摘要
目的:观察六味地黄汤加味联合甲钴胺片和右酮洛芬胶囊治疗肾虚血瘀型腰椎间盘突出症的临床疗效。方法:选取符合纳入标准的腰椎间盘突出症患者60例,采用随机数字表法将其分为两组各30例。对照组予甲钴胺片联合右酮洛芬胶囊,治疗组在对照组基础上加用六味地黄汤加味。2周为1个疗程,治疗2个疗程。比较两组患者治疗前后视觉模拟量表(VAS)评分、日本骨科协会评估治疗分数(JOA)评分、Oswestry功能障碍指数问卷表(ODI)评分。结果:治疗组总有效率为90.00%,高于对照组的66.67%(P<0.05);治疗后,治疗组VAS、JOA、ODI评分均明显改善(P<0.05),且改善程度优于对照组(P<0.05);治疗组复发率为7.40%,低于对照组的25.00%,两组比较差异有统计学意义(P<0.05)。结论:六味地黄汤加味联合甲钴胺片和右酮洛芬胶囊治疗肾虚血瘀型腰椎间盘突出症效果较好,可缓解患者腰部疼痛症状,改善其生活质量。
Objective:To observe the clinical efficacy of modified Liuwei Dihuang decoction and mecobalamin tablets and dexketoprofen capsules on lumbar intervertebral disc protrusion with syndrome of kidney deficiency and blood stasis.Methods:60 cases of eligible patients with lumbar intervertebral disc protrusion were selected and divided into two groups by random number table method,30 cases in each group.The control group was treated with mecobalamin tablets and dexketoprofen capsules,while the treatment group was treated plus with modified Liuwei Dihuang decoction on the basis of control group.2 weeks as 1 course of treatment.Both groups were treated for 2 courses of treatment.Visual analogue scale(VAS)score,Japanese Orthopaedic Association Scores(JOA),Oswestry disability index(ODI)score of patients were compared between two groups before and after treatment.Results:The total effective rate of treatment group was 90.00%,which was higher than 66.67%of control group(P<0.05).After treatment,the scores of VAS,JOA and ODI of treatment group were significantly improved(P<0.05),and the improvement of treatment group was better than that of control group(P<0.05).The recurrence rate of treatment group was 7.40%,which was lower than 25.00%of control group,and the comparative difference between two groups was statistically significant(P<0.05).Conclusion:The clinical efficacy of modified Liuwei Dihuang decoction and mecobalamin tablets and dexketoprofen capsules on lumbar intervertebral disc protrusion with syndrome of kidney deficiency and blood stasis is batter,which can relieve the symptoms of lumbar pain of patients and improve their quality of life.
作者
王鑫睿
徐无忌
WANG Xin-rui;XU Wu-ji(The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410000,China)
出处
《山西中医》
2024年第3期19-21,共3页
Shanxi Journal of Traditional Chinese Medicine
关键词
腰椎间盘突出症
肾虚血瘀
六味地黄汤
中西医结合疗法
lumbar intervertebral disc protrusion
kidney deficiency and blood stasis
Liuwei Dihuang decoction
integrated therapy of traditional chinese and western medicine
