揿针联合中药对气滞血瘀型腰椎间盘突出症临床疗效观察

Clinical Effect of Press Needle Combined with Traditional Chinese Medicine on Patients with Qi-Stagnation and Blood-Stasis Type of Lumbar Disc Herniation

目的探究揿针联合中药疗法治疗腰椎间盘突出症气滞血瘀证型患者的疗效。方法共入组180例气滞血瘀型腰椎间盘突出症患者,病例均来源为2021年6月—2022年6月在医院骨科门诊的患者,病例通过随机数字表法被分为对照组、中药组和揿针+中药组,每组各60例患者。中药组采用单纯中药口服,揿针+中药组采用揿针联合中药疗法,对照组干预方式为西药口服,观察指标为治疗后各组有效率、中医证候评分、Oswetr功能障碍指数(ODI)、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)、视觉模拟评分(Visual Analogue Scale Scores,VAS)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)等指标的差异。结果总有效率揿针联合中药组>中药组>对照组,且各组总有效率差异有统计学意义(P<0.05)。治疗前,组间的中医证候评分、ODI、JOA、VAS、TNF-α、IL-6等指标差异无统计学意义(P>0.05);治疗后,中药组、揿针+中药组及对照组在总有效率、中医证候评分、JOA、VAS、ODI、IL-6、TNF-α等方面的指标差异有统计学意义(P<0.05),且揿针+中药组、中药组均优于对照组,揿针+中药组优于中药组,差异均有统计学意义(P<0.05)。结论治疗腰椎间盘突出症气滞血瘀型患者时,中药疗法、揿针联合中药疗法在减轻患者腰腿酸痛、缓解腰部板硬、减轻局部压痛、降低炎症指标、改善腰椎活动功能等方面均优于单纯口服西药,且揿针联合中药疗法疗效最优。

Objective To explore the therapeutic effect of press needle combined with traditional Chinese medicine on patients with lumbar disc herniation of Qi stagnation and blood stasis syndrome.Methods A total of 180 patients with lumbar disc hernia⁃tion of Qi stagnation and blood stasis type were enrolled in the study.All the patients were from the orthopaedic clinic of the hos⁃pital from June 2021 to June 2022.The patients were randomly divided into the control group,Chinese medicine group and the press needle+Chinese medicine group,and each group had 60 patients.The Chinese medicine group was treated with Chinese medicine by oral administration,the press needle+Chinese medicine group was treated with press needle combined with Chinese medicine,and the control group was treated with western medicine by oral administration.The observation indicators were the ef⁃fective rate of each group after treatment,the TCM syndrome scores,Oswetr dysfunction index(ODI),Japanese Orthopaedic Asso⁃ciation scores(JOA),visual analog scale scores(VAS),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and other indicators.Results The total effective rate of press needle+Chinese medicine group was higher than that of Chinese medicine group and the total effective rate of each group was significantly(P<0.05).Before treatment,TCM syndrome scores,ODI,JOA,VAS and TNF-α,IL-6 and other indicators between groups had no significant difference in(P>0.05).After treatment,the total effective rate,TCM syndrome scores,JOA,VAS,ODI,IL-6 and TNF-αof the Chinese medicine group,press needle+Chi⁃nese medicine group and the control group were statistically significant(P<0.05),and the press needle+Chinese medicine group and Chinese medicine group were better than the control group,while the press needle+Chinese medicine group was better than the Chinese medicine group with statistically significant differences(P<0.05).Conclusion For the treatment of patients with lumbar intervertebral disc disease of Qi stagnation and blood stasis type,Chinese medicine therapy and press needle com⁃bined with Chinese medicine therapy are superior to western medicine alone in relieving waist and leg pain,lumbar stiffness and local tenderness,reducing inflammatory indicators and improving lumbar motion function,and press needle combined with Chinese medicine therapy has a better effect.