针刺联合独活寄生汤加减对盘源性腰椎间盘突出症疼痛程度和血清炎性因子的影响
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R246.2;R681.5+3

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Effect of Acupuncture Combined with Modified Duhuo Jisheng Tang on Degree of Pain and Serum Inflammatory Factors of Discogenic Lumbar Disc Herniation
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    摘要:

    目的:观察针刺联合独活寄生汤加减对盘源性腰椎间盘突出症患者疼痛程度及血清炎性因子的影响。方法:将130 例盘源性腰椎间盘突出症患者随机分为对照组与观察组各65 例。对照组采用塞来昔布胶囊治疗,观察组在对照组基础上采用针刺联合独活寄生汤加减治疗。比较2 组临床疗效及治疗前后中医证候积分、血清炎性因子水平。结果:观察组总有效率93.85%,高于对照组76.92%(P<0.05)。与同组治疗前比较,治疗后2 组各项中医证候积分及总积分均下降(P<0.05);与对照组治疗后比较,观察组治疗后各项中医证候积分及总积分均较低(P<0.05)。与同组治疗前比较,治疗后2 组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、高敏-C 反应蛋白(hs-CRP)水平均降低(P<0.05);与对照组治疗后比较,观察组治疗后IL-6、TNF-α、hs-CRP 水平均较低(P<0.05)。结论:针刺联合独活寄生汤加减及塞来昔布对盘源性腰椎间盘突出症患者的治疗效果优于单纯使用塞来昔布治疗,且可显著地改善腰痛等中医证候,这可能与降低患者血清炎性因子水平有关。

    Abstract:

    Abstract:Objective:To observe the effect of the therapy of acupuncture combined with modified Duhuo Jisheng tang on degree of pain and serum inflammatory factors in patients with discogenic lumbar disc herniation. Methods: A total of 130 cases of patients with discogenic lumbar disc herniation were randomly divided into the control group and the observation group,with 65 cases in each group. The control group was treated with celecoxib capsules,and the observation group was additionally treated with acupuncture combined with modified Duhuo Jisheng tang based on the treatment of the control group. The Chinese medicine syndrome scores and levels of serum inflammatory factors before and after treatment and the clinical effects in the two groups were compared. Results: The total effective rate was 93.85% in the observation group, higher than that of 76.92% in the control group(P<0.05). After treatment,the Chinese medicine syndrome scores and total scores in the two groups were decreased when compared with those before treatment(P<0.05);after treatment,the above scores in the observation group were lower than those in the control group(P<0.05). After treatment, the levels of interleukin- 6(IL- 6), tumor necrosis factor- α(TNF- α) and high- sensitivity C- reactive protein(hs- CRP) in the two groups were decreased when compared with those before treatment(P<0.05);after treatment,the above levels in the observation group were lower than those in the control group(P<0.05). Conclusion: The curative effect of the therapy of acupuncture combined with modified Duhuo Jisheng tang and celecoxib on patients with discogenic lumbar disc herniation is better than that of simple celecoxib,which can significantly improve the Chinese medicine syndromes such as low back pain and may be related to reducing the serum inflammatory factors.

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王妞,高丙南,王洋.针刺联合独活寄生汤加减对盘源性腰椎间盘突出症疼痛程度和血清炎性因子的影响[J].新中医,2022,54(5):194-196

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  • 在线发布日期: 2022-03-10
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