[1]杨 鸽,黄俊衡,彭 鸿,等.中药蜡疗对不同证型腰椎间盘突出症患者干预效果的Meta分析[J].医学信息,2024,37(03):33-39.[doi:10.3969/j.issn.1006-1959.2024.03.006]
　YANG Ge,HUANG Jun-heng,PENG Hong,et al.Meta-analysis of Intervention Effect of Traditional Chinese Medicine Wax Therapy on Patients with Different Syndrome Types of Lumbar Disc Herniation[J].Journal of Medical Information,2024,37(03):33-39.[doi:10.3969/j.issn.1006-1959.2024.03.006]
点击复制

中药蜡疗对不同证型腰椎间盘突出症患者干预效果的Meta分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年03期
页码:
33-39
栏目:
医学数据科学
出版日期:
2024-02-01

文章信息/Info

Title:
Meta-analysis of Intervention Effect of Traditional Chinese Medicine Wax Therapy on Patients with Different Syndrome Types of Lumbar Disc Herniation
文章编号:
1006-1959（2024）03-0033-07
作者:
杨 鸽; 黄俊衡; 彭 鸿; 等
（1.吉首大学医学院，湖南 吉首 416000；2.湘西土家族苗族自治州民族中医院护理部，湖南 吉首 416000）
Author(s):
YANG Ge; HUANG Jun-heng; PENG Hong; et al.
(1.Medical College of Jishou University,Jishou 416000,Hunan,China;2.Department of Nursing,Ethnic Traditional Chinese Medicine Hospital of Xiangxi Tujia and Miao Autonomous Prefecture,Jishou 416000,Hunan,China)
关键词:
中药蜡疗; 腰椎间盘突出症; 痹症
Keywords:
Traditional Chinese medicine wax therapy; Lumbar disc herniation; Paralysis
分类号:
R274.34
DOI:
10.3969/j.issn.1006-1959.2024.03.006
文献标志码:
A
摘要:
目的 通过Meta分析评价中药蜡疗对不同证型腰椎间盘突出症患者的干预效果。方法 计算机检索PubMed、The Cochrane Library、Web of Science、EMbase、中国知网、中国生物医学文献数据库（CBM）、万方和维普等国内外数据库，收集中药蜡疗应用于不同证型腰椎间盘突出症患者的随机对照试验（RCT），由2名研究人员根据纳入标准和排除标准对文献进行筛选，使用Cochrane手册质量评价标准进行质量评价，使用RevMan5.4软件对纳入文献的数据进行Meta分析。结果 最终共纳入5篇文章，包括506例患者。Meta分析显示，与对照组相比，中药蜡疗可以提高腰椎间盘突出症患者JOA评分，改善腰椎功能（MD=5.34,95%CI：3.72~6.96,P＜0.000 01）；应用中药蜡疗可以改善腰椎间盘突出症患者总体健康（MD=12.97,95%CI：2.30~23.64,P=0.02）、生理功能（MD=4.89,95%CI：1.97~7.81,P=0.001）、社会功能（MD=5.63,95%CI：5.29~5.98,P＜0.000 01），但对躯体疼痛（MD=5.11,95%CI：-2.36~12.58，P=0.18）、生理职能（MD=11.13,95%CI：-1.58~23.84,P=0.09）、活力（MD=9.84,95%CI：-0.47~20.15,P=0.06）的效果不明显；中药蜡疗可以降低腰椎间盘突出症患者VAS评分，缓解疼痛（MD=-0.99,95%CI：-1.85~-0.13，P=0.02）；中药蜡疗对腰椎间盘突出症患者临床疗效与对照组比较，差异无统计学意义（OR=1.72,95%CI：0.83~3.55,P=0.15），但中药蜡疗可以提高气滞血瘀型腰椎间盘突出症患者的临床疗效（OR=2.92,95%CI：1.06~8.04,P=0.04）,对寒湿型腰椎间盘突出症患者的临床疗效与对照组比较，差异无统计学意义（OR=0.85,95%CI：0.27~2.64,P=0.77）。结论 中药蜡疗可以缓解腰椎间盘突出症患者的疼痛，提升生活质量，改善患者的腰椎功能，对于不同证型腰椎间盘突出患者临床疗效不同。
Abstract:
Objective To evaluate the effect of traditional Chinese medicine wax therapy on patients with different syndrome types of lumbar disc herniation by Meta-analysis.Methods PubMed, The Cochrane Library, Web of Science, Embase, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wanfang and VIP databases were searched by computer to collect randomized controlled trials (RCTs) of traditional Chinese medicine wax therapy applied to patients with different syndromes of lumbar disc herniation. Two researchers screened the literature according to the inclusion criteria and exclusion criteria, and used the Cochrane manual quality evaluation criteria for quality evaluation. Meta-analysis was performed on the data included in the literature using Revman 5.4 software.Results Five studies involving 506 patients were included. Meta-analysis showed that compared with the control group, traditional Chinese medicine wax therapy could improve JOA score and lumbar function in patients with lumbar disc herniation [MD=5.34,95%CI:3.72 to 6.96,P<0.000 01]. In addition, traditional Chinese medicine wax therapy can improve the overall health (MD=12.97,95%CI:2.30 to 23.64,P=0.02), physiological function (MD=4.89,95%CI:1.97 to 7.81,P=0.001) and social function (MD=5.63,95%CI:5.29 to 5.98,P<0.000 01) of patients with lumbar disc herniation. However, there was no significant effect on body pain (MD=5.11,95%CI:-2.36 to 12.58,P=0.18), role-physical (MD=11.13,95%CI:-1.58 to 23.84,P=0.09) and vitality (MD=9.84,95%CI:-0.47 to 20.15,P=0.06). Meanwhile, traditional Chinese medicine wax therapy could reduce the VAS score of patients with lumbar disc herniation and relieve pain (MD=-0.99,95%CI:-1.85 to -0.13,P=0.02). But there was no significant difference in the clinical efficacy of traditional Chinese medicine wax therapy in patients with lumbar disc herniation that compared with the control group (OR=1.72,95%CI:0.83-3.55,P=0.15). However, traditional Chinese medicine wax therapy could improve the clinical efficacy of patients with qi stagnation and blood stasis type of lumbar disc herniation (OR=2.92,95%CI:1.06 to 8.04,P=0.04). There was no significant difference in the clinical efficacy of patients with cold-dampness type of lumbar disc herniation that compared with the control group (OR=0.85,95%CI:0.27 to 2.64,P=0.77).Conclusion Traditional Chinese medicine wax therapy can relieve the pain of patients with lumbar disc herniation, improve their quality of life and the lumbar function. Meanwhile, the clinical efficacy of patients with different syndromes of lumbar disc herniation is different.

参考文献/References:

[1]陆征麟,牛淑芳,韩秋琼,等.中药熏蒸联合针灸治疗气滞血瘀型腰椎间盘突出症的临床效果及其对炎性指标的影响[J].广西医学,2021,43(21):2564-2569.[2]田万青.针灸推拿加中药熏蒸治疗腰椎间盘突出症临床效果分析[J].中西医结合心血管病电子杂志,2019,7(35):162-163.[3]王惠,黄炜,韩晓东,等.腰痛宁胶囊联合布洛芬缓释胶囊治疗腰椎间盘突出症的疗效评价[J].中草药,2023,54(5):1506-1510.[4]郭惠,李德魁,李遵旺.腰椎间盘突出症不同证候患者CT影像学特点及其与证候程度间的相关性研究[J].中国CT和MRI杂志,2022,20(12):159-161.[5]Liu W,Li Q,Li Z,et al.Clinical efficacy of percutaneous transforaminal endoscopic discectomy in treating adolescent lumbar disc herniation[J].Medicine (Baltimore),2019,98(9):e14682.[6]周明旺,王晓萍,梁雄勇,等.中医手法整复配合蜡疗治疗腰椎间盘突出症疗效分析[J].西部中医药,2012,25(1):19-21.[7]Higgins JP,Green S.Cochrane Handbook for Systematic Reviews of Interventions[M].New Jersey: Wiley-Blackwell,2008.[8]雷雪,杨希,魏礼红,等.蜡疗联合中药熏蒸治疗寒湿痹阻型腰椎间盘突出症[J].河南中医,2019,39(2):284-287.[9]袁军丽,马民,崔快.中药蜡疗结合康复护理对气滞血瘀型腰椎间盘突出症患者腰椎功能的影响[J].中国校医,2022,36(6):439-441,472.[10]黄裕,姚文凤,李哲琳,等.中药蜡疗护理对气滞血瘀型腰椎间盘突出症患者生活质量的影响[J].中华全科医学,2017,15(1):163-166.[11]井紫鹏.蜡疗辅以中药涂药在血瘀气滞型腰椎间盘突出症患者中的应用研究[D].长春:长春中医药大学,2021.[12]唐振容,邱有能.中药蜡泥外敷结合康复护理对腰椎间盘突出症(气滞血瘀型)患者血液流变学指标的影响[J].中医外治杂志,2021,30(5):16-18.[13]李颖焱,徐涛.循经针刺联合蜡疗治疗老年腰椎间盘突出效果[J].中国老年学杂志,2022,42(17):4238-4240.[14]祝琳.温针灸联合止痛通痹液治疗腰椎间盘突出症的临床观察及对血清TNF-α、IL-1β、IL-6 PGE2水平的影响[J].中国中医药科技,2019,26(2):162-165.[15]梁雪,张红艳,张傲君.子午流注理论应用于蜡疗护理寒湿型腰椎间盘突出患者效果评价[J].中国医药导报,2022,19(16):191-193,197.[16]路小纤,刘艳,张会敏,等.腰椎间盘突出症病人疼痛灾难化与情绪状态、中医护理需求的相关性分析[J].护理研究,2022,36(16):3003-3005.[17]董顺霞.蜡疗结合湿敷治疗腰椎间盘突出症的观察与护理[J].中国城乡企业卫生,2020,35(3):153-154.[18]杞锦政,杨帏勋.中药蜡疗治疗寒湿型腰痛临床研究[J].实用中医药杂志,2020,36(5):670-671.[19]司誉豪,马勇,郭杨,等.扶阳宣痹汤治疗中老年寒湿型腰椎间盘突出症临床疗效观察[J].中华中医药杂志,2018,33(12):5726-5730.

相似文献/References:

[1]王钦奋,周仕国,刘国铭,等.腰椎间盘突出炎性因子与神经根性疼痛相关性研究[J].医学信息,2018,31(15):59.[doi:10.3969/j.issn.1006-1959.2018.15.019]
　WANG Qin-fen,ZHOU Shi-guo,LIU Guo-ming,et al.Correlation between Inflammatory Factors and Nerve Root Pain in Protrusion of Lumbar Intervertebral Disc[J].Journal of Medical Information,2018,31(03):59.[doi:10.3969/j.issn.1006-1959.2018.15.019]
[2]丁永国,李昌隆,孙建民,等.经皮穿刺椎间孔镜下应用TESSYS技术治疗 腰椎间盘突出症的临床疗效观察[J].医学信息,2018,31(16):38.[doi:10.3969/j.issn.1006-1959.2018.16.011]
　DING Yong-guo,LI Chang-long,SUN Jian-min,et al.Clinical Observation of Percutaneous Lumbar Disc Herniation Treated by TESSYS Technique under Transforaminal Endoscopy[J].Journal of Medical Information,2018,31(03):38.[doi:10.3969/j.issn.1006-1959.2018.16.011]
[3]刘国铭,林世水,周仕国.经皮椎间孔镜和椎板开窗减压术治疗 腰椎间盘突出症的临床疗效对比[J].医学信息,2018,31(17):66.[doi:10.3969/j.issn.1006-1959.2018.17.020]
　LIU Guo-ming,LIN Shi-shui,ZHOU Shi-guo.Comparison of Clinical Outcomes between Percutaneous Transforaminal Decompression and Decompression of Vertebral Lamina Fenestration in the Treatment of Lumbar Disc Herniation[J].Journal of Medical Information,2018,31(03):66.[doi:10.3969/j.issn.1006-1959.2018.17.020]
[4]程景山.经皮椎间孔镜技术在腰椎病变中的应用[J].医学信息,2022,35(12):81.[doi:10.3969/j.issn.1006-1959.2022.12.019]
　CHENG Jing-shan.Application of Transforaminal Endoscopic Spine System technique in Lumbar Lesions[J].Journal of Medical Information,2022,35(03):81.[doi:10.3969/j.issn.1006-1959.2022.12.019]
[5]张占录.腰椎间盘突出合并相应节段椎管狭窄症的微创手术治疗研究[J].医学信息,2019,32(04):174.[doi:10.3969/j.issn.1006-1959.2019.04.058]
　ZHANG Zhan-lu.Minimally Invasive Surgery for Lumbar Disc Herniation with Corresponding Segmental Spinal Stenosis[J].Journal of Medical Information,2019,32(03):174.[doi:10.3969/j.issn.1006-1959.2019.04.058]
[6]王永康,周 政,兑振华,等.针刀联合推拿治疗腰椎间盘突出症随机对照试验的Meta分析[J].医学信息,2022,35(15):99.[doi:10.3969/j.issn.1006-1959.2022.15.022]
　WANG Yong-kang,ZHOU Zheng,DUI Zhen-hua,et al.Meta-analysis of Randomized Controlled Trials of Needle Knife Combined with Massage in the Treatment of Lumbar Disc Herniation[J].Journal of Medical Information,2022,35(03):99.[doi:10.3969/j.issn.1006-1959.2022.15.022]
[7]陈华荣,温桃芳,何朝洪,等.椎间孔镜下椎间盘髓核摘除治疗腰椎间盘突出症的疗效[J].医学信息,2019,32(23):112.[doi:10.3969/j.issn.1006-1959.2019.00.031]
　CHEN Hua-rong,WEN Tao-fang,HE Chao-hong,et al.Effect of Intervertebral Disc Nucleus Pulposus Removal on Lumbar Disc Herniation[J].Journal of Medical Information,2019,32(03):112.[doi:10.3969/j.issn.1006-1959.2019.00.031]
[8]王 斐.小针刀联合推拿按摩治疗腰椎间盘突出症的效果[J].医学信息,2020,33(03):151.[doi:10.3969/j.issn.1006-1959.2020.03.049]
　WANG Fei.Effect of Small Needle Knife Combined with Massage on Lumbar Disc Herniation[J].Journal of Medical Information,2020,33(03):151.[doi:10.3969/j.issn.1006-1959.2020.03.049]
[9]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.[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(03):144.[doi:10.3969/j.issn.1006-1959.2022.17.040]
[10]赵名娟,张金涛,徐玉振.误诊为脊髓压迫症的脊肌萎缩症1例[J].医学信息,2020,33(12):182.[doi:10.3969/j.issn.1006-1959.2020.12.061]

更新日期/Last Update: 1900-01-01