中医骨伤手法配合独活寄生汤加减治疗腰椎间盘突出症的疗效分析

Efficacy of TCM orthopedic manipulations plus the Duhuo Jisheng decoction on lumbar intervertebral disc herniation

目的:研究在腰椎间盘突出症患者的治疗阶段采用中医骨伤手法配合独活寄生汤加减的疗效。方法:以武宣县人民医院2015年1月-2019年12月120例确诊为腰椎间盘突出症的患者作为研究样本,采用随机数字表法分组,取其中60例为对照组,施行单一骨伤手法治疗;另60例为试验组,加用独活寄生汤。比较两组改良日本骨科协会腰痛评分表(Modified Japanese Orthopaedic Association Low back Pain Rating Scale,M-JOA)、疼痛视觉模拟评分法(Visual Analogue Scale,VAS)、36项简明健康状况调查量表(The Mos Item Short From 36 Health Survey,SF-36)评分,以及P物质、神经肽、白细胞介素-6(Interleukin 6,IL-6)、超敏C反应蛋白(high-sensitivity C-Reactive Protein,hs-CRP)及疗效差异。结果:两组治疗前的M-JOA、VAS、SF-36评分与P物质、神经肽、IL-6、hs-CRP水平比较,差异无统计学意义(P>0.05);治疗后,试验组SF-36评分高于对照组,M-JOA、VAS评分与P物质、神经肽、IL-6、hs-CRP表达水平均低于对照组,同时治疗总优良率高于对照组,差异有统计学意义(P<0.05)。结论:予以腰椎间盘突出症患者中医骨伤手法配合独活寄生汤加减治疗,疗效确切,可有效改善腰痛等症状,降低机体炎症反应,整体疗效显著。

Objective:To study the curative effect of TCM orthopedic manipulations plus the Duhuo Jisheng decoction(独活寄生汤)on lumbar intervertebral disc herniation.Methods:120 cases from January 2015 to December 2019 were included as research samples,and were divided into groups according to random number table method.60 cases in the control group were given single orthopedic manipulation,and 60 cases in the experimental group took the Duhuo Jisheng decoction more.Results:The M-JOA,VAS and SF-36 scores,substance P,neuropeptide,IL-6,and hs-CRP levels in the two groups before treatment were not statistically different(P>0.05).After treatment,the SF-36 score in the experimental group was higher than the control group,M-JOA score,VAS score,and the expressiong levels of substance P,neuropeptide,IL-6 and hs-CRP in the experimental group were lower than the control group,and the total excellent and good rate in the experimental group was higher than the control group(P<0.05).Conclusion:TCM orthopedic manipulations plus the Duhuo Jisheng decoction on lumbar intervertebral disc herniation shows a definite curative effect.It can effectively ameliorate symptoms such as low back pain,and reduce the body’s inflammation.The overall curative effect is significant.