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霍钻宜1,李廷发2,罗锐银3,宋日辉1.针灸结合运动锻炼对腰椎间盘突出症患者的影响[J].中国医药科学,2020,(1):54-57        基金项目:
针灸结合运动锻炼对腰椎间盘突出症患者的影响
Effects of acupuncture and moxibustion combined with exercise training on patients with lumbar disc herniation
  
DOI:
中文关键词:  针灸;运动疗法;腰椎间盘突出症;腰椎功能
英文关键词:Acupuncture and moxibustion;Exercise therapy;Lumbar disc herniation;Lumbar function
作者单位
霍钻宜1,李廷发2,罗锐银3,宋日辉1 1. 广东省东莞市中堂医院中医科,广东东莞 523220;2. 广东省东莞市中堂医院耳鼻喉 科,广东东莞 523220;3. 广东省东莞市中堂医院手术室,广东东莞 523220 
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中文摘要:
      [摘要] 目的 探讨针灸结合运动锻炼对腰椎间盘突出症患者影响。 方法 选取 2017 年 6 月~ 2019 年 5 月于我院住院治疗的 102 例腰椎间盘突出症患者作为研究对象,按照入院先后顺序将其分为研究组及对照组各 51 例。对照组患者予以常规西药治疗,研究组患者在此基础上联合使用针灸及运动锻炼治疗。记录两组患者临床疗效,比较治疗前、治疗 2 周后两组患者疼痛程度 [ 视觉模拟评分法(VAS 评分)] 差异、腰椎功能 [Oswestry 功能障碍指数(ODI)] 评分情况及血清炎性因子 [ 肿瘤坏死因子(TNF)-α、白介素(IL)-6、超敏 C 反应蛋白(CRP)] 水平变化。 结果 治疗 2 周后,两组患者疼痛程度 VAS、腰椎功能 ODI 及血清炎性因子(TNF-α、IL-6、CRP)均低于治疗前,且研究组 VAS、ODI 及血清炎性因子(TNF-α、IL-6、CRP)均低于对照组(P 均< 0.05)。 结论 针灸结合运动锻炼疗效显著,能有效降低患者疼痛程度,改善腰椎功能,降低炎性指标。
英文摘要:
      [Abstract] Objective To explore the effects of acupuncture and moxibustion combined with exercise training on patients with lumbar disc herniation. Methods 102 patients with lumbar disc herniation who were hospitalized and treated in our hospital from June 2017 to May 2019 were selected as research objects.They were divided into the study group and the control group according to the order of admission,with 51 cases in each group.Patients in the control group were treated with conventional western medicine while the study group were given acupuncture and moxibustion combined with exercise training on basis of it.Clinical curative effects of patients in two groups were recorded.The differences in pain level [visual analogue scale (VAS score)],lumbar function [Oswestry dysfunction index (ODI)] score and serum inflammatory factors [tumor necrosis factor (TNF-α),interleukin (IL)-6,high-sensitivity C-reactive protein (CRP)] were compared between the two groups before treatment and after 2 weeks of treatment. Results After 2 weeks of treatment,the VAS pain level,lumbar function ODI and serum inflammatory factors (TNF-α,IL-6,CRP) in the two groups were lower than those before treatment,and the VAS,ODI and serum inflammatory factors (TNF-α,IL-6,CRP) in study group were lower than those in control group (all P < 0.05). Conclusion Acupuncture and moxibustion combined with exercise training has significant curative effects.It can effectively reduce the pain level,improve lumbar function and reduce inflammatory indexes.
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