针药结合治疗腰椎间盘突出症的效果

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Abstract Objective To observe the clinical efficacy of acupuncture combined with medicine in the treatment of lumbar disc herniation. Methods A total of 80 patients with lumbar disc herniation admitted to Shunyi Hospital, Beijing Hospital of Traditional Chinese Medicine from June 2017 to June 2019 were divided into observation group and control group by random number table method, with 40 cases in each group. The control group was given Duhuo Jisheng Decoction orally; the observation group was treated with “Wang’s lumbago eight needles” on the basis of the control group. The changes of visual analogue scale (VAS), Japanese orthopaedic association acores (JOA), Oswestry disability index score (ODI), and the level of pain related mediators in serum were observed and compared between the two groups before treatment, after two weeks of treatment and tree months of follow-up. Results The JOA, ODI and VAS scores in both groups after two weeks of treatment and three months of follow-up were higher than those before treatment, and observation group was higher than control group (all P ＜ 0.05). After treatment, serum PGE2 and 5-HT levels in two groups were lower than before treatment, and β-EP levels in two groups were higher than before treatment (all P ＜ 0.05). After treatment, PGE2 and 5-HT levels in observation group were lower than control group, and serum β-EP level was higher than control group, the differences were all statistically significant (all P ＜ 0.05). The total effective rate of observation group was higher than control group (P ＜ 0.05). Conclusion Acupuncture combined with Duhuo Jisheng Decoction can significantly improve the clinical symptoms of patients with lumbar disc herniation, regulate the level of pain mediators, and has a good long-term effect.

Key words： Lumbar disc herniation Acupuncture Eight needlings for lumbago Duhuo Jisheng Decoction Pain mediators

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	HONG Qiuyang LIU Xiaojing WANG Guiling

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HONG Qiuyang LIU Xiaojing WANG Guiling. Effect of acupuncture combined with medicine on lumbar disc herniation[J]. 中国医药导报, 2021, 18(12): 111-114.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I12/111

[1] S.Terry Canale. 坎贝尔骨科手术学[M].11版.王岩译.北京：人民军医出版社，2009：1693-1699.
[2] 王国基，王国军，彭健民，等.腰椎间盘突出症致病因素的流行病学研究[J].现代预防医学，2009，36（13）：2401-2403.
[3] Pourahmadi MR，Taghipour M，Ebrahimi Takamjani I，et al. Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis [J]. BMJ Open，2016，6（9）：12-26.
[4] 高浩然，韩康，卞娜，等.经皮椎间孔镜治疗腰椎间盘突出症临床疗效观察[J].现代生物医学进展，2015，15（11）：2134-2137.
[5] 胡有谷.腰椎间盘突出症[M].4版.北京：人民卫生出版社，2011：25-26.
[6] 国家中医药管理局.中医病证诊断疗效标准[S].南京：南京大学出版社，1994：234.
[7] 苏永强，屈亮，谭子文，等.独活寄生汤联合腰椎手法治疗腰椎间盘突出症的临床研究[J].中国医药导报，2017， 14（19）：85-88.
[8] 高希言，郭娅静，王鑫，等.不同透灸量治疗腰椎间盘突出症疼痛的临床研究[J].中华中医药学刊，2016，34（12）：2823-2826.
[9] Shamji MF，Bains I，Yong E，et al. Treatment of Herniated Lumbar Disk by Sequestrectomy or Conventional Diskectomy [J]. World Neurosurg，2014，82（5）：879-883.
[10] Fairbank JC，Pynsent PB. The Oswestry Disability Index [J]. Spine，2000，25（2）：2940-2952.
[11] 于志坚，吕凯，艾启利.选择性神经根阻滞治疗腰椎间盘突出症疼痛的疗效及对血清疼痛及炎症介质的影响[J].中国医药导刊，2017，19（3）：223-224.
[12] 罗强，罗和平，刘兰兰.电针夹脊穴联合中药熏洗治疗腰椎间盘突出症的疗效及对肌电图、疼痛评分和血P物质、PGE2水平的影响[J].四川中医，2018，36（3）：196-199.
[13] 汤勇，陈雄，尚政琴，等.激光针刀联合微创介入治疗腰椎间盘突出症对血浆β-EP、Dyn-A的影响[J].颈腰痛杂志，2016，37（5）：408-412.
[14] 潘畅，何薇，吴强，等.“四穴电针”对腰椎间盘突出症根性神经痛的镇痛效应及对血浆β-内啡肽、一氧化氮的影响[J].中医药导报，2017，23（13）：72-75.
[15] 刘世伟.针刺联合椎间孔镜治疗对腰椎间盘突出症患者疼痛炎性介质、神经功能及应激反应的影响[J].海南医学院学报，2017，23（18）：2524-2527.
[16] 洪秋阳，杨惠民，王桂玲，等.针刺骨法配合委中放血治疗腰椎间盘突出症疗效观察[J].世界中西医结合杂志，2018，13（2）：153-156.
[17] 田代华，刘更生整理.灵枢经[M].北京：人民卫生出版社，2005：53-55.
[18] 刘冬，杨孝芳，杨硕，等.刺络放血治疗腰椎间盘突出症的临床应用及其麻木机制的研究进展[J].上海针灸杂志，2019，38（10）：1200-1204.
[19] 钟润芬，尹旭辉，曹玉华，等.不同时间间隔针刺治疗腰椎间盘突出症的疗效对比[J].中国针灸，2019，39（5）：457-461.
[20] 李瑞.针灸歌赋速记口袋书[M].北京：北京科学技术出版社，2006：136.
[21] 尚荣安，胡迪，王少飞，等.补气活血汤联合电针治疗腰椎间盘突出症术后综合征临床效果[J].中国医药导报，2020，17（18）：99-102.
[22] 孙思邈.备急千金要方[M].北京：中国医药科技出版社，2011：295-296.
[23] 徐铭，姜宏.独活寄生汤治疗寒湿痹阻型腰椎间盘突出症的临床疗效及预后观察[J].陕西中医，2018，39（2）：157-159.
[24] 吴海洋，吴军豪.独活寄生汤加减治疗腰椎间盘突出症临床效果的系统评价及Meta分析[J].中国医药导报，2019，16（30）：81-84.
[25] 张磊，张峰，姚立帅，等.独活寄生汤加减治疗腰椎骨性关节炎（肝肾不足筋脉瘀滞证）43例[J].环球中医药，2018，11（8）：1222-1225.
[26] 孔祥颖，秦泗峰，夏阳，杨等.独活寄生汤联合艾瑞昔布治疗膝关节骨性关节炎的临床疗效评估[J].中国现代医生，2020，58（4）：69-71.