宫氏脑针联合身痛逐瘀汤治疗腰椎间盘突出症临床疗效观察
江西省鹰潭市余江区中医院, 内科, 江西鹰潭 335200
| 摘 要： | 背景：我国逐渐进入老龄化社会，腰椎间盘突出症发病率逐年上升，带来的疼痛等临床症状，严重影响老年人日常生活运动，长期疼痛还会导致心理上的障碍，严重影响患者的日常生活和工作。本研究旨在探讨宫氏脑针联合身痛逐瘀汤治疗腰椎间盘突出症的临床疗效及安全性，为临床治疗腰椎间盘突出症提供一种治疗方法。目的：观察宫氏脑针联合身痛逐瘀汤治疗椎间盘突出症临床疗效。方法：120例随机分为治疗组60例和对照组60例。两组患者均给予身痛逐瘀汤加减，观察组加用宫氏脑针，两组观察周期均为30天，治疗结束后评定疗效。结果：治疗后，两组患者VAS评分较治疗前降低（p<0.05），观察组明显低于对照组（P<0.05）；两组患者JOA腰痛量表评分较治疗前升高（p<0.05），观察组较对照组高（P<0.05）；且观察组临床症状的改善效果（显效率、有效率）优于对照组（p<0.05）。结论：宫氏脑针联合身痛逐瘀汤治疗腰椎间盘突出症，可显著提高临床疗效，缩短疼痛的缓解时间，明显减轻患者的疼痛症状，改善腰椎功能，提高患者的生活质量，复发率低，效果显著，具有创新性，解决了腰椎间盘突出症长期治疗疗效欠佳的困境，具有“简便、快捷、规范、安全、效验”等特点，是值得尝试的一种治疗方法，值得临床推广运用。 |
| 关 键 词： | 腰椎间盘突出症; 宫氏脑针; 身痛逐瘀汤; 临床疗效 |
| DOI： | 10.57237/j.cmrd.2023.01.002 |
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收稿日期: 2022-11-26
接受日期: 2023-01-16
在线出版日期: 2023-02-03
Clinical Observation of Gongshi Naoacupuncture Combined with Shentongzhuyu Decoction in the Treatment of Intervertebral DISC Herniation
Department of Internal Medicine, Yujiang Hospital of Traditional Chinese Medicine, Yingtan 335200, China
| Abstract: | Background: Our country gradually entered an aging society, the incidence of lumbar disc herniation increases year by year, the clinical symptoms such as the pain, seriously affect the elderly's daily life movement, long-term pain will also lead to psychological barriers, seriously affect patient's daily life and work. The purpose of this study was to investigate the clinical efficacy and safety of Gongshi Naoacupuncture combined with Shentongzhuyu Decoction in the treatment of lumbar disc herniation, and to provide a treatment method for the clinical treatment of lumbar disc herniation. Objective: To observe the clinical effect of Gongshi Naoacupuncture combined with Shentongzhuyu Decoction in the treatment of disc herniation. Methods: 120 cases were randomly divided into treatment group (60 cases) and control group (60 cases). Both groups were given Shentongzhuyu decoction, and the observation group was given Gongshi brain needle. The observation period of both groups was 30 days, and the curative effect was evaluated after the treatment. Results: After treatment, VAS score of 2 groups was decreased compared with before treatment (p<0.05), observation group was significantly lower than control group (P<0.05); The score of JOA low back pain scale in 2 groups was higher than before treatment (p<0.05), and the observation group was higher than the control group (P<0.05). The improvement effect (significant efficiency, effective rate) of clinical symptoms in the observation group was better than that in the control group (p<0.05). Conclusion: In the treatment of lumbar intervertebral disc herniation, Gongshi Naoacupuncture combined with Shantong Zhuyu Decoction can significantly improve clinical efficacy, shorten the time of pain relief, significantly reduce the pain symptoms of patients, improve lumbar function, improve the quality of life of patients, with low recurrence rate, remarkable effect and innovation, and solve the dilemma of poor long-term therapeutic effect of lumbar intervertebral disc herniation. With the characteristics of "simple, fast, standard, safe, effective", it is worth trying a kind of treatment method, worthy of clinical promotion and application. |
| Keywords: | Lumbar DISC Herniation; Gong's Brain Needle; Body Pain by Stasis Soup; Clinical Efficacy |
参考文献
| [1] | 国家中医药管理局. 中医病症诊断疗效标准 [M]. 北京: 中国医药科技出版社, 2012. |
| [2] | Kaner T, Tutkan I.Monoradiculopathy and secondary seg-mental instability caused by postoperative pars interarti-cu-laris frac-ture:a case report [J]. Turk Neurosurg, 2009, 2 (19): 177-181. |
| [3] | 熊毅. 腰椎间盘突出症非手术治疗的研究进展 [J]. 中华生物医学工程杂志, 2016, 22 (5): 429-432. |
| [4] | 王蔚文. 临床疾病诊断与疗效判定标准 [M]. 北京: 科学技术文献出版社, 2010: 592-593. |
| [5] | 吴俊.宫氏脑针治疗颈源性偏头痛疗效分析 [J]. 实用中医杂志, 2020, 36 (2): 134-135. |
| [6] | 陈新用, 王振飞, 梁裕. 腰椎间盘突出症所致坐骨神经痛研究进展 [J]. 中国循证医学杂志, 2012, 12 (7): 861-866. |
| [7] | 蒋协远, 王大伟.2010年最新骨科临床疗效评价标准 [M]. 北京: 人民卫生出版社, 2010: 118-124. |
| [8] | 龙明, 王立义. 外科学 [M]. 北京: 人民卫生出版社, 2017, 11: 619-620. |
| [9] | 胥少汀, 葛宝丰, 徐印坎.实用骨科学 [M]. 北京: 人民军医出版社, 2010, 5: 1687-1712. |
| [10] | 何成奇, 丁明甫.非特异性腰痛康复治疗的临床循证 [J].中国临床康复, 2002, 6 (14): 2034-2035. |
| [11] | 谈东辉, 赵继荣, 朱换平, 等.中药治疗椎间盘突出症的近况 [J]. 中医临床研究, 2011, 3 (11): 109-111. |
| [12] | 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. |
| [13] | 刘井山. 中医药综合疗法治疗腰椎间盘突出症临床研究 [J]. 中医临床研究, 2013, 5 (15): 56-57. |
| [14] | 董昌盛, 焦丽静, 王菊勇, 等.身痛逐瘀汤对骨癌痛大鼠痛觉行为学的影响 [J]. 世界中西医结合杂志, 2016, 11 (1): 24-28. |
| [15] | 吴俊. 宫氏脑针联合多巴丝肼治疗帕金森病临床观察 [J].中医药临床杂志, 2019, 31 (6): 1099-1101 |
