苍龟探穴法针刺联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症患者的效果

Effects of green tortoise probe needling combined with Shentong Zhuyu decoction in treatment of patients with lumbar disc herniation of qi stagnation and blood stasis type

目的:观察苍龟探穴法针刺联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症患者的效果。方法:回顾性分析2020年1月至2022年12月该院收治的100例气滞血瘀型腰椎间盘突出症患者的临床资料,按照治疗方法不同将其分为研究组与对照组各50例。对照组采用身痛逐瘀汤治疗,研究组在对照组基础上联合苍龟探穴法针刺治疗,两组均治疗28 d。比较两组临床疗效,治疗前后中医证候积分、腰椎功能[日本骨科协会(JOA)、Oswestry功能障碍指数(ODI)]评分,以及不良反应发生率。结果:研究组治疗总有效率为88.00%(44/50),高于对照组的70.00%(35/50),差异有统计学意义(P<0.05);治疗后,研究组腰痛如刺、日轻夜重、转侧难安等中医证候积分均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组JOA评分高于对照组,ODI评分低于对照组,差异有统计学意义(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:苍龟探穴法针刺联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症患者可提高治疗总有效率,改善腰椎功能评分,降低中医证候积分,效果优于单纯身痛逐瘀汤治疗。

Objective:To observe effects of green tortoise probe needling combined with Shentong Zhuyu decoction in treatment of patients with lumbar disc herniation of qi stagnation and blood stasis type.Methods:The clinical data of 100 patients with lumbar disc herniation of qi stagnation and blood stasis type admitted to this hospital from January 2020 to December 2022 were retrospectively analyzed.According to different treatment methods,they were divided into study group and control group,50 cases in each.The control group was treated with Shentong Zhuyu decoction,while the study group was treated with green tortoise probe needling on the basis of that of the control group.Both groups were treated for 28 days.The clinical efficacy,the TCM syndrome scores,the lumbar function[Japanese orthopaedic association(JOA),Oswestry disability index(ODI)]scores before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the study group was 88.00%(44/50),which was higher than 70.00%(35/50)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as low back pain,being mild in daytime and sever in night,and difficulty in turning side in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the JOA score of the study group was higher than that of the control group,the ODI score was lower than that of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P<0.05).Conclusions:Green tortoise probe needling combined with Shentong Zhuyu decoction in the treatment of the patients with lumbar disc herniation of qi stagnation and blood stasis type can improve the total effective rate of treatment,improve the lumbar function scores,and reduce the TCM syndrome scores.Moreover,it is superior to single Shentong Zhuyu decoction treatment.