刺络拔罐结合独活寄生汤治疗寒湿痹阻型腰椎间盘突出症的临床疗效分析

Clinical efficacy analysis of acupuncture cupping combined with Duhuo Jisheng decoction in the treatment of lumbar disc herniation of cold and dampness obstruction type

目的:探讨刺络拔罐结合独活寄生汤治疗寒湿痹阻型腰椎间盘突出症的临床疗效。方法:选取寒湿痹阻型腰椎间盘突出症患者98例,随机分为刺络拔罐组和联合治疗组,各49例。刺络拔罐组予以刺络拔罐治疗;联合治疗组在刺络拔罐组的基础上加以独活寄生汤治疗,比较两组疗效。结果:治疗后,联合治疗组治疗总有效率高于刺络拔罐组;视觉模拟评分法、日本骨科协会治疗评分、焦虑自评量表、抑郁自评量表、生活质量SF-36评分得分均显著优于刺络拔罐组(P<0.05);两组不良反应发生率比较差异无统计学意义(P>0.05)。结论:刺络拔罐结合独活寄生汤治疗寒湿痹阻型腰椎间盘突出症可促进患者康复,改善负面情绪和生活质量。

Objective:To explore the clinical efficacy of acupuncture and cupping combined with Duhuo Jisheng decoction in the treatment of lumbar disc herniation of cold and dampness obstruction type.Methods:Ninety-eight patients with lumbar disc herniation with cold and wet obstruction were randomly divided into a puncture cupping therapy group and a combined treatment group with 49 cases each.The puncture cupping therapy group was treated with puncture cupping therapy,while the combined treatment group was treated with Duhuo Jisheng decoction on the basis of the puncture cupping therapy group.The curative efficacy was compared between the two groups.Results:After the treatment,the total effective rate was higher,the visual analogue scale,Japanese Orthopaedic Association scores,self-rating anxiety scale,self-rating depression scale,and SF-36 score of quality of life were better in the combined treatment group than the puncture cupping therapy group(P<0.05);the difference of the incidence of the adverse reactions between the two groups was not statistically significant(P>0.05).Conclusion:Acupuncture and cupping combined with Duhuo Jisheng decoction for the treatment of lumbar disc herniation of cold and dampness obstruction type can promote the rehabilitation of patients and improve negative emotions and quality of life.