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[1]田育魁,崔小鋒,擺雪,等.中醫(yī)外治法不同應用模式對腰椎間盤突出癥療效影響的臨床研究[J].中醫(yī)正骨,2025,37(04):50-54.
　TIAN Yukui,CUI Xiaofeng,BAI Xue,et al.Effects of different application modalities of traditional Chinese medicine external therapies on clinical efficacy in treatment of lumbar disc herniation:a clinical study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2025,37(04):50-54.
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中醫(yī)外治法不同應用模式對腰椎間盤突出癥療效影響的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第37卷
期數:
2025年04期
頁碼:
50-54
欄目:
臨床研究
出版日期:
2025-04-20

文章信息/Info

Title:
Effects of different application modalities of traditional Chinese medicine external therapies on clinical efficacy in treatment of lumbar disc herniation:a clinical study
作者:
田育魁1; 崔小鋒1; 擺雪1; 王程2; 劉俊昌1
1.新疆醫(yī)科大學中醫(yī)學院,新疆 烏魯木齊 830017; 2.新疆醫(yī)科大學附屬中醫(yī)醫(yī)院,新疆 烏魯木齊 830000
Author(s):
TIAN Yukui1; CUI Xiaofeng1; BAI Xue1; WANG Cheng2; LIU Junchang1
1.School of Traditional Chinese medicine,Xinjiang Medical University,Urumqi 830017,Xinjiang,China 2.The Affiliated Traditional Chinese Medicine Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang,China
關鍵詞:
椎間盤移位;  腰椎;  針刺;  電針;  推拿療法;  八段錦;  臨床研究專題
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  acupuncture;  electroacupuncture;  tui na therapy;  eight-sectioned exercise;  clinical studies as topic
摘要:
目的:探討中醫(yī)外治法不同應用模式對腰椎間盤突出癥(lumbar disc herniation,LDH)療效的影響。方法:以2023年1月至2024年8月收治的LDH患者為研究對象,根據患者意愿,從針刺、電針、推拿、中醫(yī)功法中選擇至少1種中醫(yī)外治法進行治療,治療次數≥5次。根據患者治療過程中中醫(yī)外治法的實際應用情況,將各種外治法的應用情況分為未使用、間斷使用、連續(xù)使用3個類別。治療5次后,依據日本骨科學會腰痛評分進行療效評價。結果:①一般情況。共納入2249例患者,按照療效分為3組,無效組128例、有效組1725例、顯效組396例。3組患者疾病分期的差異有統(tǒng)計學意義(χ2=55.849,P=0.000),其余基線資料的組間差異均無統(tǒng)計學意義。②中醫(yī)外治法應用情況。3組患者的針刺、推拿、中醫(yī)功法應用情況的組間差異均有統(tǒng)計學意義(χ2=30.178,P=0.000; χ2=93.027,P=0.000; χ2=46.264,P=0.000),電針應用情況的組間差異無統(tǒng)計學意義(P=0.920)。③中醫(yī)外治法不同應用模式對LDH療效影響的多因素分析。以治療是否有效作為因變量(療效評價結果中的有效和顯效均視為有效),以針刺、推拿、中醫(yī)功法的應用情況及臨床分期作為自變量進行二分類Logistic回歸分析。結果顯示,康復期、間斷/連續(xù)使用推拿、連續(xù)使用中醫(yī)功法均為LDH中醫(yī)外治法治療有效的保護因素[B=1.074,P=0.000,OR=5.911,95%CI(3.210,10.886); B=0.852,P=0.000,OR=5.762,95%CI(3.230,10.278); B=0.047,P=0.000,OR=2.576,95%CI(1.477,4.491); B=0.648,P=0.001,OR=4.120,95%CI(1.764,9.622)]。結論:間斷/連續(xù)使用推拿及連續(xù)使用中醫(yī)功法均有助于提高LDH的療效,而且康復期的治療效果更好。
Abstract:
Objective:To explore the effects of different application modalities of traditional Chinese medicine(TCM)external therapies on the clinical efficacy in treatment of lumbar disc herniation(LDH).Methods:The patients with LDH recruited from January 2023 to August 2024 were selected as the subjects,based on their preferences,they were treated with at least one TCM external therapy,such as acupuncture therapy,electroacupuncture therapy,tuina therapy,or TCM exercise therapy,for at least 5 sessions.According to the actual application status during the treatment,the TCM external therapies were categorized into non-application,intermittent application,and sustained application,and the therapeutic efficacy was evaluated using the Japanese Orthopaedic Association(JOA)low back pain score following 5 treatment sessions.Results:①General condition.Two thousand two hundred and forty-nine patients were included in the study,and they were stratified into non-response group(128 cases),response group(1725 cases),and marked response group(396 cases)based on the therapeutic efficacy.The significant difference was observed in the disease stage among the 3 groups(χ2=55.849,P=0.000),but not in the other baseline characteristics.②The application of TCM external therapies.The significant differences were found in the application of acupuncture therapy,tuina therapy,and TCM exercise therapy among the 3 groups(χ2=30.178,P=0.000; χ2=93.027,P=0.000; χ2=46.264,P=0.000),but not in the the application of electroacupuncture therapy(P=0.920).③Multifactor analysis of the effects of different application modalities of TCM external therapies on the therapeutic efficacies in treatment of LDH.A binary logistic regression analysis was conducted with whether the treatment was effective(both effective and markedly effective in the therapeutic evaluation were defined as effective)as the dependent variable,and the application of acupuncture therapy,tuina therapy and TCM exercise therapy,as well as the clinical stage as independent variables,and the results showed that the convalescent-phase,intermittent or sustained application of tuina therapy,and sustained practice of TCM exercise acted as the protective factors for TCM external therapies in effective treatment of LDH(B=1.074,P=0.000,OR=5.911,95%CI(3.210,10.886); B=0.852,P=0.000,OR=5.762,95%CI(3.230,10.278); B=0.047,P=0.000,OR=2.576,95%CI(1.477,4.491); B=0.648,P=0.001,OR=4.120,95%CI(1.764,9.622)).Conclusion:The intermittent or sustained application of tuina therapy,and sustained practice of TCM exercise are beneficial to enhancing the efficacy in treating LDH,with superior clinical efficacy exhibited in the convalescent-phase.

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備注/Memo

備注/Memo:
基金項目:新疆維吾爾自治區(qū)重點研發(fā)計劃項目(2022B03011-3); 新疆維吾爾自治區(qū)科技創(chuàng)新團隊項目(2022TSYCTD0008)
通訊作者:劉俊昌 E-mail:[email protected]
更新日期/Last Update: 1900-01-01