摘要
目的:探讨脊柱平衡手法配合灵仙通络方治疗椎间盘源性腰痛(DLBP)的疗效。方法:选取180例DLBP患者,随机分为治疗组和对照组各90例,最终治疗组完成86例,对照组完成84例。分别观察治疗前后和随访6月的中医证象评分、VAS评分、ODI评分,并评价疗效。结果:治疗后和6月随访,两组VAS、ODI评分均显著降低(P<0.05);治疗组VAS评分、治疗后6月VAS评分均低于对照组(P<0.05);治疗组ODI评分、治疗后6月ODI评分均低于对照组(P<0.05);治疗组总有效率93.0%(80/86),对照组84.7%(P<0.05)。结论:脊柱平衡手法配合灵仙通络方能够明显改善DLBP患者的中医临床证候,降低VAS、ODI评分。
Objectives To discuss the clinical effects of spinal balanced manipulation combined with Lingxian Tongluo Prescription in treatment of discogenic low back pain(DLBP)Methods The patients with DLBP(180 cases)were randomly divided into treatment group and control group(n=90).In the treatment group,86 cases were actually completed and 84 cases were completed in the control group.The traditional Chinese medicine(TCM)syndrome score,VAS score,and ODI score were observed,and the clinical efficacies before and after treatment and follow-up of 6 months after treatment were evaluated.Results Before treatment,there was no significant difference between the two groups in VAS and ODI scores(P>0.05);both VAS and ODI scores were significantly reduced in the two groups after treatment and 6 months after treatment(P<0.05).The VAS score after treatment and the VAS score in 6 months after treatment were lower than those in the control group(P<0.05).The ODI score after treatment and the ODI score in 6 months after treatment were lower than those in the control group(P<0.05).After treatment,the total effective rate of the treatment group was 93.0%(80/86)and was 84.7%(71/84)in the control group.The total effective comparison between the two groups was statistically significant(P<0.05).Conclusion The spinal balanced manipulation combined with Lingxian Tongluo Prescription can significantly improve the TCM clinical syndrome of DLBP patients,reduce the scores of VAS and ODI,and provide reliable clinical treatment basis for the treatment of DLBP with the comprehensive targeting of TCM and techniques.
作者
陈长春
赵晓明
黄立
CHEN Chang-chun;ZHAO Xiao-ming;HUANG Li(Department of Orthopaedics,Baoji Central Hospital,Baoji721008,China)
出处
《中国中西医结合外科杂志》
CAS
2019年第5期738-742,共5页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
陕西省社会发展科技攻关项目(2016SF-187)
关键词
椎间盘源性腰痛
脊柱平衡手法
灵仙通络方
Discogenic low back pain
spinal balanced manipulation
Lingxian Tongluo Prescription
