法对腰间盘突出患者止痛效果及远期疗效优于常规阿是穴贴敷,且在改善伴随症状上循经取穴贴敷显效率高于阿是穴贴敷。
Objective To study the analgesic effect of applying Tongluo Qutong Ointment along meridians and acupoints on patients with lumbar disc herniation.Methods 110 patients with lumbar disc herniation were divided into an observation group and a control group by random number table method,with 55 cases in each group.The observation group was applied with Tongluo Qutong Ointment along meridians and acupoints,and the control group was applied with Tongluo Qutong Ointment at Ashi acupoint.The visual analogue scale(VAS)score before and after treatment and during follow-up,remission efficiency of concomitant symptoms and safety of the two groups were compared.Results Before treatment,there was no significant difference in the VAS score between the observation group[(5.98±1.84)points]and the control group[(6.10±2.20)points](P>0.05).After treatment,the VAS score in the two groups was lower than that before treatment,and the VAS score of(2.93±1.30)points in the observation group was lower than(3.97±2.29)points in the control group(P<0.05).In the observation group,the VAS scores at 2 weeks,1 month and 3 months after treatment were(2.79±1.68),(2.67±1.38)and(2.37±1.95)points,which were lower than those before treatment(P<0.05);and it was slightly lower than that after treatment,but the difference was not significant(P>0.05).In the control group,the VAS scores at 2 weeks,1 month and 3 months after treatment were(3.67±2.54),(4.67±2.63)and(4.59±2.98)points;the VAS score at 2 weeks after treatment was slightly lower than that after treatment,and those at 1 and 3 months after treatment were higher than those after treatment,but the difference was not significant(P>0.05).The VAS scores of the observation group were lower than those of the control group at 2 weeks,1 month and 3 months after treatment(P<0.05).The significant remission efficiency of concomitant symptoms was 94.6%in the observation group,which was higher than 76.4%in the control group(P<0.05).The total remission efficiency of concomitant symptoms in both the observation group and the control group was 98.2%,and the difference was not significant(P>0.05).During the treatment,3 cases of mild skin pruritus occurred in each of the two groups,which was relieved after local application of ointment.There was slight scab in local skin in later stage,and no infection or scar occurred.There were no serious safety problems between the two groups,and the difference in safety was not significant between the two groups(P>0.05).Conclusion The analgesic effect and long-term curative effect of applying Tongluo Qutong Ointment along meridians and acupoints are better than that of conventional Ashi acupoint application for patients with lumbar disc herniation,and the efficiency is higher than that of Ashi acupoint application.
作者
赵晓光
别彩娟
邢立玲
褚喜梅
ZHAO Xiao-guang;BIE Cai-juan;XING Li-ling(Changping District Hospital,Beijing 102200,China)
出处
《中国实用医药》
2024年第3期134-137,共4页
China Practical Medicine
关键词
循经取穴
贴敷疗法
腰间盘突出
通络祛痛膏
Selecting acupoint along channel
Application therapy
Lumbar disc herniation
Tongluo Qutong Ointment
