中医正骨手法联合独活寄生汤加减治疗腰骶部扭伤对疼痛介质和血液循环的影响OACSTPCD
The effect of traditional Chinese bone-setting manipulation combined with Duhuo Jizhi Decoction on the pain medi-ators and blood circulation of lumbosacral sprain
目的:观察中医正骨手法联合独活寄生汤加减治疗腰骶部扭伤对疼痛介质和血液循环的影响.方法:选取四川省天全县中医医院2021年3月～2023年7月中医门诊骨伤科收治78例腰骶部扭伤患者为研究对象,将78例患者采用随机数字表法分为两组,单组39例.止痛药组给予布洛芬治疗,中医综合疗法组给予中医正骨手法联合独活寄生汤加减治疗.统计两组总有效率,检测两组腰椎活动度、血液循环指标、疼痛介质水平,评估两组中医症状量化评分差异.结果:中医综合疗法组总有效率高于止痛药组,有统计学意义(P＜0.05).比较治疗前腰椎活动度、中医症状量化评分差异,无统计学意义(P＞0.05).两组治疗前后比,腰椎前屈、后伸、左右侧屈、左右旋活动度均升高,中医症状量化评分均降低,中医综合疗法组治疗后腰椎活动度高于止痛药组,中医症状量化评分低于止痛药组,有统计学意义(P＜0.05).比较治疗前血液循环指标、疼痛介质差异,无统计学意义(P＞0.05).两组治疗前后比,5-羟色胺(5-HT)、全血低切和高切粘度、神经肽(NPY)、血浆黏度、红细胞比容(HCT)、去甲肾上腺素(NE)均降低,中医综合疗法组治疗后均低于止痛药组,有统计学意义(P＜0.05).结论:中医正骨手法联合独活寄生汤加减治疗腰骶部扭伤可促进血液循环,抑制疼痛介质释放,改善腰椎活动度.
Objective To observe the effect of traditional Chinese bone-setting technique combined with Duhuo Jizhi Decoc-tion on the pain medium and blood circulation of lumbosacral sprain.Methods 78patients with lumbosacral sprain were admitted to the outpatient department of Sichuan Tianquan County Hospital of Traditional Chinese Medicine from 2021.3to 2023.7as the re-search object,and 78patients were divided into two groups by random number table method,with 39cases in a single group.The analgesic group was given ibuprofen treatment,and the TCM comprehensive therapy group was given the TCM bone-setting tech-nique combined with single living parasitic decoction.The total response rate of the two groups was counted,the degree of lumbar mobility,blood circulation index and pain media level of the two groups were tested,and the difference in TCM symptom quantifi-cation score of the two groups was evaluated.Results The total effective rate of the TCM combination therapy group was higher than that of the analgesic group,which was statistically significant(P＜0.05).The quantitative scores of lumbar mobility and TCM symptoms before treatment were compared(P＞0.05).In the ratio before and after treatment of the two groups,the mobility of lumbar anterior flexion,posterior extension,left and right lateral flexion and left and right rotation was increased,and the quantitative score of TCM symptoms was decreased.After treatment,the lumbar mobility of TCM comprehensive therapy group was higher than that of the analgesic group,and the quantitative score of TCM symptoms was lower than that of the analgesic group,which showed statistical significance(P＜0.05).No differences in blood circulation index and pain media(P＞0.05).In the pre-and post-treatment ratio,seroxytonin(5-HT),low-cut viscosity,neuropeptide(NPY),plasma viscosity,red cell specific volume(HCT),norepinephrine(NE)were decreased,and the TCM comprehensive therapy group was lower than the analgesic group after treatment,showing statistical significance(P＜0.05).Conclusion The treatment of lumbosacral sprain by traditional Chinese bone-setting manipulation combined with Duhuo Zhizhi Decoction can promote blood circulation,inhibit the release of pain mediators and improve lumbar motion.
张卫学;陈若晨
天全县中医医院中医门诊骨伤科,四川天全 625500
中医学
中医正骨手法独活寄生汤腰骶部扭伤血液循环疼痛介质腰椎活动度
Traditional Chinese medicine bonesetting techniquesDuhuo parasitic soupLumbosacral sprainBlood circu-lationPain mediatorsLumbar motion
《四川中医》 2024 (004)
182-186 / 5
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