| 王华丽,卜彩芳,王丽燕,等.热敏灸联合身痛逐瘀汤治疗腰椎间盘突出症微创术后残留症状的临床研究[J].浙江中医药大学学报,2020,44(10):1009-1014. |
| 热敏灸联合身痛逐瘀汤治疗腰椎间盘突出症微创术后残留症状的临床研究 |
| Clinical Investigation on the Effects of Heat-sensitive Moxibustion Combined with Shentong Zhuyu Decoction for Residual Symptoms after Lumbar Disc Herniation Surgery |
| DOI：10-16466/j.issn1005-5509-2020-10-018 |
| 中文关键词: 腰椎间盘突出症 热敏灸 身痛逐瘀汤 残留症状 微创术 痹症 腰腿痛 临床试验 |
| 英文关键词: lumbar disc herniation heat-sensitive moxibustion Shentong Zhuyu decoction residual symptoms minimally invasive surgery arthralgia syndrome lumbocrural pain clinical trials |
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| 中文摘要: |
| [目的]观察热敏灸联合身痛逐瘀汤治疗腰椎间盘突出症微创术后残留腰腿痛的临床疗效。[方法]将2019年3月至2019年12月浙江省中西医结合医院66例符合纳入标准的患者随机分为A组、B组、C组，每组各22例，A组予热敏灸联合身痛逐瘀汤治疗，B组予身痛逐瘀汤治疗，C组予热敏灸治疗。14d治疗结束后，合格病例计66例，采用视觉模拟评分(visual analogue scale，VAS)、日本骨科协会(Japanese Orthopaedic Association，JOA)评分、健康量表评分(36-Item Short Form Survey，SF-36)评估疗效，同时以安全性指标评价治疗安全性。[结果]A组、B组、C组总有效率分别为95-5%、77-3%、81-8%，三组间差异具有统计学意义(P=0-027)，A组显著优于B组与C组(P=0-023，P=0-015)。与治疗前比较，三组治疗后的JOA评分均明显升高、VAS评分显著降低(P＜0-05)；组间比较，A组JOA评分显著高于B组与C组(P＜0-05)，VAS评分明显低于B组和C组(P＜0-05)，而B组与C组之间差异无统计学意义(P＞0-05)。除情感功能和社会职能两项，A组SF-36评分均优于B组、C组(P＜0-05)，B组与C组间比较各有优劣，但差异无统计学意义(P＞0-05)。本研究过程中无任何明显不良事件的报告。[结论]热敏灸配合身痛逐瘀汤对缓解腰椎间盘突出症微创术后残留症状的疗效显著，明显优于单独使用热敏灸或身痛逐瘀汤，并能有效提高患者术后的生活质量。 |
| 英文摘要: |
| [Objective]To observe the effects of heat-sensitive moxibustion combined with Shentong Zhuyu decoction for remaining pain after lumbar disc herniation minimally invasive surgery. [Methods]Sixty-six participants from Zhejiang Integrated Traditional and Western Medicine Hospital who met the inclusive criteria were selected from March to December 2019. The participants were randomly divided into three groups， which were groups A， B， and C， with 22 patients in each， respectively. Group A was treated with heat-sensitive moxibustion plus Shentong Zhuyu decoction; group B was treated with Shentong Zhuyu decoction; group C was treated with heat-sensitive moxibustion. There were 66 eligible cases after the 14-day trial. The efficacy of the three groups， visual analogue scale(VAS) scores， Japanese Orthopaedic Association(JOA) scores， 36-Item Short Form Survey(SF-36) scores and safety indicators were employed to evaluate the results. [Results]The total efficiency of each group was 95-5%， 77-3%， 81-8% respectively， and there were significant differences among the three groups(P=0-027). Group A was significantly superior to groups B(P=0-023) and C(P=0-015). Compared with the beginning of intervention， the JOA scores were significantly higher and the VAS scores were lower in the three groups， respectively(P＜0-05). In the inter-group comparison， JOA scores of group A were notably higher than that in groups B and C(P＜0-05)， and VAS scores were notably lower than groups B and C(P＜0-05). The VAS and JOA scores of groups B and C did not indicate any significant difference after the intervention(P＞0-05). Except the emotional function and social function， there were statistically significant differences in other items of SF-36 scores between group A and groups B， C after treatment(P＜0-05). There was no notable difference between groups B and C(P＞0-05). No remarkable adverse event was reported during the entire trial. [Conclusion]The combination of heat-sensitive moxibustion and Shentong Zhuyu decoction has apparent efficacy and excellent safety for remaining pain after lumbar disc herniation minimally invasive surgery， which is significantly better than that of single use of heat-sensitive moxibustion or Shentong Zhuyu decoction， and can effectively improve the quality of life. |
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