摘要
目的:探索运用自拟通痹强腰汤治疗腰椎间盘突出症的临床效果。方法:以新田县中医医院收治的腰椎间盘突出症患者开展研究,选择2020年4月-2021年4月收治的90例患者,按照双盲信封法原则均分为两组,对照组、观察组各45例,分别行西药治疗以及在此基础上联合自拟通痹强腰汤治疗,观察两组患者腰椎Oswestry功能障碍指数(Oswestry Dysfunction Index,ODI)评分、视觉模拟评分法(Visual Analogue Scale,VAS)评分,计算治疗有效率。结果:治疗前两组患者腰椎ODI评分的差异无统计学意义(P>0.05);治疗后观察组评分与对照组的差异有统计学意义(P<0.05)。治疗前两组患者日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)评分的差异无统计意义(P>0.05);治疗后观察组JOA各项指标(主观症状、临床体征、日常活动受限程度、膀胱功能)评分优于对照组(P<0.05)。治疗前两组患者疼痛VAS评分的差异无统计学意义(P>0.05);治疗后观察组疼痛VAS评分更优(P<0.05)。观察组有效率与对照组的差异有统计学意义(P<0.05)。结论:腰椎间盘突出症患者运用自拟通痹强腰汤治疗的效果较为明显,可有效改善临床症状,提升腰椎功能,值得临床推广。
Objective:To explore the clinical effect of the Tongbi Qiangyao decoction(通痹强腰汤)on lumbar intervertebral disc herniation.Methods:A total of 90 cases from April 2020 to April 2021 were selected and divided into two groups according to the principle of double-blind envelope method,namely the control group and the observation group,with 45 cases in each group.The control group was given Western medicine treatment,and the observation group was given additionally the Tongbi Qiangyao decoction more.Results:There was no significant difference in lumbar ODI score between the two groups before treatment(P>0.05).After treatment,the lumbar ODI score in the observation group was significantly different from that in the control group(P<0.05).After treatment,the scores of JOA indexes(such as subjective symptoms,clinical signs,daily activity limitation,and bladder function)in the observation group were better than those in the control group(P<0.05).After treatment,the pain VAS score in the observation group was better than the control group,and the difference was statistically significant(P<0.05).The difference of efficiency between the two groups was statistically significant(P<0.05).Conclusion:The treatment effect of the Tongbi Qiangyao decoction on lumbar intervertebral disc herniation is greatly obvious,which can effectively relieve the clinical symptoms of patients and improve the function of lumbar spine,and is worthy of clinical promotion.
出处
《中医临床研究》
2022年第29期98-100,共3页
Clinical Journal Of Chinese Medicine
关键词
腰椎间盘突出症
通痹强腰汤
腰椎功能
Lumbar intervertebral disc herniation
The Tongbi Qiangyao decoction
Lumbar function
