颈肩腰腿痛患者采用综合疗法治疗的临床效果分析

Clinical effect analysis of comprehensive therapy for patients with neck,shoulder,waist,and leg pain

目的观察综合疗法对颈肩腰腿痛患者的临床治疗效果。方法60例颈肩腰腿痛患者,随机分为观察组与对照组,每组30例。观察组采用综合疗法治疗,对照组行针刺治疗。对比两组中医证候积分、炎性因子[肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-6(IL-6)]水平、临床疗效及Constant-Murley欧美肩关节功能评分法(C-M)、Lysholm、临床颈椎病评价量表(CASCS)、日本骨科协会评估治疗分数(JOA)评分。结果治疗后,观察组功能受限、疼痛、肿胀积分分别为(0.68±0.11)、(0.82±0.19)、(0.76±0.13)分,低于对照组的(1.27±0.31)、(1.69±0.26)、(1.17±0.14)分,差异有统计学意义(P<0.05)。治疗后,观察组C-M、Lysholm、CASCS、JOA评分分别为(75.78±4.28)、(81.47±5.98)、(79.78±5.36)、(23.52±1.26)分,高于对照组的(69.38±4.59)、(71.62±4.28)、(70.36±5.29)、(14.84±2.74)分,差异有统计学意义(P<0.05)。治疗后,观察组TNF-α、CRP、IL-6水平分别为(0.83±0.11)μg/L、(5.03±0.64)mg/L、(11.54±1.18)ng/L,低于对照组的(1.68±0.28)μg/L、(9.79±0.77)mg/L、(14.84±2.43)ng/L,差异有统计学意义(P<0.05)。观察组治疗总有效率96.67%高于对照组的76.67%,差异有统计学意义(P<0.05)。结论颈肩腰腿痛患者采用综合疗法治疗能够增强疗效,降低炎性因子水平,尽快缓解症状,减轻不适感,值得推广。

Objective To observe the clinical effect of comprehensive therapy for patients with neck,shoulder,waist,and leg pain.Methods A total of 60 patients with neck,shoulder,back and leg pain were randomly divided into observation group and control group,with 30 cases in each group.The observation group was treated with comprehensive therapy,and the control group was treated with acupuncture.Both groups were compared in terms of traditional Chinese medicine score,inflammatory factors[tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),interleukin-6(IL-6)]levels,clinical efficacy,Constant-Murley score(C-M),Lysholm,clinical assessment scale for cervical spondylosis(CASCS)score,Japanese Orthopaedic Association(JOA)score.Results After treatment,the scores of functional limitation,pain and swelling in the observation group were(0.68±0.11),(0.82±0.19)and(0.76±0.13)points,which were lower than those of(1.27±0.31),(1.69±0.26)and(1.17±0.14)points in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of C-M,Lysholm,CASCS and JOA in the observation group were(75.78±4.28),(81.47±5.98),(79.78±5.36)and(23.52±1.26)points,which were higher than those of(69.38±4.59),(71.62±4.28),(70.36±5.29)and(14.84±2.74)points in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of TNF-α,CRP and IL-6 in the observation group were(0.83±0.11)μg/L,(5.03±0.64)mg/L and(11.54±1.18)ng/L,which were lower than those of(1.68±0.28)μg/L,(9.79±0.77)mg/L and(14.84±2.43)ng/L in the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group was 96.67%,which was higher than that of 76.67%of the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive therapy for patients with neck,shoulder,back and leg pain can enhance the curative effect,reduce the level of inflammatory factors,relieve symptoms as soon as possible,reduce discomfort,and is worth promoting.