石氏牛蒡子汤联合温针灸治疗腰椎间盘突出临床观察

目的:观察石氏牛蒡子汤联合温针灸治疗腰椎间盘突出(LDH)的效果。方法:80例随机分为参照组和联合组各40例。两组均用温针灸疗法,联合组加用石氏牛蒡子汤治疗。结果:联合组总有效率高于参照组(P<0.05),治疗后联合组腰痛、下肢乏力、下肢放射痛及麻木等积分均低于参照组(P<0.05),治疗后联合组JOA评分高于参照组,ODI及VAS评分低于参照组(P<0.05),治疗后两组血细胞比容、血浆黏度及红细胞变形指数均下降而联合组下降幅度更为显著(P<0.05),治疗后联合组PGE_(2)、COX-2、IL-23及5-HT水平下降幅度大于参照组(P<0.05)。结论:石氏牛蒡子汤联合温针灸治疗LDH疗效较好。

Objective:To observe the effect of Shi’s Niubangzi Decoction combined with warming needle moxibustion in the treatment of lumbar disc herniation(LDH).Methods:Eighty cases were randomly divided into the reference group and the combined group,40 cases in each group.Both groups were treated with warming needle moxibustion,and the combined group were treated with Shi’s Niubangzi Decoction.Results:The total effective rate of the combined group was higher than that of the reference group(P<0.05).After treatment,the scores of low back pain,lower limb fatigue,lower limb radiation pain and numbness in the combined group were lower than those in the reference group(P<0.05).After treatment,the JOA score of the combined group was higher than that of the reference group,and the ODI and VAS scores were lower than those of the reference group(P<0.05).After treatment,the hematocrit,plasma viscosity and erythrocyte deformation index of the two groups decreased,and the decrease of the combined group was more significant(P<0.05).After treatment,the levels of PGE_(2),COX-2,IL-23 and 5-HT in the combined group decreased more than those in the reference group(P<0.05).Conclusion:Shi’s Niubangzi Decoction combined with warming needle moxibustion is effective in the treatment of LDH.