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Clinical efficacy analysis of acupuncture cupping combined with Duhuo Jisheng decoction in the treatment of lumbar disc herniation of cold and dampness obstruction type
BAI Guoliang, PANG Ying
Shanghai Medical & Pharmaceutical Journal ›› 2023, Vol. 44 ›› Issue (19) : 59-62.
PDF(1476 KB)
PDF(1476 KB)
Clinical efficacy analysis of acupuncture cupping combined with Duhuo Jisheng decoction in the treatment of lumbar disc herniation of cold and dampness obstruction type
({{custom_author.role_en}}), {{javascript:window.custom_author_en_index++;}}Objective: To explore the clinical efficacy of acupuncture and cupping combined with Duhuo Jisheng decoction in the treatment of lumbar disc herniation of cold and dampness obstruction type. Methods: Ninety-eight patients with lumbar disc herniation with cold and wet obstruction were randomly divided into a puncture cupping therapy group and a combined treatment group with 49 cases each. The puncture cupping therapy group was treated with puncture cupping therapy, while the combined treatment group was treated with Duhuo Jisheng decoction on the basis of the puncture cupping therapy group. The curative efficacy was compared between the two groups. Results: After the treatment, the total effective rate was higher, the visual analogue scale, Japanese Orthopaedic Association scores, self-rating anxiety scale, self-rating depression scale, and SF-36 score of quality of life were better in the combined treatment group than the puncture cupping therapy group (P<0.05); the difference of the incidence of the adverse reactions between the two groups was not statistically significant (P>0.05). Conclusion: Acupuncture and cupping combined with Duhuo Jisheng decoction for the treatment of lumbar disc herniation of cold and dampness obstruction type can promote the rehabilitation of patients and improve negative emotions and quality of life.
lumbar intervertebral disc herniation / cold and dampness obstruction / acupuncture / cupping therapy / Duhuo Jisheng decoction {{custom_keyword}} /
表1 两组临床一般资料比较 [n（%）] |
| 一般资料 | 治疗组（n=99） | 对照组（n=98） | P值 |
|---|---|---|---|
| 年龄/岁 | 0.25 | ||
| ≤35 | 4（4.04） | 7（7.14） | |
| 35~50 | 20（20.20） | 27（27.55） | |
| >50 | 75（75.76） | 64（65.31） | |
| 学历 | 0.55 | ||
| 小学及以下 | 23（23.23） | 26（26.53） | |
| 初中 | 37（37.37） | 32（32.65） | |
| 高中 | 32（32.32） | 28（28.57） | |
| 本科及以上 | 7（7.07） | 12（12.24） | |
| 手术方式 | 0.48 | ||
| 全乳切除 | 64（64.65） | 68（96.39） | |
| 保乳 | 35（35.35） | 30（30.61） | |
| 病例类型 | 0.20 | ||
| 浸润性导管癌 | 56（56.56） | 64（65.31） | |
| 其他类型 | 43（43.43） | 34（34.69） | |
| 肿瘤分期 | 0.29 | ||
| T1 | 68（68.69） | 69（70.41） | |
| T2 | 23（23.23） | 26（26.53） | |
| T3 | 8（8.08） | 3（3.06） | |
| 淋巴结分期 | 0.50 | ||
| N0 | 47（47.47） | 45（45.92） | |
| N1 | 38（38.38） | 39（39.80） | |
| N2 | 10（10.10） | 6（6.12） | |
| N3 | 4（4.04） | 8（8.16） |
表2 两组治疗前后中医证候积分比较 （ |
| 组别 | 例数 | 中医证候积分 | t值 | P值 | |
|---|---|---|---|---|---|
| 治疗前 | 治疗后 | ||||
| 治疗组 | 99 | 22.81±2.09 | 9.04±4.45 | 26.04 | <0.001 |
| 对照组 | 98 | 22.77±1.98 | 12.40±5.99 | 15.92 | <0.001 |
| t值 | -0.20 | -6.40 | |||
| P值 | 0.84 | <0.001 | |||
表3 两组中医症状疗效比较 [n（%）] |
| 组别 | 例数 | 显效 | 有效 | 无效 | 总有效 |
|---|---|---|---|---|---|
| 治疗组 | 99 | 48（48.48） | 42（42.42） | 9（9.09） | 90（90.91） |
| 对照组 | 98 | 35（35.71） | 33（33.67） | 30（30.61） | 68（69.39） |
| χ2值 | 14.42 | ||||
| P值 | 0.001 |
表4 两组生活质量评分比较（ |
| 组别 | 生理领域 | 心理领域 | 社会关系 | 环境领域 |
|---|---|---|---|---|
| 治疗组（n=99） | ||||
| 治疗前 | 11.46±2.76 | 11.74±2.51 | 11.49±2.51 | 11.33±2.76 |
| 治疗后 | 12.39±2.60a | 12.50±2.65a | 12.32±2.48a | 12.14±2.80a |
| 对照组（n=98） | ||||
| 治疗前 | 9.56±1.89 | 9.39±1.95 | 12.29±2.48 | 12.10±2.79 |
| 治疗后 | 10.58±1.61a | 11.12±1.96a | 11.28±2.12 | 10.40±1.94 |
| t值治疗后 | 7.42 | 7.3 | 5.71 | 7.08 |
| P值治疗后 | <0.001 | <0.001 | <0.001 | <0.001 |
| 注：与同组治疗前比较，aP<0.05。 |
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