| 于 涛,李晓宁,邢春旭,郑 维,王 海.恒古骨伤愈合剂联合塞来昔布与针灸对寒湿型腰痛的治疗效果及运动功能的影响[J].,2024,(10):1911-1915 |
| 恒古骨伤愈合剂联合塞来昔布与针灸对寒湿型腰痛的治疗效果及运动功能的影响 |
| Effects of Henggu Bone Wound Healing Agent, Celecoxib and Acupuncture and Moxibustion on the Treatment of Cold Dampness Type Low Back Pain and Motor Function |
| 投稿时间：2023-10-12 修订日期：2023-10-31 |
| DOI：10.13241/j.cnki.pmb.2024.10.023 |
| 中文关键词: 恒古骨伤愈合剂 塞来昔布 针灸 寒湿型 腰痛 运动功能 |
| 英文关键词: Henggu Bone Wound Healing Agent Celecoxib Acupuncture and moxibustion Cold dampness type Low back pain Motor function |
| 基金项目:黑龙江省卫生健康委科研项目（2020-397） |
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| 中文摘要: |
| 摘要 目的：探讨恒古骨伤愈合剂联合塞来昔布与针灸对寒湿型腰痛的治疗效果及运动功能的影响。方法：选取牡丹江医学院附属第二医院2022年7月到2023年7月收治的80例寒湿型腰痛患者，分为对照组（n=30）、针灸组（n=25）和联合组（n=25）。对照组常规口服塞来昔布，针灸组采取塞来昔布+针灸治疗，联合组应用塞来昔布+针灸+恒古骨伤愈合剂治疗，对比三组患者临床疗效，治疗前后的寒湿症候积分与症状体征积分，疼痛程度，并应用直腿抬高实验、Osweatry功能障碍指数（ODI）、日本骨科协会评估（JOA）来评价两组患者治疗前后的运动功能。结果：治疗后，联合组总有效率为96%，针灸组为72%，对照组为53.33%。联合组高于针灸组和对照组（P<0.05）；治疗后三组患者症候积分与症状体征积分均降低，且联合组低于针灸组和对照组（P＜0.05）；治疗后三组患者疼痛情绪评分（PRI-S)、疼痛感觉评分（PRI-A）、疼痛总分（PRI-T)、现实疼痛状况（PPI）以及视觉模拟量表（VAS）评分均降低，且联合组低于针灸组和对照组（P<0.05）；治疗后三组运动功能指标有差异，与针灸组和对照组相比，联合组直腿抬高角度、JOA评分升高ODI指数降低（P＜0.05）。结论：对寒湿型腰痛患者采用塞来昔布+针灸+恒古骨伤愈合剂治疗能够减轻患者临床症状，疗效显著，且能够改善患者腰腿疼痛情况，提升腰腿功能与运动功能。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the therapeutic effect of Henggu Gushangyu Mixture combined with celecoxib and acupuncture and moxibustion on cold dampness type low back pain and its influence on motor function. Methods: Eighty patients with cold dampness type low back pain admitted to Second Affiliated Hospital of Mudanjiang Medical University from July 2022 to July 2023 were selected, and they were divided into control group (n=30), acupuncture and moxibustion group (n=25) and combined group (n=25). The control group routinely took Celecoxib, the acupuncture and moxibustion group was treated with Celecoxib+acupuncture and moxibustion, and the combined group was treated with Celecoxib+acupuncture and moxibustion+Henggu Bone Wound Healing Agent. The clinical efficacy of the three groups of patients was compared, and the scores of cold and damp symptoms and signs before and Post-treatment, the degree of pain, and the straight leg lifting test, Osweatry dysfunction index (ODI) The Japanese Orthopedic Association Assessment (JOA) was conducted to evaluate the motor function of two groups of patients before and Post-treatment. Results: Post-treatment, the total effective rate was 96% in the combined group, 72% in the acupuncture and moxibustion group and 53.33% in the control group. The combined group was higher than the acupuncture and moxibustion group and the control group (P<0.05); Post-treatment, the symptom scores and symptom and sign scores of the three groups decreased, and the combined group was lower than the acupuncture and moxibustion group and the control group (P<0.05); Post-treatment, the scores of pain emotion score (PRI-S), pain perception score (PRI-A), total pain score (PRI-T), real pain status (PPI) and visual analogue scale (VAS) in the three groups decreased, and the combined group was lower than the acupuncture and moxibustion group and the control group (P<0.05); The motor function index was different in the three groups post-treatment, and the straight leg elevation angle and the increased ODI index decreased in the combined group compared with the acupuncture group and the control group(P<0.05). Conclusion: The treatment of celecoxib+acupuncture and moxibustion+Henggu bone wound healing agent for cold dampness type low back pain patients can reduce the clinical symptoms of patients with significant efficacy, and can improve the patients' waist and leg pain, improve the waist and leg function and motor function. |
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