Citation: | JIANG Chenhao, CAI Liangyu, ZHANG Jiannan, ZHOU Hongmei, LI Ronghua, QIU Xizi. Efficacy observation of extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in “five-shu points” in treatment of patients with blood stasis type of lumbar disk herniation[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 46-49, 72. DOI: 10.7619/jcmp.20213693 |
To observe the clinical efficacy of extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in "five-shu points" in treatment of patients with blood stasis type of lumbar disk herniation.
A total of 40 patients with lumbar disc herniation were randomly divided into control group and observation group, with 20 cases in each group. The control group was treated with extracorporeal shock wave, while the observation group was treated with extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in "five-shu points". Numerical Rating Scale (NRS) score, Japanese Orthopedic Association (JOA) score, clinical efficacy, incidence of adverse reactions and recurrence rate were compared between the two groups.
The NRS scores of both groups decreased significantly after treatment, and the NRS score of the observation group was significantly lower than that of the control group (P < 0.05). The JOA score of both groups after treatment was significantly increased than that before treatment (P < 0.05); after the second and third treatments, the JOA scores of the observation group were significantly higher than that of the control group (P < 0.05). The apparent healing rate of the observation group was 85.00%, which was significantly higher than 50.00% of the control group (P < 0.05). The adverse reaction of both groups was severe pain, including 1 case in the control group and 2 cases in the observation group, and there was no significant difference between two groups (P>0.05). No recurrence cases were found in both groups during follow-up.
Extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in "five-shu points" can significantly alleviate the pain of patients with lumbar disc herniation and promote the recovery of lumbar function.
[1] |
王谦, 王猛, 董奇, 等. 中医骨伤手法联合独活寄生汤加减治疗腰椎间盘突出疗效观察[J]. 四川中医, 2021, 39(8): 137-139. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY202108042.htm
|
[2] |
党芙蓉. 益肾蠲痹汤联合温针灸治疗寒湿型腰椎间盘突出症临床观察[J]. 风湿病与关节炎, 2017, 6(9): 4-7. https://www.cnki.com.cn/Article/CJFDTOTAL-FSBG201709011.htm
|
[3] |
张帮可, 卢旭华. 青少年腰椎椎间盘突出症流行病学及病因学研究进展[J]. 脊柱外科杂志, 2015, 13(4): 247-249. doi: 10.3969/j.issn.1672-2957.2015.04.013
|
[4] |
翟骁, 陈锴, 孙武权, 等. 中西医协作阶梯式治疗腰椎间盘突出症的意义与展望[J]. 第二军医大学学报, 2019, 40(4): 349-355. https://www.cnki.com.cn/Article/CJFDTOTAL-DEJD201904001.htm
|
[5] |
中华医学会骨伤病学分会. 腰椎间盘突出症的诊断标准[J]. 中国实用医药, 2014, 12(3): 1213-1215. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMYZ202110023.htm
|
[6] |
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: 93-94.
|
[7] |
孙文, 李江涛, 王晓玲. 循经针刺联合非手术脊柱减压对腰椎间盘突出症腰椎功能及血清TFAR19、Apaf-1的影响[J]. 辽宁中医药大学学报, 2022, 24(2): 93-97.
|
[8] |
康晓乐, 鹿洪辉, 陈江, 等. 益肾活血舒筋方联合椎间孔镜治疗肾虚血瘀型腰椎间盘突出症的临床疗效及对IL-1β、IL-6、PGE2、5-HT的影响[J]. 世界中西医结合杂志, 2021, 16(7): 1184-1188, 1200. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZX202107003.htm
|
[9] |
AVERIANOV A, SUES H D. Troodontidae (Dinosauria: Theropoda) from the upper cretaceous of Uzbekistan[J]. Cretac Res, 2016, 59: 98-110. doi: 10.1016/j.cretres.2015.11.005
|
[10] |
陈祖平, 董森, 李辉, 等. 中医外治综合疗法治疗腰椎间盘突出症1200例疗效观察[J]. 中医杂志, 2015, 56(13): 1128-1130. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ201513021.htm
|
[11] |
CAO L, WANG Y Q, YU T Q, et al. The effectiveness and safety of extracorporeal shock wave lithotripsy for the management of kidney stones: a protocol of systematic review and meta-analysis[J]. Medicine, 2020, 99(38): e21910. doi: 10.1097/MD.0000000000021910
|
[12] |
LUTTER C, SCHÖFFL V, HOTFIEL T, et al. Radial extracorporeal shock wave therapy in flexor tendon pathology of the hand: a feasibility study[J]. Technol Heal Care, 2020, 28(1): 77-83. doi: 10.3233/THC-191654
|
[13] |
王风波, 符茜, 李宏涛, 等. 神经阻滞联合冲击波治疗枕神经痛的疗效[J]. 实用临床医药杂志, 2020, 24(9): 30-32, 36. doi: 10.7619/jcmp.202009009
|
[14] |
CAPAN N L, ESMAEILZADEH S, ORAL A, et al. Radial extracorporeal shock wave therapy is not more effective than placebo in the management of lateral epicondylitis: a double-blind, randomized, placebo-controlled trial[J]. Am J Phys Med Rehabil, 2016, 95(7): 495-506. doi: 10.1097/PHM.0000000000000407
|
[15] |
HONG J O, PARK J S, JEON D G, et al. Extracorporeal shock wave therapy versus trigger point injection in the treatment of myofascial pain syndrome in the quadratus lumborum[J]. Ann Rehabil Med, 2017, 41(4): 582-588. doi: 10.5535/arm.2017.41.4.582
|
[16] |
ZHAO Y, SANTELLI A, ZHU X Y, et al. Low-energy shockwave treatment promotes endothelial progenitor cell homing to the stenotic pig kidney[J]. Cell Transplant, 2020, 29: 963689720917342. http://www.researchgate.net/publication/341974019_P0144LOW-ENERGY_SHOCKWAVE_TREATMENT_PROMOTES_ENDOTHELIAL_PROGENITOR_CELL_HOMING_TO_THE_STENOTIC_PIG_KIDNEY
|
[17] |
于维涛, 覃景春, 庄礼兴. 五腧穴理论及其运用[J]. 中医学报, 2018, 33(12): 2483-2485. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK201812048.htm
|
[18] |
张静莎, 马坤, 耿连岐, 等. 腧穴的特异性研究进展[J]. 中华中医药杂志, 2018, 33(11): 5045-5048. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201811071.htm
|
[19] |
姜金龙, 金丽燕, 金春玉. 基于朝医四象体质的经络腧穴特异性研究[J]. 亚太传统医药, 2021, 17(6): 9-11. https://www.cnki.com.cn/Article/CJFDTOTAL-YTCT202106003.htm
|