[1]黄建辉.益肾镇痛汤联合小针刀、电脑中频治疗对腰椎间盘突出症患者疼痛及腰椎功能恢复的疗效观察[J].医学信息,2022,35(17):144-147.[doi:10.3969/j.issn.1006-1959.2022.17.040]
 HUANG Jian-hui.Effect of Yishen Zhentong Decoction Combined with Small Needle Knife and Computer Intermediate Frequency Therapy on Pain and Lumbar Function Recovery in Patients with Lumbar Disc Herniation[J].Journal of Medical Information,2022,35(17):144-147.[doi:10.3969/j.issn.1006-1959.2022.17.040]
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益肾镇痛汤联合小针刀、电脑中频治疗对腰椎间盘突出症患者疼痛及腰椎功能恢复的疗效观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年17期
页码:
144-147
栏目:
中医中药
出版日期:
2022-09-01

文章信息/Info

Title:
Effect of Yishen Zhentong Decoction Combined with Small Needle Knife and Computer Intermediate Frequency Therapy on Pain and Lumbar Function Recovery in Patients with Lumbar Disc Herniation
文章编号:
1006-1959(2022)17-0144-04
作者:
黄建辉
(南城县人民医院骨伤科,江西 南城 344700)
Author(s):
HUANG Jian-hui
(Department of Orthopedics and Traumatology,Nancheng People’s Hospital,Nancheng 344700,Jiangxi,China)
关键词:
腰椎间盘突出症益肾镇痛汤小针刀电脑中频腰椎功能
Keywords:
Lumbar disc herniationYishen Zhentong decoctionSmall needle knifeComputer intermediate frequencyLumbar function
分类号:
R618.5
DOI:
10.3969/j.issn.1006-1959.2022.17.040
文献标志码:
A
摘要:
目的 探究益肾镇痛汤联合小针刀、电脑中频对腰椎间盘突出症(LDH)患者疼痛症状及腰椎功能的治疗效果。方法 选取2021年10月-2022年5月南城县人民医院收治的100例LDH患者,按照随机数字表法分为对照组(50例)与观察组(50例)。对照组应用益肾镇痛汤治疗,观察组采用益肾镇痛汤联合小针刀、电脑中频治疗,比较两组临床疗效、疼痛程度[视觉模拟评分(VAS)、现时疼痛强度(PPI)]、中医症状积分、腰椎功能[Oswestry功能障碍指数问卷表(ODI)、腰椎功能评分表(JOA)]。结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组治疗后VAS、PPI分低于对照组,差异有统计学意义(P<0.05);观察组治疗后中医症状积分、ODI分低于对照组,JOA分高于对照组,差异有统计学意义(P<0.05)。结论 益肾镇痛汤联合小针刀、电脑中频治疗LDH效果肯定,可缓解患者疼痛程度及症状表现,改善腰椎功能。
Abstract:
Objective To explore the therapeutic effect of Yishen Zhentong decoction combined with small needle knife and computer intermediate frequency on pain symptoms and lumbar function in patients with lumbar disc herniation (LDH).Methods A total of 100 LDH patients admitted to Nancheng County People ’s Hospital from October 2021 to May 2022 were selected and divided into control group (50 cases) and observation group (50 cases) according to random number table method. The control group was treated with Yishen Zhentong Decoction, while the observation group was treated with Yishen Zhentong Decoction combined with small needle knife and computer intermediate frequency. The clinical efficacy, pain degree [visual analogue scale (VAS), present pain intensity (PPI)], TCM symptom score, lumbar function [Oswestry disability index questionnaire (ODI), lumbar function score (JOA)] were compared between the two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). After treatment, the VAS and PPI scores of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). After treatment, the scores of TCM symptoms and ODI in the observation group were lower than those in the control group, and the JOA score was higher than that in the control group , and the difference was statistically significant(P<0.05).Conclusion Yishen Zhentong decoction combined with small needle knife and computer intermediate frequency is effective in the treatment of LDH, which can relieve the pain degree and symptoms of patients and improve lumbar function.

参考文献/References:

[1]葛明富,王柏卿,高曦,等.针刀松解夹脊穴配合深刺次髎穴治疗腰椎间盘突出症的疗效分析[J].针灸临床杂志,2018,34(1):40-43.[2]Benzakour T,Igoumenou V,Mavrogenis AF,et al.Current concepts for lumbar disc herniation[J].International Orthopaedics,2019,43(4):841-851.[3]张圣宏,吴耀持.小针刀整体松解术联合远道取穴针刺治疗腰椎间盘突出症的疗效及作用机理研究[J].四川中医,2017,35(10):177-180.[4]李燕,吴锦慧,李小清.通络益肾方加减联合针刀整体松解术对腰椎间盘突出症患者腰椎功能及血清IL-1β和MMP-3水平的影响[J].解放军预防医学杂志,2019,37(11):130-131.[5]陆征麟,牛淑芳,韩秋琼,等.益肾补肝强腰方和针灸联合常规治疗对肝肾亏虚型腰椎间盘突出症患者的临床疗效[J].中成药,2022,44(4):1134-1138.[6]程明,吴杨玲,刘羽,等.腰痹逐瘀止痛汤结合调脊通督针法治疗气滞血瘀型腰椎间盘突出症临床疗效及安全性观察[J].中华中医药学刊,2021,39(11):236-239.[7]聂克勤,张忠文,罗刚,等.小针刀治疗腰椎间盘突出症及对血清炎性因子、疼痛介质水平的影响[J].颈腰痛杂志,2021,42(1):136-137.[8]姚旭,王清华,石黎,等.止痛散中频电导入治疗血瘀证腰椎间盘突出症临床观察[J].辽宁中医药大学学报,2019,21(11):200-203.[9]中华医学会骨科学分会脊柱外科学组,中华医学会骨科学分会骨科康复学组.腰椎间盘突出症诊疗指南[J].中华骨科杂志,2020,40(8):477-487.[10]章薇,娄必丹,李金香,等.中医康复临床实践指南·腰痛(腰椎间盘突出症)[J].康复学报,2021,31(4):265-270.[11]宋圣阁.针灸联合中药治疗腰椎间盘突出症对患者血清IL-1β、MMP-3及TNF-α水平的影响[J].世界中医药,2017,12(10):2453-2456.[12]吴建民,牛爱春,邱偲泓,等.改良骶管封闭疗法联合小针刀治疗腰椎间盘突出症的临床研究[J].中华中医药杂志,2017,32(8):3855-3857.[13]叶卫东,方向明.《临证指南医案》虚劳证治探析[J].中国中医基础医学杂志,2022,28(6):856-858.[14]宋甲威,侯小燕,王志敏,等.独活寄生汤联合针刺夹脊穴治疗对腰椎间盘突出症患者症状积分、Oswestry功能障碍指数及JOA评分的影响[J].四川中医,2021,39(9):142-145.[15]刘婷,付娟,张莎.通络益肾方联合针灸治疗腰椎间盘突出症对清除氧自由基能力分析[J].中华中医药学刊,2021,39(9):66-69.[16]谭俊,黄勇,何浩森,等.补肾温阳止痛汤联合推拿治疗腰椎骨质增生的疗效及对患者中医证候、腰功能及生活质量的影响[J].辽宁中医杂志,2020,47(5):106-108.[17]王涛,李武强.射频消融联合通络益肾方治疗腰椎间盘突出症近期疗效观察[J].世界中医药,2017,12(11):2709-2712.[18]吴栩,李文雄.小针刀治疗腰椎间盘突出症的临床随机对照试验[J].西部中医药,2018,31(12):125-127.[19]徐昆,郝佳颖,杜元良,等.小针刀联合神经妥乐平对腰椎间盘突出症术后残余神经痛炎性因子水平及腰部功能影响[J].临床军医杂志,2017,45(11):1156-1158.[20]张俊杰.电脑中频治疗仪配合电针治疗坐骨神经痛的临床体会[J].中国药物与临床,2018,18(10):1776-1777.[21]李建国,范小春,王帅,等.电热针灸拔罐联合中频脉冲治疗腰椎间盘突出症伴坐骨神经痛疗效研究[J].陕西中医,2021,42(12):1789-1792.[22]刘世伟,王翔奕.椎间孔镜手术与传统开窗手术治疗腰椎间盘突出症的术后疼痛介质、炎性因子比较[J].海南医学院学报,2017,23(3):383-386.

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更新日期/Last Update: 1900-01-01