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Received:March 04, 2025 Published Online:June 20, 2025
Received:March 04, 2025 Published Online:June 20, 2025
中文摘要: 目的 探讨对具有保守治疗适应证的腰椎间盘突出症(LDH)采用中药熏蒸联合腰椎牵引疗法治疗的疗效。方法 选取阜阳市中医医院2021年2月至2022年12月收治的84例LDH患者为研究对象,按照随机数字表法分为两组各42例,对照组采用腰椎牵引疗法治疗,观察组采用中药熏蒸联合腰椎牵引疗法治疗,两组均治疗15 d。比较两组临床疗效,治疗前后腰椎功能[日本骨科协会评分(JOA)]、疼痛程度[视觉模拟评分法(VAS)]、腰椎活动度,炎症指标[血清C反应蛋白(CRP)、白细胞介素(IL)?6]水平。结果 治疗15 d后,观察组的临床疗效高于对照组(95.24% vs 78.57%,χ2=5.126,P<0.05);观察组JOA评分[(22.08±3.07)分 vs(18.72±2.67)分,t=5.352,P<0.01]及各项腰椎活动度均高于对照组(P<0.05);观察组VAS评分低于对照组[(2.62±0.71)分vs(3.99±1.19)分,t=6.407,P<0.01],血清CRP 水平[(4.88±1.32)mg/L vs(7.23±1.84)mg/L,t=6.725,P<0.01]和IL?6水平低于对照组[(7.69±1.52)pg/mL vs(9.82±1.88)pg/mL,t=5.710,P<0.01]。结论 中药熏蒸联合腰椎牵引疗法治疗LDH可有效降低患者疼痛,改善腰椎活动度及功能。
Abstract:Objective To explore the curative effect of Chinese medicine fumigation combined with lumbar traction therapy on lumbar disc herniation(LDH)with conservative treatment indications. Methods A total of 84 patients with LDH in Fuyang Traditional Chinese Medicine Hospital from February 2021 to December 2022 were selected as the research subjects. According to the random number table method,they were divided into two groups,with 42 cases in each group. The control group was treated with lumbar traction therapy,and the observation group received Chinese medicine fumigation combined with lumbar traction therapy. Both groups were treated for 15 days. The clinical efficacy and the indexes levels before and after treatment including lumbar function[Japanese Orthopedic Association Score(JOA)],pain degree[Visual Analogue Scale(VAS)],lumbar range of motion,inflammatory indicators[C - reactive protein(CRP),interleukin(IL)-6]were compared between groups. Results After 15 days of treatment,the clinical efficacy of observation group was higher than that of control group(95.24% vs 78.57%,χ2=5.126,P<0.05);compared with the control group,the JOA scores[(22.08±3.07)points vs(18.72±2.67)points,t=5.352,P<0.01]and various lumbar mobility in the observation group were higher(P< 0.05);VAS scores[(2.62 ± 0.71)points vs(3.99 ± 1.19)points,t=6.407,P<0.01],serum CRP level[(4.88±1.32)mg/L vs(7.23±1.84)mg/L,t=6.725,P<0.01]and IL -6levels[(7.69±1.52)pg/mL vs(9.82±1.88)pg/mL,t=5.710,P<0.01]in the observation group were lower than those in the control group. Conclusion Chinese medicine fumigation combined with lumbar traction on treating LDH patients can effectively reduce their pain,improve their lumbar range of motion and function.
keywords: Lumbar disc herniation Chinese medicine fumigation Lumbar traction therapy Lumbar range of motion Japanese Orthopedic Association score Inflammatory indicators
文章编号: 中图分类号:R246 文献标志码:B
基金项目:安徽省中医药传承创新科研项目(2024CCCX176);阜阳市卫生健康委科研项目(FY2021?149)
Author Name | Affiliation |
LIU Ying,ZHANG Jinli,MIAO Lili,ZHAO Sumei,NIE Liping | First Department of Acupuncture,Fuyang Traditional Chinese Medicine Hospital,Fuyang,Anhui 236000,China |
Author Name | Affiliation |
LIU Ying,ZHANG Jinli,MIAO Lili,ZHAO Sumei,NIE Liping | First Department of Acupuncture,Fuyang Traditional Chinese Medicine Hospital,Fuyang,Anhui 236000,China |
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