| 吴萌萌,蔡圣朝.通脉温阳灸联合氯诺昔康治疗腰椎间盘突出症急性期30例临床观察[J].安徽医药,2019,23(9):1875-1878. |
| 通脉温阳灸联合氯诺昔康治疗腰椎间盘突出症急性期30例临床观察 |
| Clinical observation on treatingacute stage of lumbar intervertebral disc herniation by tongmaiwenyangmoxibustion |
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| DOI：10.3969/j.issn.1009-6469.2019.09.047 |
| 中文关键词: 椎间盘移位 通脉温阳灸 氯诺昔康 |
| 英文关键词: Intervertebral displacement Tongmaiwenyangmoxibustion Lornoxicam |
| 基金项目:全国名老中医药专家传承工作室建设项目 (国中医药人教发［2014］47号) |
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| 中文摘要: |
| 目的 观察通脉温阳灸联合氯诺昔康治疗腰椎间盘突出症急性期的临床疗效。方法 选取2014年1月至2018年7月安徽中医药大学第二附属医院腰椎间盘突出症急性期病人60例，采用随机数字表法分为通脉温阳灸联合氯诺昔康组和氯诺昔康组，每组30例。氯诺昔康组治疗为氯诺昔康8 mg静脉滴注，每天2次，治疗10 d；通脉温阳灸联合氯诺昔康组在同氯诺昔康组治疗的同时予以通脉温阳灸，隔日1次，分别于d1，d3，d5，d7，d9灸疗，共5次。观测治疗前后视觉模拟量表评分(VAS)、直腿抬高试验角度和腰椎疾患成绩判断评分(JOA)，并且记录治疗中不良反应和3个月随访情况。结果 治疗后氯诺昔康组、通脉温阳灸+氯诺昔康组VAS分值分别为(1.94±1.41)分、(0.62±0.60)分，较治疗前(6.79±0.68)、(6.83±0.70)分降低，直腿抬高试验角度，JOA分值较治疗前升高(P＜0.01)；治疗前后VAS评分差值、直腿抬高试验角度差值和JOA差值两组间比较，通脉温阳灸联合氯诺昔康组均大于氯诺昔康组(P＜0.01)；通脉温阳灸联合氯诺昔康组愈显率(93.33%)明显高于氯诺昔康组(46.67%)，治疗过程中通脉温阳灸联合氯诺昔康组未出现不良反应，且3个月后随访复发率低于氯诺昔康组(P＜0.05)。结论 通脉温阳灸联合氯诺昔康治疗腰椎间盘突出症急性期的临床疗效明显优于氯诺昔康治疗。 |
| 英文摘要: |
| Objective To compare the clinical effect between the application of tongmaiwenyangmoxibustion combined with western medicine and that of western medicine on acute stage of lumbar intervertebral disc herniation.Methods 60 patients with acute stage of lumbar intervertebral disc herniation were randomly divided into tongmaiwenyangmoxibustion combined with western medicine group and western medicine group，30 cases in each group.The western medicine group was treated with 8mg clonoxicam intravenous infusion twice a day for 10 days.Tongmaiwenyangmoxibustion combined with western medicine group was treated with tongmaiwenyang moxibustion once every other day，on the 1st，3rd，5th，7th and 9th days respectively，5 times totally，and at the same time it was treated with the way of western medicine group.Visual simulation scale score(VAS)，straight leg elevation test angle and lumbar spine disease score(JOA) were observed before and after treatment，and adverse reactions and 3-month follow-up were recorded.Results After treatment，the scores of VAS and JOA in the two groups were lower，and the JOA scores of tongmaiwenyangmoxibustion combined with western medicine group were higher than those in the western medicine group (P＜0.01).The difference of VAS scores，leg elevation test angle and the JOA scores between the two groups before and after treatment were higher than those in the western medicine group.The effective rate of tongmaiwenyangmoxibustion combined with western medicine group (93.33%) was significantly higher than that of the western medicine group (46.67%)，andthe recurrence rate was lower after 3 months than that in the western medicine group (P＜0.05).Conclusion The clinical efficacy of tongmaiwenyangmoxibustion combined with western medicine in the treatment of acute stage of lumbar intervertebral disc herniation is significantly better than that of western medicine. |
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