药物罐联合夹脊穴深刺治疗腰椎间盘突出症疗效及对M-JOA评分、ODI指数、生活质量的影响

目的观察药物罐联合夹脊穴深刺治疗腰椎间盘突出症(LDH)疗效及对M-JOA评分、ODI指数和生活质量的影响。方法将101例LDH患者随机分为观察组(50例)及对照组(51例),2组均首先接受常规西医基础治疗,对照组在其基础上给予药物罐治疗,观察组在对照组基础上加用夹脊穴深刺治疗,疗程均为2个月。记录2组临床疗效,观察2组治疗前后疼痛、腰背肌后伸活动度(ROM)和等长肌力(IMS)、肌电图、M-JOA腰痛评分表、ODI指数和生活质量的变化。结果观察组治疗总有效率明显高于对照组(P <0. 05)。2组治疗后疼痛视觉模拟评分(VAS)分级和平均分值均明显降低(P均<0. 05),观察组治疗后以上指标均明显低于对照组(P均<0. 05); 2组治疗后腰背肌ROM、IMS,股神经感觉传导速度(SCV)、运动传导速度(MCV),M-JOA评分,ODI指数均显著改善(P均<0. 05),动作电位潜伏期显著缩短(P均<0. 05),观察组治疗后以上指标改善情况均明显优于对照组(P均<0. 05); 2组治疗后世界卫生组织(WHO)生活质量评分量表(WHOQOL)中生理健康、心理健康、独立性、环境因素及社会关系评分均显著提高(P均<0. 05),观察组治疗后以上维度评分均明显高于对照组(P均<0. 05)。结论药物罐联合夹脊穴深刺治疗LDH疗效确定,能够显著缓解患者腰腿疼痛,提高腰背肌肌力和活动度,促进肌电图恢复,改善腰椎功能,提高生活质量。

推拿配合中药外敷治疗腰椎间盘突出症的疗效观察

目的:观察手法推拿配合中药外敷治疗腰椎间盘突出症的临床效果。方法:采用随机对照方法,将120例腰椎间盘突出症患者随机分为观察组与对照组各60例。其中观察组采用手法推拿联合中药外敷疗法,对照组采用中药内服治疗,观察两组临床疗效,比较两组的总有效率。结果:观察组总有效率为93.33%,对照组总有效率为83.33%,观察组的有效率高于对照组,差异具有统计学意义(P<0.05)。结论:应用手法推拿联合中药外敷治疗腰椎间盘突出症具有显著的疗效。

温肾固疏汤对绝经后骨质疏松性骨折患者术后氧化应激反应、骨代谢和骨密度的影响

目的:探究温肾固疏汤对绝经后骨质疏松性骨折患者术后氧化应激反应、骨代谢和骨密度的影响。方法:选取绝经后骨质疏松性骨折患者90例作为研究对象,随机分为对照组和观察组,每组各45例。对照组患者予以口服钙尔奇D片及阿伦膦酸钠治疗,观察组患者在对照组基础上联用温肾固疏汤治疗。比较治疗前后2组患者各氧化应激指标[晚期氧化蛋白产物(AOPP)、超氧化物歧化酶(SOD)、代谢酶单胺氧化酶A (MAOA)、总抗氧化能力(T-AOC)]、骨代谢指标[血清骨钙素(s OC)、骨碱性磷酸酶(s BAP)、Ⅰ型胶原交联C端肽(s CTx)]、骨密度指标[左侧位L2～4、左侧股骨颈、左侧大粗隆、左侧Ward's三角区骨密度]、VAS评分,及治疗后骨折发生率和不良反应发生情况。结果:治疗后,观察组患者AOPP及MAOA均显著低于对照组,而SOD及T-AOC均显著高于对照组(P <0. 05);观察组治疗后s OC及s BAP较治疗前升高,Ⅰ型胶原交联C端肽(s CTx)及尿Ⅰ型胶原交联N端肽(u NTx)/尿肌酐(Cr)较治疗前降低(P <0. 05),而对照组各骨代谢指标无明显变化(P> 0. 05);治疗后观察组各骨密度指标均高于对照组,视觉模拟法(VAS)评分及骨折发生率低于对照组(P <0. 05),2组患者不良反应发生率无明显差异(P> 0. 05)。结论:温肾固疏汤能有效改善绝经后骨质疏松性骨折患者术后氧化应激反应及骨代谢,提升骨密度,具有很好的疗效。

中药熏洗配合关节内注射透明质酸钠治疗骨性关节炎的临床疗效及安全性

目的 探讨采用中药熏洗配合关节内注射透明质酸钠治疗骨性关节炎患者的临床疗效及安全性。方法 选取2018年1月至2020年12月本院收治的70例骨性关节炎患者作为研究对象,随机分为单一组(关节内注射透明质酸钠治疗)和联合组(中药熏洗配合关节内注射透明质酸钠治疗),各35例。比较两组临床疗效、生命质量评分、Harris量表评分、抑郁自评量表(SDS)评分、疼痛评分及安全性。结果 联合组治疗总有效率为94.29%,高于单一组的71.43%,差异有统计学意义(P<0.05);治疗前,两组生命质量评分、Harris量表评分、SDS量表评分、疼痛评分比较差异无统计学意义;治疗后,联合组生命质量评分[(90.15±2.88)分]、Harris量表评分[(85.23±2.45)分]均高于单一组[(78.88±3.15)、(75.12±5.17)分],SDS量表评分[(25.22±5.29)分]、疼痛评分[(1.22±0.25)分]低于单一组[(40.22±3.12)、(3.59±0.27)分],差异有统计学意义(P<0.05)。两组均未出现严重不良反应,治疗安全性较高。结论 中药熏洗配合关节内注射透明质酸钠治疗骨性关节炎患者效果显著,可提高患者生命质量评分,缓解疼痛程度,且安全性较高,可提高预后水平。

Curative Effects of Warming Needle Moxibustion Combined with Manipulation Massage on Cervical Spondylotic Vertebral Arteriopathy and Its Influence on the Cerebral Blood Flow Parameters and Cervical Vertebral Function

OBJECTIVE: To explore the curative effects of warming needle moxibustion combined with manipulation massage on cervical spondylotic vertebral arteriopathy and its influence on the cerebral blood flow and cervical vertebra function. METHODS: A total of 84 patients with cervical spondylotic vertebral arteriopathy admitted to our hospital from February 2016 to June 2017 were selected, and all patients were divided into an observation group (n=42) and a control group (n=42) according to the random number table method. The patients in the control group were given conventional western treatment, and the patients in the observation group were treated with warming needle moxibustion combined with manipulation massage on the basis of the control group. After 4 weeks of treatment, the changes of main clinical symptoms (vertigo, headache, neck and shoulder pain, tinnitus), cervical function (clinical symptoms, clinical examination, daily life action) and cerebral blood flow parameters (average blood flow velocity of left vertebral artery, right vertebral artery and basilar artery) of the 2 groups were observed, and the clinical efficacy of the 2 groups were statistically analyzed. RESULTS: The scores of vertigo, headache, neck and shoulder pain and tinnitus in the 2 groups were all significantly lower than before treatment (P < 0.05), and the clinical symptom scores in the observation group were significantly lower after treatment (P < 0.05);After treatment, the scores of clinical symptoms, clinical examination and daily life action in the 2 groups were significantly higher than those before treatment (P < 0.05), and the increase of cervical vertebral function score in the observation group was better than that in the control group (P < 0.05);The mean blood flow velocity of the left vertebral artery, right vertebral artery and the basilar artery in the 2 groups after treatment were significantly higher than before treatment (P < 0.05), and the increase of the above cerebral blood flow parameters in the observation group were higher than the control group (P < 0.05). The total effective rate was 92.9% in the observation group and 76.2% in the control group after treatment, and the difference between the 2 groups was statistically significant (P < 0.05). CONCLUSION: Warming needle moxibustion combined with manipulation massage can quickly relieve the clinical symptoms of patients with cervical spondylotic vertebral arteriopathy, improve the cervical function and cerebral blood flow parameters, increase the vertebrobasilar artery blood flow, and promote the recovery of the disease.

椎体滑脱是一种怎样的病

椎体滑脱又称为脊椎滑脱或腰椎滑脱,是一种常见的骨科疾病,通常影响脊柱的下胸椎和腰椎部位,会对患者的生活造成严重影响。本文将深入探讨椎体滑脱的病因、症状以及治疗选择,提高公众对该病的认知。