平乐熏药联合电针治疗腰椎退行性骨关节病临床观察
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R684.3

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广东省第二批名中医师承项目(粤中医 号,粤财社[2015] 77号)


Clinical Observation of Pingle Fimigation Combined with Electroacupuncture for Lumbar Degenerative Joint Disease
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    摘要:

    目的:观察平乐熏药联合电针疗法与单纯电针疗法治疗腰椎退行性骨关节病的临床疗效。方法:将符合纳入标准的60例腰椎退行性骨关节病患者随机分为2组各30例。治疗组采用平乐薰药联合电针治疗,对照组采用单纯电针治疗。2组均治疗2周,治疗结束后比较2组疼痛视觉模拟评分法(VAS)评分、日本骨科学会(JOA)评分以及红外热图局部均温治疗前后的变化及组间差异。结果:治疗3天后,2组VAS评分比较,差异无统计学意义(P<0.05);治疗1周后,2组VAS评分比较,差异有统计学意义(P<0.01);治疗2周后,2组VAS评分比较,差异有统计学意义(P<0.01)。治疗后,2组JOA评分和红外热图温度上进行比较,差异均有统计学意义(P<0.05)。治疗组VAS疼痛评分总有效率为86.67%,对照组63.33%,JOA评分总有效率治疗组80.00%,对照组60.00%,2组疼痛VAS评分总有效率、JOA总有效率分别比较,差异均有统计学意义(P<0.05)。结论:平乐薰药验方联合电针疗法与单纯电针疗法治疗腰椎退行性骨关节病均有疗效,平乐薰药联合电针疗法疗效更佳,值得临床应用。

    Abstract:

    Objective:To observe the clinical effect of Pingle fumigation combined with electroacupuncture therapy and th e simple electroacupuncture therapy for lumbar degenerative joint disease.Methods:Divided 60 cases of patients with lumbar degenerative joint disease into two groups randomly according to the inclusion criteria,30 cases in each group.The treatment group was given Pingle fumigation combined with electroacupuncture for treatment,while the observation group was given simple electroacupuncture.The treatment lasted for two weeks in both groups.Compared the changes and the intergroup differences of visual analogue scale(VAS),Japanese Orthopedic Association(JOA)and the local uniform temperature of infrared thermography of patients in the two groups before and after treatment.Results:After treatment of three days,no significant difference was found in the comparison of VAS between the two groups(P> 0.05).After treatment of one week,the comparison of VAS between the two groups showed significance in differences(P<0.01).After treatment of two weeks,the comparison of VAS between the two groups showed significance in differences(P<0.01).After treatment,the comparison of JOA and the temperature of infrared thermography between the two groups showed significance in differences(P<0.05).The total effective rate of VAS was 86.67%in the treatment group and was 63.33%in the control group,and the total effective rate of JOA was 80.00%in the treatment group and was 60.00%in the control group,differences being significant(P<0.05).Conclusion:Proved prescription of Pingle fumigation combined with electroacupuncture therapy and the simple electroacupuncture therapy have effect in treating lumbar degenerative joint disease,but the therapy of Pingle fumigation combined with electroacupuncture has a better clinical effect and it is worthy of clinical application.

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韩芳苗,陈志新,张文杰,指导:李郑林.平乐熏药联合电针治疗腰椎退行性骨关节病临床观察[J].新中医,2018,50(5):155-158

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  • 在线发布日期: 2018-05-03
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