研究疾病:
|
腰椎间盘突出症
|
研究疾病代码:
|
|
Target disease:
|
Lumbar disc herniation
|
Target disease code:
|
研究类型:
Study type:
|
干预性研究
Interventional study
|
研究设计:
Study design:
|
随机平行对照
randomized controlled trial(parallel group design)
|
研究所处阶段:
Study phase:
|
探索性研究/预试验
Pilot clinical trial
|
研究目的:
|
通过本试验以进一步了解浮针治疗腰椎间盘突出症的作用机制,及证实浮针治疗LDH的有效性及能改善LDH患者的免疫功能。为临床治疗LDH提供新方法,新思路,进一步更好的临床推广浮针技术。
|
Objectives of Study:
|
Through this test, we can further understand the mechanism of Subcutaneous Needling treatment of lumbar disc herniation, and confirm the effectiveness of Subcutaneous Needling in the treatment of LDH and improve the immune function of patients with LDH. The test will provide new methods, new ideas for clinical treatment of LDH, and further promote the floating needle technology in clinical practice.
|
药物成份或治疗方案详述:
|
本课题采用随机、对照的临床试验方法,将80例符合纳入标准的患者按照随机数字表法分为浮针试验组与针刺对照组,对比观察浮针再灌注运动与普通针刺治疗腰椎间盘突出症的临床疗效。通过对腰椎间盘突出症患者治疗前及治疗后1周、3周临床疼痛VAS表、JOA疗效评定、ODI 评分、免疫功能IgG、IgM的测定,及治疗结束后1个月的复发率的比较,通过统计分析,拟证实浮针技术治疗LDH的有效性和改善患者的免疫功能,为临床治疗提供新方法,新思路。
|
Description for medicine or protocol of treatment in detail:
|
This study used a randomized, controlled clinical trial method. 80 patients who met the inclusion criteria were divided into a Subcutaneous Needling test group and acupuncture control group according to the random number table method. The Subcutaneous Needling reperfusion exercise and the common acupuncture treatment of the lumbar intervertebral disc were compared. Through the comparison of the clinical pain VAS, JOA efficacy evaluation, ODI score, immune function IgG, IgM, and recurrence rate (1 month after treatment) before and after treatment for patients with lumbar disc herniation, it is proposed to confirm the effectiveness of Subcutaneous Needling technique in the treatment of LDH and improve the immune function of patients, to provide new methods and new ideas for clinical treatment.
|
纳入标准:
|
(1)符合腰椎间盘突出症的诊断标准;
(2) 年龄20~ 75岁;
(3) 不畏惧浮针及针刺治疗者;
(5) 愿意进入该临床试验并签署知情同意书;
(6) VAS评分≥5分。
|
Inclusion criteria
|
(1) Comply with the diagnostic criteria for lumbar disc herniation;
(2) Aged 20 to 75 years;
(3) Those who are not afraid of Subcutaneous Needling and acupuncture treatment;
(4) Those without serious cardiovascular and cerebrovascular diseases, liver and kidney, endocrine metabolism and other diseases;
(5) Willing to enter the clinical trial and sign an informed consent form;
(6) VAS score ≥ 5 points.
|
排除标准:
|
(1) 病变部位有压缩性骨折或腰椎结核者;
(2) 鞍区麻痹、排便、排尿无力,尿储留、尿失禁或不能控制,阳痿等马尾神经损害综合征及有绝对手术指征患者;
(3) 皮肤有感染者及溃疡、瘢痕、肿瘤部位不宜针刺;
(4) 凝血功能障碍者;
(5) 合并有心、脑、肝肾、内分泌等严重原发性疾病;
(6) 患有精神障碍性疾病,不配合者;
(7) 有传染病、恶性病患者,或者急性炎症、发热患者及孕妇;
(8) 治疗期间联合用药或参加其他试验者。
|
Exclusion criteria:
|
(1) There are compression fractures or lumbar tuberculosis in the lesion;
(2) paralysis in the sellar area, defecation, urinary weakness, urine retention, urinary incontinence or uncontrollable, impotence and other cauda equina syndrome and patients with absolute surgical indications;
(3) Infected skin and ulcers, scars, and tumor sites should not be needled;
(4) those with coagulopathy;
(5) combining serious primary diseases such as heart, brain, liver and kidney, and endocrine;
(6) suffering from mental disorders, those who do not cooperate;
(7) Patients with infectious diseases, malignant diseases, or acute inflammation, fever and pregnant women;
(8) Those who take the medicine during the treatment or participate in other trials.
|
研究实施时间:
Study execute time:
|
从From
2019-01-01
至To
2020-12-31
|
征募观察对象时间:
Recruiting time:
|
从From
2019-07-01
至To
2020-11-06
|