| 引用本文:王志恒，周奎龙，梁志杰，张慧婷，宋阳杰，杨晓敏，向栋国.温针灸联合中药熏蒸治疗老年颈肩腰腿痛的临床效果[J].世界中医药,2020,(12):. |
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| 温针灸联合中药熏蒸治疗老年颈肩腰腿痛的临床效果 |
| The Clinical Effect of Warming Needle Moxibustion Combined with Traditional Chinese Medicine Fumigation in the Treatment of Senile Neck, Shoulder, Waist and Leg Pain |
| 投稿时间：2019-12-16 |
| DOI：10.3969/j.issn.1673-7202.2020.12.027 |
| 中文关键词: 老年 颈肩腰腿痛 温针灸 中药熏蒸 中医外治法 生命质量 氧化应激 血清疼痛因子 |
| English Keywords:Senior Pain in neck, shoulder, waist and leg Warming needle moxibustion Fumigation of traditional Chinese medicine TCM external treatment Quality of life Oxidative stress Serum pain factor |
| 基金项目:河北省中医药管理局项目(2020547) |
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| 中文摘要: |
| 目的：观察温针灸联合中药熏蒸治疗老年颈肩腰腿痛的疗效。方法：选取2018年2月至2019年2月于邢台市人民医院就诊的颈肩腰腿痛老年患者108例作为研究对象，按照随机数字表法分为观察组和对照组，每组54例。对照组给予酮咯酸氨丁三醇胶囊口服，观察组给予温针灸联合中药熏蒸。比较2组的临床疗效、痛感、功能障碍、生命质量变化，监测机体氧化应激状态、血清中致痛因子水平，统计复发率。结果：对照组、观察组患者治疗有效率分别为75.93%（41/54）、92.59%（50/54），差异有统计学意义(P<0.05)；治疗后，观察组患者的疼痛视觉模拟评分法(VAS)评分、功能障碍ODQ评分均显著低于对照组，差异有统计学意义（P<0.05）；生命质量SF-36评分高于对照组，差异有统计学意义（P<0.05）；血清中前列腺素E2(PGE2)、丙二醛（MDA）水平均较对照组明显降低，差异有统计学意义（P<0.05），超氧化物歧化酶（SOD）、总抗氧化能力(T-AOC)、谷胱甘肽过氧化物酶(GSH-Px)、β-内啡肽(β-EP)水平则较对照组明显升高，差异有统计学意义（P<0.05）；观察组复发率5.26%（2/38），显著低于对照组的复发率27.27%（6/22），差异有统计学意义（P<0.05）。结论：温针灸联合中药熏蒸协同治疗能有效缓解老年颈肩腰腿痛患者的痛感，减轻功能障碍，提高生命质量，减轻氧化应激损伤，且不易复发，抗炎镇痛效果理想。 |
| English Summary: |
| To observe the clinical efficacy of warming needle moxibustion combined with traditional Chinese medicine fumigation in the treatment of senile neck, shoulder, waist and leg pain. Methods:A total of 108 elderly patients with neck, shoulder, waist and leg pain were selected and divided into observation group and control group according to the random number table method, with 54 cases in each group. The patients in the control group were given ketorolac tromethamine capsule orally, and the patients in the observation group were given warming needle moxibustion combined with traditional Chinese medicine fumigation treatment. The clinical efficacy, pain, dysfunction and quality of life of the two groups were compared, the oxidative stress status of the body and the level of the pain-causing factors in the serum were monitored, and the recurrence rate was calculated. Results:The effective rates of patients in the control group and the observation group were 75.93% (41/54) and 92.59% (50/54) respectively, which has better efficacy in observation group (P<0.05). After treatment, the VAS score and ODQ score of dysfunction in the observation group were significantly lower than those in the control group (P<0.05). The Sf-36 score of quality of life was higher than that of the control group (P<0.05). The serum levels of MAD and PGE2 were significantly lower than those of the control group (P<0.05), while the levels of SOD, T-Aoc, GSH-PX and β-EP were significantly higher than those of the control group (P<0.05). The recurrence rate of the observation group was 5.26% (2/38), which was significantly lower than that of the control group of 27.27% (6/22) (P<0.05).Conclusion:Warming needle moxibustion combined with traditional Chinese medicine fumigation can effectively relieve the pain degree of elderly patients with neck, shoulder, waist and leg pain, reduce functional dysfunction, improve the quality of life, reduce oxidative stress injury, and is not easy to relapse, has an ideal anti-inflammatory and analgesic effect. |
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