温针灸联合温经散寒通络汤对腰椎间盘突出症寒湿痹阻证患者的临床效果

Clinical Effect of Warm Acupuncture and Moxibustion Combined with Warm Jing Sanhan Tongluo Decoction on Patients with Cold and Dampness Obstruction Syndrome of Lumbar Disc Herniation

目的:探究温针灸联合温经散寒通络汤对腰椎间盘突出症寒湿痹阻证患者的临床效果及对中医症状积分、腰椎功能的影响。方法:选择2020年1月至2022年1月在厦门市集美区后溪镇卫生院接受治疗的腰椎间盘突出症寒湿痹阻证患者122例,随机分为观察组、对照组,各61例,对照组患者进行温针灸治疗,观察组患者在对照组基础上联合温经散寒通络汤治疗。比较两组患者治疗前后临床症状、关节活动度、日本骨科协会评估治疗分数(JOA)评分、视觉模拟评分法(VAS)评分、炎症因子水平及治疗效果。结果:治疗后,观察组患者失眠、腿痛、倦怠乏力、腰痛、烦躁易怒、自汗等症状积分低于对照组,差异具有统计学意义(P <0.05);治疗后,观察组患者关节活动度、JOA评分均高于对照组,VAS评分低于对照组,差异具有统计学意义(P <0.05);治疗后,观察组患者血清肿瘤坏死因子–α(TNF–α)、白细胞介素–6(IL–6)水平均低于对照组,差异具有统计学意义(P <0.05);观察组患者治疗总有效率为98.36%,高于对照组的85.25%,差异具有统计学意义(P <0.05)。结论:对腰椎间盘突出症寒湿痹阻证患者进行温针灸联合温经散寒通络汤治疗,可改善患者临床症状,炎症反应明显降低。

Objective To explore the clinical effect of warm acupuncture and moxibustion combined with warm Jing Sanhan Tongluo decoction on patients with cold and dampness obstruction syndrome of lumbar disc herniation and the influence on traditional Chinese medicine(TCM) symptom integration and lumbar function. Methods A total of 122 patients with cold and dampness obstruction syndrome of lumbar disc herniation who received treatment in Xiamen Jimei District Houxi Town Health Center from January 2020 to January 2022 were selected and randomly divided into an observation group and a control group, 61 cases in each group. The control group received warm acupuncture treatment, and the observation group was treated with warm Jing Sanhan Tongluo decoction on the basis of the control group. The clinical symptoms, joint motion, Japanese Orthopaedic Association(JOA)score, visual analog scale(VAS) score, levels of inflammatory factors and therapeutic effect were compared between the two groups before and after treatment. Results After treatment, the scores of insomnia, leg pain, fatigue, low back pain, irritability, sweating and other symptoms in the observation group were lower than those in the control group, the differences were statistically significant(P < 0.05). After treatment, the joint motion and JOA score of the observation group were higher than those of the control group,while the VAS score of the observation group was lower than that of the control group, the differences were statistically significant(P < 0.05). After treatment, the serum levels of tumor necrosis factor-α(TNF-α) and interleukin-6(IL-6) in the observation group were lower than those in the control group, and the differences were statistically significant(P < 0.05). The total effective rate of the observation group was 98.36 %, higher than 85.25 % of the control group, and the difference was statistically significant(P < 0.05). Conclusion For patients with cold and dampness obstruction syndrome of lumbar disc herniation, warm acupuncture and moxibustion combined with warm Jing Sanhan Tongluo decoction has a good effect, which can improve the clinical symptoms of patients and significantly reduce the inflammatory response.