Effect of bone injury manipulation of traditional Chinese medicine and Buyang Huanwu Decoction for patients with lumbar disc herniation
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摘要: 目的 探讨中医骨伤手法加补阳还五汤对腰椎间盘突出症患者日本骨科协会(JOA)评分与炎症因子水平的影响。 方法 选取本院收治的腰椎间盘突出症患者100例为研究对象,按随机投掷法分为对照组和研究组,每组50例。对照组给予常规西药治疗,研究组给予中医骨伤手法联合补阳还五汤治疗,比较2组治疗效果。 结果 研究组有效率显著高于对照组(P<0.05); 2组治疗前视觉模拟评分法(VAS)评分、JOA评分差异无统计学意义(P>0.05); 治疗后,研究组VAS评分显著低于对照组,JOA评分显著高于对照组(P<0.05); 2组治疗前白细胞介素-6(IL-6)、C反应蛋白(CRP)水平差异无统计学意义(P>0.05); 治疗后,研究组IL-6、CRP炎症因子水平均显著低于对照组(P<0.05)。 结论 中医骨伤手法联合补阳还五汤治疗腰椎间盘突出症的效果显著。Abstract: Objective To explore the effect of bone injury manipulation of traditional Chinese medicine and Buyang Huanwu Decoction on Japanese Orthopedic Association(JOA)score and inflammatory factor levels in patients with lumbar disc herniation. Methods A total of 100 patients with lumbar disc herniation who were treated in our hospital were selected as research objects, and divided into control group and study group by random throwing method, with 50 cases in each group. The control group was treated by conventional western medicine, while the study group was given bone injury manipulation of traditional Chinese medicine combined with Buyang Huanwu Decoction, and the treatment effects of the two groups were compared. Results The effective rate of the study group was significantly higher than that in the control group(P<0.05); before treatment, Visual Analogue Scale(VAS)score and JOA score showed no significant difference between the two groups(P>0.05); after treatment, the study group had significantly lower VAS score, and significantly higher JOA score than the control group(P<0.05); before treatment, the levels of interleukin-6(IL-6)and C reactive protein(CRP)showed no significant differences between the two groups(P>0.05); after treatment, the levels of IL-6 and CRP in the study group were significantly lower than those in the control group(P<0.05). Conclusion The bone injury manipulation of traditional Chinese medicine combined with Buyang Huanwu Decoction has significant effect in the treatment of lumbar disc herniation.
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戚晴雪, 刘华, 甄朋超, 等. 夏氏六步手法对血瘀气滞型腰椎间盘突出症患者下肢神经传导的影响[J]. 中国中医骨伤科杂志, 2020, 28(4): 24-28. 吴冰. 康复护理在微创手术治疗腰椎间盘突出症中的应用[J]. 按摩与康复医学, 2020, 11(8): 65-67. 龚成. 腰骶灵活性训练对腰椎间盘突出症患者干预效果的临床研究[D]. 北京: 北京体育大学, 2018. 杨志荣, 张世科, 等. 腰椎间盘突出症诊断中联合应用CT、X线扫描的价值分析[J]. 现代医用影像学, 2020, 29(3): 491-492 , 495.
张磊, 徐步凌. 揉-颤-推复合推拿手法联合牵引治疗腰椎间盘突出症的临床研究[J]. 内蒙古中医药, 2020, 39(2): 110-111. 史珊怡, 关睿骞, 于志国, 等. 五段拔伸推拿法联合中药热敷治疗腰椎间盘突出症[J]. 贵州医科大学学报, 2020, 45(2): 228-232. 阚丽娜, 何希俊, 何靖霜, 等. 中西医结合治疗腰椎间盘突出症肾阳虚型疗效观察[J]. 实用中医药杂志, 2020, 36(2): 179-181. 劳锦锦, 方略, 董叶凯, 等. 骶管药物冲击疗法联合补阳还五汤口服治疗腰椎间盘突出症60例分析[J]. 浙江医学教育, 2020, 19(1): 57-60. 赵萃, 毕锋莉, 崔静, 等. 基于络病理论指导的补阳还五汤加味对腰椎间盘突出症术后康复的影响[J]. 中国实验方剂学杂志, 2020, 26(8): 124-129. 安忠诚, 王国强, 朱宇尘, 等. 颈椎前路椎间盘切除椎间融合内固定术联合补阳还五汤口服治疗颈椎间盘突出合并脊髓损伤所致中枢性疼痛[J]. 中医正骨, 2019, 31(8): 48-51 , 56.
张立源, 俞杰, 宋雪, 等. 腰椎间盘突出症患者经皮椎间孔镜手术后血清疼痛介质及炎症因子的分析[J]. 宁夏医科大学学报, 2018, 40(11): 1288-1292. 王华磊, 汤立新, 程省, 等. 腰椎术后反应性疼痛与引流液中炎症因子的相关性分析[J]. 颈腰痛杂志, 2018, 39(4): 432-434. 吕晓蕊, 陆伟峰, 倪菁琳, 等. 补阳还五汤治疗血瘀型腰椎间盘突出症50例[J]. 中医临床研究, 2018, 10(1): 65-66 , 68.
胡宏伟, 陈小珍, 丁浩. 独活寄生汤联合手法整复治疗腰椎间盘突出症疗效及对炎症因子的影响[J]. 浙江中西医结合杂志, 2017, 27(12): 1058-1060. 王晓迪, 谢建荣, 刘云滨, 等. 补阳还五汤联合推拿手法治疗青年腰椎间盘突出症[J]. 广西中医药, 2019, 42(2): 63-64.
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