[1]朱民顺,王玉文,张昊,等.浮针联合腰痛舒方治疗寒湿痹阻型盘源性腰痛的临床疗效观察[J].中国中医骨伤科杂志,2024,32(03):30-34.[doi:10.20085/j.cnki.issn1005-0205.240306]
　ZHU Minshun,WANG Yuwen,ZHANG Hao,et al.Clinical Efficacy of FU's Subcutaneous Needling Combined with Yaotongshu Formula on the Treatment of Cold-Damp Obstruction Syndrome Type Discogenic Back Pain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(03):30-34.[doi:10.20085/j.cnki.issn1005-0205.240306]
点击复制

浮针联合腰痛舒方治疗寒湿痹阻型盘源性腰痛的临床疗效观察()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年03期
页码:
30-34
栏目:
临床研究
出版日期:
2024-03-15

文章信息/Info

Title:
Clinical Efficacy of FU's Subcutaneous Needling Combined with Yaotongshu Formula on the Treatment of Cold-Damp Obstruction Syndrome Type Discogenic Back Pain
文章编号:
1005-0205(2024)03-0030-05
作者:
朱民顺1; 王玉文1; 张昊1; 王正2; 梁龙2; 张建华2△
1安徽中医药大学第一临床医学院(合肥,230031)
2安徽中医药大学第一附属医院
Author(s):
ZHU Minshun1; WANG Yuwen1; ZHANG Hao1; WANG Zheng2; LIANG Long2; ZHANG Jianhua2△
1First Clinical School of Anhui University of Chinese Medicine,Hefei 230031,China; 2First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China.
关键词:
盘源性腰痛;  浮针;  腰痛舒方;  寒湿痹阻型
Keywords:
discogenic back pain;  FU's subcutaneous needling;  Yaotongshu formula;  cold-damp obstruction syndrome
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.240306
文献标志码:
A
摘要:
目的:观察浮针联合腰痛舒方治疗寒湿痹阻型盘源性腰痛(Discogenic Back Pain,DBP)患者的临床疗效。方法:选取盘源性腰痛患者80例,分为观察组和对照组(各40例)。两组患者均采用口服腰痛舒方治疗,观察组在对照组基础上增加浮针治疗。对比两组患者疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、白介素-6(IL-6)、白介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)水平及临床疗效。结果:观察组疗效优于对照组,差异有统计学意义(P<0.05); 两组患者治疗后的VAS评分和ODI评分均比治疗前降低,差异有统计学意义(P<0.05),且观察组明显低于对照组,差异有统计学意义(P<0.05); 两组患者治疗后的IL-6、L-10和TNF-α水平均比治疗前下降,差异有统计学意义(P<0.05),且观察组明显低于对照组,差异有统计学意义(P<0.05); 观察组的优良率明显高于对照组,差异有统计学意义(P<0.05),治疗过程中无严重不良反应。结论:浮针联合腰痛舒方治疗寒湿痹阻型盘源性腰痛临床效果显著,缓解疼痛明显,促进功能恢复。
Abstract:
Objective:The clinical efficacy of FU's subcutaneous needling combined with Yaotongshu formula in treating patients with cold-damp obstruction syndrome in discogenic back pain(DBP).Methods:80 patients with discogenic back pain were selected and they were divided into observation group and control group with 40 cases in each group according to the method of randomized numerical table.Both groups were treated with oral Yaotongshu formula,and observation group was treated with FU's subcutaneous needling treatment in addition to control group.The two groups were compared in terms of pain visual analogue scale(VAS),Oswestry disability index(ODI),interleukin-6(IL-6),interleukin-10(IL-10),tumor necrosis factor-α(TNF-α)levels and clinical efficacy.Results:The therapeutic efficacy of observation group was better than that of control group(P<0.05).The VAS scores and ODI scores of the two groups were lower than those of the pre-treatment period(P<0.05),and observation group was significantly lower than that of control group(P<0.05).The levels of IL-6,L-10 and TNF-α in both groups decreased after treatment compared with those before treatment(P<0.05),and observation group was significantly lower than that of control group(P<0.05).The excellent rate of observation group was significantly higher than that of control group(P<0.05).Conclusion:FU's subcutaneous needling combined with Yaotongshu formula for treating cold-damp obstruction syndrome type discogenic back pain is clinically effective,relieves pain significantly,and promotes functional recovery.

参考文献/References:

[1] 康海龙,古恩鹏,谢海波,等.盘源性腰痛的诊疗进展[J].中国中医骨伤科杂志,2014,22(12):78-80.
[2] 张建波,陈金生,宫庆娟,等.椎间盘内注射富血小板血浆与射频热凝治疗盘源性腰痛的疗效比较[J].中国疼痛医学杂志,2022,28(7):515-521.
[3] 刘锦涛,俞鹏飞,李晓春,等.姜宏教授治疗破裂型腰椎间盘突出症临床经验举隅[J].中国中医骨伤科杂志,2010,18(8):57-58.
[4] 张春松,梁伟国,李小峰,等.针刺肌筋膜激发点治疗盘源性腰痛45例[J].光明中医,2022,37(6):1033-1035.
[5] 符仲华.浮针医学纲要[M].北京:人民卫生出版社,2016:3-4.
[6] 符仲华,甘秀伦,吴凤芝,等.气血新论[J].现代中医临床,2020,27(3):68-70.
[7] 刘彬,赵睿,韩康,等.浮针疗法联合腰腹部核心肌群训练治疗慢性非特异性下腰痛临床观察[J].山东中医药大学学报,2020,44(5):544-549.
[8] 符仲华,甘秀伦.气血新论:基于浮针医学的中西汇通[M].北京:人民卫生出版社,2021:27-34.
[9] 王旗,张建华.腰痛舒联合塞来昔布胶囊治疗盘源性腰痛临床观察[J].实用中医药杂志,2023,39(2):322-324.
[10] 李国栋,张建华.腰痛舒加减配合腰椎斜扳法治疗腰椎管狭窄症风寒湿痹型临床观察[J].实用中医药杂志,2022,38(1):11-12.
[11] 王星宇,张建华.腰痛舒治疗腰椎间盘突出症100例临床疗效观察[J].中医药临床杂志,2018,30(2):345-347.
[12] 杨惠林,马宏庆,王根林,等.全国腰椎退行性疾患座谈会会议纪要[J].中华骨科杂志,2006(10):711-716.
[13] 国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:214.
[14] 王科,黄国付,李李,等.夹脊电针对兔退变腰椎间盘神经纤维内向生长的影响[J].针灸临床杂志,2021,37(7):59-65.
[15] 张明赳,魏玉锋.大通道全内镜下单侧入路双侧椎管减压治疗退变性腰椎管狭窄症[J].临床骨科杂志,2023,26(3):314-317.
[16] 赵锦胜,曹汉岐,杨寒石.经皮内镜腰椎间盘切除术治疗经保守治疗无效的腰椎间盘突出症的临床效果[J].中国内镜杂志,2022,28(9):79-84.
[17] ABIDIN N Z,ROHANI J M,NORDIN A N,et al.Financial impact and causes of chronic musculoskeletal disease cases in malaysia based on social security organization of malaysia claims record[J].International Journal of Engineering and Technology,2018,7:23.
[18] 吴彩勤,范秀英.温通刮痧疗法治疗急性期盘源性腰痛的疗效观察[J].中国中医急症,2021,30(4):698-700.
[19] 李光富,彭丰,吴美平.SDF-1、IL-17、OPG与LDH经皮脊柱椎间孔镜术后疼痛关系及对腰椎功能的影响[J].中国骨与关节杂志,2023,12(6):414-418.
[20] 陈祁青,马东,赵继荣,等.基于网络药理学及动物实验的杜仲腰痛丸治疗腰椎间盘突出症慢性下肢痛的作用研究[J].世界科学技术-中医药现代化,2023,25(5):1702-1713.
[21] 孟超,章玉冰,李勇,等.Quadrant通道下腰椎微创融合治疗腰椎退行性疾病86例[J].中国中医骨伤科杂志,2021,29(10):47-50.
[22] 杨益,林良才,梁林燕.浮针治疗急性椎间盘源性腰痛30例临床研究[J].江苏中医药,2018,50(11):62-65.
[23] 戴伟怡,戴伟莉.浮针加拔罐疗法治疗急性腰痛的临床疗效[J].深圳中西医结合杂志,2021,31(18):72-74.
[24] 邵银进,谢水平,王晓春,等.浮针疗法治疗慢性非特异性下腰痛随机对照研究[J].湖北中医杂志,2021,43(7):45-48.
[25] 马瑀彤,孙忠人,胡其回,等.浮针治疗带状疱疹后遗神经痛研究进展[J].现代中西医结合杂志,2023,32(6):866-870.
[26] 王茉蕾,马力群,李华.浮针疗法联合推拿治疗慢性非特异性腰痛气滞血瘀证46例[J].环球中医药,2022,15(3):511-514.

备注/Memo

备注/Memo:
基金项目:安徽省自然科学基金项目(2308085QH292)
2022年安徽中医药大学科研基金项目(2022ZJXK04)
金天格中青年科研基金项目(88)
2022年安徽省名中医及基层名中医工作室建设项目(中发展2022年5号)
△通信作者 E-mail: leungloongtcm@163.com
更新日期/Last Update: 2024-03-15