止痛散及TDP照射在腰椎间盘疼痛患者辅助治疗中的应用及安全性分析
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Application and Safety Analysis of Zhitong Powder and TDP Irradiation in Adjuvant Therapy of Lumbar Intervertebral Disc Pain
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    摘要:

    目的:探讨止痛散及特定电磁波谱(TDP)照射在腰椎间盘疼痛患者辅助治疗中的作用,并对其应用安全性进行分析。方法:选取2015年6月至2016年12月海军青岛第二疗养院收治的腰椎间盘疼痛患者98例,随机分为对照组和观察组,每组39例,2组患者入院后均进行常规功能锻炼等治疗,观察组给予止痛散外敷结合TDP照射,对照组给予安慰剂外敷及TDP照射治疗,2周为1个疗程,2组均连续治疗2个疗程。统计2组临床治疗效果,评估患者治疗前后腰椎功能恢复情况及疼痛改善情况,检测并比较2组血清炎性因子及血小板参数指标水平,统计治疗期间2组不良反应。结果:治疗后观察组总有效率为81.63%,明显高于对照组的61.22%(P<0.05)。治疗后2组腰椎功能评分均较治疗前升高,且观察组高于对照组,2组ODI均较治疗前明显降低,且观察组低于对照组(P<0.01)。与治疗前比较,治疗后1周至3个月对照组VAS评分呈先下降后又升高的趋势,观察组VAS评分呈现逐渐下降的趋势(P<0.01),且治疗后2周及3个月,观察组VAS评分明显低于对照组(P<0.01)。治疗后2组血清MMP-3、IL-1β水平及GMP-140和观察组的PLT均明显降低,且观察组显著低于对照组(P<0.05或P<0.01)。治疗期间2组均未有明显不良反应发生。结论:止痛散及TDP照射在腰椎间盘疼痛患者辅助治疗中的具有较好的治疗效果,可明显改善患者的腰椎功能,缓解患者的疼痛,其作用机制可能与降低机体炎性因子水平和改善局部缺血-再灌注等有关,且应用安全性高,值得临床进行推广应用。

    Abstract:

    To investigate the application and safety of Zhitong Powder and TDP irradiation in adjuvant therapy of lumbar intervertebral disc pain.Methods:A total of 98 patients with lumbar intervertebral disc pain in our hospital from June 2015 to December 2016 were randomly divided into control group (n=49) and observation group (n=49).The 2 groups were given routine functional exercise and other treatment.The observation group was given Zhitong Powder and TDP irradiation,and the control group was given placebo and TDP irradiation.2 weeks was a course of treatment,and the 2 groups were continuously treated for 2 courses.Clinical therapeutic effects and adverse reactions of the 2 groups were evaluated after treatment,and the lumbar vertebral functional recovery and pain improvement of the 2 groups before and after treatment were assessed.The levels of serum inflammatory factors and platelet parameters were detected and compared.Results:After treatment,the total effective rate of the observation group was 81.63%,which was significantly higher than 61.22% of the control group (P<0.05).After treatment,the lumbar function scores of the 2 groups were higher than before treatment,and the observation group was higher than that of the control group.The ODI of the 2 groups were significantly lower than that before treatment,and the observation group was lower than the control group (P<0.01).Compared with that before treatment,the VAS score of the control group decreased and then increased from 1 week to 3 months after treatment,and the VAS score of the observation group decreased gradually (P<0.01).From 2 weeks to 3 months after treatment,the VAS score of the observation group was significantly lower than the control group (P<0.01).After treatment,the levels of serum MMP-3,IL-1β,GMP-140 in the 2 groups and PLT in the observation group were significantly lower than that before treatment,and the observation group was significantly lower than those in the control group (P<0.05 or P<0.01).Conclusion:The Zhitong Powder and TDP irradiation can improve the lumbar function and relieve the pain in the adjuvant therapy of patients with lumbar intervertebral disc pain.Its mechanism may be related to reducing the levels of inflammatory factors and improving ischemia-reperfusion,and the application has high safety,which is worthy of clinical application.

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尤阳,唐伟.止痛散及TDP照射在腰椎间盘疼痛患者辅助治疗中的应用及安全性分析[J].世界中医药,2017,(10).

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  • 收稿日期:2017-08-07
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  • 在线发布日期: 2017-11-08
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