[1] ZHANG Liting YAO Xin TIAN Jing ZHANG Wen HAN Yingchun,.Clinical Study of Warm Acupuncture Combined with Epidural Block in Treatment of Lumbar Disc Herniation [J]. Modern Traditional Chinese Medicine, 2023, (02): 69-74. [doi: 10.13424/j.cnki.mtcm.2023.02.015]
Clinical Study of Warm Acupuncture Combined with Epidural Block in Treatment of Lumbar Disc Herniation
- Article number:
- 1672-0571(2023)02-0069-06
- Keywords:
- Key words:Lumbar disc herniation; Epidural block therapy; Warm acupuncture; Inflammatory factors; Coagulation function; Neurotransmitter
- ZTFLH:
- R245.31+5
- Code:
- A
- Abstract:
- Abstract：Objective To explore the clinical effect of warm acupuncture combined with epidural block in the treatment of lumbar disc herniation.Methods 88 patients with lumbar disc herniation were randomly divided into control group (44 cases,epidural block) and treatment group (44 cases,epidural block+warm acupuncture) to evaluate the treatment effect,measure and compare the blood coagulation function,serum inflammatory factors,neurotransmitter levels,and evaluate the pain and dysfunction of patients before and after treatment.Results The total effective rate of the treatment group was significantly higher than that of the control group (P＜0.05）;After treatment,the activated partial prothrombin time (aPTT) and prothrombin time (PT) in the treatment group were significantly longer than those in the control group (P＜0.05）;Serum tumor necrosis factor（TNF-α） in treatment group after treatment、 the level of interleukin-6 (IL-6) was significantly lower than that of the control group (P＜0.05）;After treatment,the serum levels of PGE2 and 5-HT in the treatment group were significantly lower than those in the control group (P＜0.05）;After treatment,the scores of VAS and ODI in the treatment group were significantly lower than those in the control group (P<0.05).Conclusion Warm acupuncture combined with epidural block can significantly improve the blood coagulation function of patients with lumbar disc herniation,promote inflammation relief,lower the level of serum pain mediators,reduce pain and improve the lumbar dysfunction of patients.The overall effect is significant.
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Memo
基金项目：陕西省科技厅重点研发计划项目（2019SF-257）