Volume 22 Issue 5
May  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(5): 733-737
WANG Zhaoping, HE Jia, YANG Yajun, WANG Lina, WANG Hui. Therapeutic effect on the treatment of lumbar intervertebral disc herniation with the acupuncture method of Huayu Lijin combined with the traditional Chinese medicine Reyan Bao[J]. Chinese Journal of General Practice, 2024, 22(5): 733-737. doi: 10.16766/j.cnki.issn.1674-4152.003491
Citation: WANG Zhaoping, HE Jia, YANG Yajun, WANG Lina, WANG Hui. Therapeutic effect on the treatment of lumbar intervertebral disc herniation with the acupuncture method of Huayu Lijin combined with the traditional Chinese medicine Reyan Bao[J]. Chinese Journal of General Practice, 2024, 22(5): 733-737. doi: 10.16766/j.cnki.issn.1674-4152.003491
shu

Therapeutic effect on the treatment of lumbar intervertebral disc herniation with the acupuncture method of Huayu Lijin combined with the traditional Chinese medicine Reyan Bao

doi: 10.16766/j.cnki.issn.1674-4152.003491
  • 1.

    Department of Orthopedics, Tangshan Fengrun People's Hospital, Tangshan City, Tangshan, Hebei 064000, China

Funds:

 2022559

  • Received Date: 2024-02-18
    Available Online: 2024-07-20
    Abstract
  •   Objective  To study the clinical efficacy of the Huayu Lijin acupuncture method combined with traditional Chinese medicine Reyan Bao in the treatment of lumbar disc herniation, and to evaluate the effects of this therapy on the degree of pain, lumbar function, and inflammatory response in patients.  Methods  A total of 80 patients with lumbar disc herniation admitted to Tangshan Fengrun People's Hospital in Tangshan City from June 2020 to June 2022 were randomly divided into two groups using a random number table method: the Huayu Lijin acupuncture group and the combination group, with 40 cases in each group.The Huayu Lijin acupuncture group received treatment with the Huayu Lijin acupuncture method, while the combination group received treatment with the Huayu Lijin acupuncture method combined with traditional Chinese medicine heat therapy.Both groups were treated for 2 weeks as a course of treatment, with 2 courses of treatment.The therapeutic effects, the changes in lumbar spine function, pain level, electromyography, and pro-inflammatory factor levels between two groups before and after treatment were compared.  Results  The total effective rate of the combined group was 92.50%(37/40), the total effective rate of the Huayu Lijin acupuncture group was 70.00%(28/40), and the difference was statistically significant (P < 0.05).After treatment, the Oswestry disability index of the combined group was lower than that of the Huayu Lijin acupuncture group (P < 0.05).After 2 weeks, 1 month, and 3 months of treatment, the VAS scores of the combination group were lower than that of the Huayu Lijin acupuncture group (P < 0.05).After combined treatment, the left mean power frequency (MPF), right MPF, left electromyographic (EMG), and right EMG in the combination group were higher than those in the Huayu Lijin acupuncture group (P < 0.05).After treatment, the serum levels of IL-23 and prostaglandin E2 in the combination group were lower than those in the Huayu Lijin acupuncture group (P < 0.05).  Conclusion  For patients with lumbar disc herniation, the acupuncture method of Huayu Lijin combined with traditional Chinese medicine Reyan Bao has a prominent effect in treating lumbar disc herniation.It can effectively alleviate lumbar pain, improve lumbar function and electromyographic indicators of the lumbar extensor muscle group, reduce body inflammatory reactions, and is worthy of promotion and application.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    ZHANG A S, XU A, ANSARI K, et al. Lumbar disc herniation: diagnosis and management[J]. Am J Med, 2023, 136(7): 645-651. doi: 10.1016/j.amjmed.2023.03.024
    [2]
    HORNUNG A L, BARAJAS J N, RUDISILL S S, et al. Prediction of lumbar disc herniation resorption in symptomatic patients: a prospective, multi-imaging and clinical phenotype study[J]. Spine J, 2023, 23(2): 247-260. doi: 10.1016/j.spinee.2022.10.003
    [3]
    李江涛, 王晓玲. 循经针刺联合非手术脊柱减压治疗腰椎间盘突出症的疗效观察[J]. 山东中医杂志, 2021, 40(10): 1109-1115. https://www.cnki.com.cn/Article/CJFDTOTAL-SDZY202110013.htm

    LI J T, WANG X L. Effect of acupuncture along meridians combined with non-surgical spinal decompression on lumbar disc herniation[J]. Shandong Journal of Traditional Chinese Medicine, 2021, 40 (10): 1109-1115. https://www.cnki.com.cn/Article/CJFDTOTAL-SDZY202110013.htm
    [4]
    王玥, 王玮, 李超, 等. 中药热奄包联合皮内针治疗腰椎间盘突出症的效果观察[J]. 实用医院临床杂志, 2022, 19(2): 73-75. doi: 10.3969/j.issn.1672-6170.2022.02.020

    WANG Y, WANG W, LI C, et al. Observation on the effect of traditional Chinese medicine hot package combined with intra-dermal acupuncture in the treatment of lumbar intervertebral disc herniation[J]. Practical Journal of Clinical Medicine, 2022, 19(2): 73-75. doi: 10.3969/j.issn.1672-6170.2022.02.020
    [5]
    中华医学会骨科学分会脊柱外科学组, 中华医学会骨科学分会骨科康复学组. 腰椎间盘突出症诊疗指南[J]. 中华骨科杂志, 2020, 40(8): 477-487. doi: 10.3760/cma.j.cn121113-20200402-00213

    Chinese Orthopaedic Association of Spinal Surgery Group, Chinese Orthopaedic Association of Orthopaedic Rehabilitation Group. Clinical practice guideline for diagnosis and treatment of lumbar disc herniation[J]. Chinese Journal of Orthopaedics, 2020, 40(8): 477-487. doi: 10.3760/cma.j.cn121113-20200402-00213
    [6]
    国家中医药管理局. 中医病证诊断疗效标准[S]. 南京: 南京大学出版社, 1994: 201-202. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202404055.htm
    [7]
    刘绮, 麦明泉, 肖灵君, 等. 中文版Oswestry功能障碍指数评定慢性腰痛患者的反应度研究[J]. 中国康复医学杂志, 2010, 25(7): 621-624. doi: 10.3969/j.issn.1001-1242.2010.07.001

    LIU Q, MAI M Q, XIAO L J, et al. Responsiveness of Chinese version of Oswestry disability index in subjects with chronic low back pain[J]. Chinese Journal of Rehabilitation Medicine, 2010, 25(7): 621-624. doi: 10.3969/j.issn.1001-1242.2010.07.001
    [8]
    宋甲威, 侯小燕, 王志敏, 等. 独活寄生汤联合针刺夹脊穴治疗对腰椎间盘突出症患者症状积分、Oswestry功能障碍指数及JOA评分的影响[J]. 四川中医, 2021, 39(9): 142-145. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY202109040.htm

    SONG J W, HOU X Y, WANG Z M, et al. Effect of Duhuo Jisheng Decoction combined with acupuncture at Jiaji points on symptom score, oswestry disability index and JOA score for patients with lumbar disc herniation[J]. Journal of Sichuan of Traditional Chinese Medicine, 2021, 39(9): 142-145. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY202109040.htm
    [9]
    孙兵, 车晓明. 视觉模拟评分法(VAS)[J]. 中华神经外科杂志, 2012, 28(6): 645. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202326020.htm

    SUN B, CHE X M. Visual analog scale (VAS)[J]. Chinese Journal of Neurosurgery, 2012, 28(6): 645. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD202326020.htm
    [10]
    欧林宏, 乔英杰, 张万里, 等. 李华东从椎间孔内外口靶点治疗腰椎间盘突出症经验[J]. 山东中医杂志, 2022, 41(8): 891-894. https://www.cnki.com.cn/Article/CJFDTOTAL-SDZY202208020.htm

    OU L H, QIAO Y J, ZHAG W L. Experience of LI Huadong in treatment of lumbar disc herniation from targets in internal and external orifices of intervertebral foramen[J]. Shandong Journal of Traditional Chinese Medicine, 2022, 41(8): 891-894. https://www.cnki.com.cn/Article/CJFDTOTAL-SDZY202208020.htm
    [11]
    赵龙, 张荣宜, 刘畅. 椎间孔镜手术与等离子联合胶原酶手术治疗腰椎间盘突出症的临床疗效比较[J]. 中华全科医学, 2021, 19(11): 1827-1830. doi: 10.16766/j.cnki.issn.1674-4152.002177

    ZHAO L, ZHANG R Y, LIU C. Comparison of the clinical effects of percutaneous transforaminal endoscopic discectomy and plasma-mediated radiofrequency ablation combined with collagenase in the treatment of lumbar disc herniation[J]. Chinese Journal of General Practice, 2021, 19(11): 1827-1830. doi: 10.16766/j.cnki.issn.1674-4152.002177
    [12]
    刘献强, 唐臻一, 王博韬, 等. 祛风止痛胶囊联合甲钴胺治疗腰椎间盘突出症的临床研究[J]. 现代药物与临床, 2022, 37(5): 1066-1070. https://www.cnki.com.cn/Article/CJFDTOTAL-GWZW202205026.htm

    LIU X Q, TANG Z Y, WANG B T, et al. Clinical study on Qufeng Zhitong Capsules combined with mecobalamin in treatment of lumbar disc herniation[J]. Drugs & Clinic, 2022, 37(5): 1066-1070. https://www.cnki.com.cn/Article/CJFDTOTAL-GWZW202205026.htm
    [13]
    庞军, 杨鹏, 卢栋明, 等. 枢经推拿治疗腰椎间盘突出症的临床疗效及对患者病变区域红外热成像的影响[J]. 广西医学, 2021, 43(16): 1909-1912. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX202116001.htm

    PANG J, YANG P, LU D M, et al. Clinical efficacy of pivot meridians massage for treatment of lumbar disc herniation and its effect on infrared thermal imaging of patients'lesion area[J]. Guangxi Medical Journal, 2021, 43(16): 1909-1912. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYX202116001.htm
    [14]
    张建坡, 贾永伟, 翟伟峰, 等. 针刺结合理筋手法对老年患者腰椎后路融合手术后残留症状及功能康复影响的临床研究[J]. 上海中医药杂志, 2022, 56(4): 68-71. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZZ202204015.htm

    ZHANG J P, JIA Y W, ZHAI W F, et al. Clinical study on effect of acupuncture combined with tendon-regulating manipulation on residual symptoms and functional rehabilitation of elderly patients after posterior lumbar fusion[J]. Shanghai Journal of Traditional Chinese Medicine, 2022, 56(4): 68-71. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZZ202204015.htm
    [15]
    赖智君, 刘利涛, 李志敏, 等. 化瘀理筋针刺法对腰椎间盘突出症瘀血阻滞型患者血清PGE2、IL-23、MMP-9及腰椎功能的影响[J]. 中华中医药杂志, 2022, 37(12): 7540-7542. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202212145.htm

    LAI Z J, LIU L T, LI Z M, et al. Clinical study on the effects of acupuncture for removing blood stasis and regulating tendons on serum PGE2, IL-23, MMP-9 and lumbar function in patients with lumbar disc herniation (blood stasis block type)[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2022, 37(12): 7540-7542. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202212145.htm
    [16]
    王玉华. 中药热奄包联合针刺治疗腰椎间盘突出症的临床效果评价[J]. 反射疗法与康复医学, 2022, 3(18): 11-14.

    WANG Y H. Evaluation of the clinical effect of Chinese medicine hot compresses package combined with acupuncture in the treatment of lumbar disc herniation[J]. Reflexology and Rehabilitation Medicine, 2022, 3(18): 11-14.
    [17]
    刘琪玉, 张曼竹, 苏程, 等. 中药热奄包联合皮内针治疗气滞血瘀型急性期老年腰椎间盘突出症的疗效观察[J]. 现代医院, 2023, 23(10): 1618-1621. doi: 10.3969/j.issn.1671-332X.2023.10.039

    LIU Q Y, ZHANG M Z, SU C, et al. Effectanalysis of hot Chinese medicinal compress therapy combined with needle-embedding therapy in treating the elderly patients with acute lumbar disc herniation[J]. Modern Hospital, 2023, 23(10): 1618-1621. doi: 10.3969/j.issn.1671-332X.2023.10.039
    [18]
    吴昊, 温晓茵, 颜鹏, 等. 细辛的化学成分及药理作用研究进展[J]. 中国实验方剂学杂志, 2021, 27(4): 186-195. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFX202104028.htm

    WU H, WENG X Y, YAN P, et al. Research progress on chemical constituents and pharmacological effects of Asari Radix et Rhizoma[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2021, 27(4): 186-195. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFX202104028.htm
    [19]
    马艳春, 吴文轩, 胡建辉, 等. 当归的化学成分及药理作用研究进展[J]. 中医药学报, 2022, 50(1): 111-114. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB202201020.htm

    MA Y C, WU W X, HU J H, et al. Research progress on chemical constituents and pharmacological effects of Angelica sinensis[J]. Acta Chinese Medicine and Pharmacology, 2022, 50(1): 111-114. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB202201020.htm
    [20]
    张丽, 王绪平, 黄孝闻, 等. 血竭及龙血竭化学成分、药理作用研究进展[J]. 中国现代应用药学, 2019, 36(20): 2605-2611. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYD201920025.htm

    ZHANG L, WANG X P, HUANG X W, et al. Advance of the chemical components and pharmacological effects of Draconis Sanguis and Resina Draconis[J]. Chinese Journal of Modern Applied Pharmacy, 2019, 36(20): 2605-2611. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYD201920025.htm
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (69) PDF downloads(3) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return