中医骨伤手法联合五味甘露浴汤在腰椎间盘突出症患者中的应用分析

Application Analysis of Traditional Chinese Medicine Bone Injury Maneuver Combined with Wuwei Ganlu Yutang in Patients with Lumbar Disc Herniation

目的探讨对腰椎间盘突出症患者采用中医骨伤手法联合五味甘露浴汤治疗的临床疗效及对患者腰椎功能与疼痛和炎症反应的影响。方法随机选择济南市中西医结合医院2020年1—12月收治腰椎间盘突出在患者90例,按照随机数表法分为西医治疗对照组(n=45)与采用中医骨伤手法联合五味甘露浴汤干预研究组(n=45),比较两组临床疗效,于治疗前后采用日本骨科学会评分系统(JOA)与视觉模拟法(VAS)评估患者的腰椎功能以及疼痛情况,另检测患者治疗前后肿瘤坏死因子(TNF)-α、C反应蛋白(CRP)水平评价患者炎症反应情况。结果研究组治疗总有效率为93.33%,高于对照组75.56%,差异有统计学意义(χ^(2)=5.414,P<0.05);治疗后,研究组JOA评分为(25.22±2.41)分,高于对照组(22.13±2.35)分,VAS评分(2.04±0.93)分,低于对照组(3.24±1.25)分,差异有统计学意义(P<0.05);治疗后,研究组TNF-α、CRP水平分别为(45.86±10.07)、(9.51±3.22)pg/mL,均低于对照组(71.28±9.45)、(12.33±3.94)pg/mL,差异有统计学意义(P<0.05)。结论对腰椎间盘突出在患者采用中医骨伤手法联合五味甘露浴汤治疗能够提高治疗效果,有利于提高腰椎功能,减轻患者疼痛,且能够改善机体炎性反应,值得推广。

Objective To explore the clinical efficacy of the combination of traditional Chinese medicine bone injury manipulation combined with Wuwei Ganlu Yutang on patients with lumbar disc herniation and the effect on lumbar function,pain and inflammation.Methods A total of 90 patients with lumbar disc herniation were randomly selected from Jinan Integrated Traditional Chinese and Western Medicine Hospital from January to December 2020.According to the random number table method,they were divided into the western medicine treatment control group(n=45)and the traditional Chinese medicine bone injury manipulation combined with Wuwei Ganluyu decoction intervention study group(n=45),the clinical efficacy of the two groups was compared,the Japanese Orthopaedic Association scoring system(JOA)and visual analog method(VAS)were used to evaluate the lumbar spine function and pain of the patients before and after treatment,and tumor necrosis factor(TNF-α)and C-reactive protein(CRP)levels was also detected before and after treatment to evaluate the inflammatory response of patients.Results The total effective rate of the study group was 93.33%,which was higher than that of the control group 75.56%,and the difference was statistically significant(χ^(2)=5.414,P<0.05);after treatment,the JOA score of the study group was(25.22±2.41)points,which was higher than the control group(22.13±2.35)points,VAS score(2.04±0.93)points,lower than the control group(3.24±1.25)points,the difference was statistically significant(P<0.05);after treatment,the study group TNF-α,CRP levels were(45.86±10.07)pg/mL and(9.51±3.22)pg/mL,which were lower than those in the control group(71.28±9.45)pg/mL and(12.33±3.94)pg/mL,and the difference was statistically significant(P<0.05).Conclusion The treatment of lumbar protrusion patients with traditional Chinese medicine bone injury combined with Wuwei Ganlu Yutang can improve the therapeutic effect,improve the lumbar function,reduce the patient's pain,and can improve the body's inflammatory response.It is worthy of promotion.