摘要
目的观察石氏温经强腰方结合中药熏蒸治疗腰椎间盘突出症(寒湿痹阻型)临床效果。方法将该院近1年收治的81例腰椎间盘突出症(寒湿痹阻型)患者纳入研究,根据治疗方法不同将其以随机数字表法分为对照组(40例)与中医组(41例),对照组患者采取西医常规疗法治疗,中医组患者在对照组患者治疗基础上结合石氏温经强腰方以及中药熏蒸治疗。比较临床治疗效果、治疗前后中医证候积分(腰腿冷痛着重、痛连臀腿、肢体发凉、舌质淡胖等)变化、C反应蛋白(C-reactive protein,CRP)以及肿瘤坏死因子α(tumor necrosis factor-α,TNF-α)等炎症因子水平变化、疼痛量表[视觉模拟疼痛评分法(visual analogue scale,VAS)]评分变化、日本骨科协会评估治疗分数(Japanese Orthopaedic Associationscores,JOA评分)变化、不良反应。结果中医组患者治疗总有效率(95.12%,39/41)比对照组患者(80.00%,32/40)更高(P<0.05);治疗前,两组患者中医证候积分(腰腿冷痛着重、痛连臀腿、肢体发凉、舌质淡胖等)、CRP及TNF-α水平、VAS评分以及JOA评分等指标比较,差异无统计学意义(P>0.05),经治疗后两组患者中医证候积分(腰腿冷痛着重、痛连臀腿、肢体发凉、舌质淡胖等)、CRP及TNF-α水平、VAS评分均显著下降,中医组低于对照组,JOA评分均上升,中医组高于对照组(均P<0.05);对照组患者出现1例恶心,1例呕吐,中医组未见不良反应(P>0.05)。结论石氏温经强腰方结合中药熏蒸治疗腰椎间盘突出症(寒湿痹阻型)临床效果显著,患者症状好转,疼痛减轻,腰椎功能恢复好,且未见不良反应,安全可靠。
Objective To observe the clinical effect of Shi′s Wenjing Qiangyao Prescription(石氏温经强腰方)combined with traditional Chinese medicine fumigation in the treatment of lumbar disc herniation(cold dampness obstruction type).Methods Eighty-one cases of lumbar disc herniation(cold dampness obstruction type)admitted to the hospital in the past year were included in the study.According to different treatment methods,the patients were divided into control group(40 cases)and traditional Chinese medicine group(41 cases)by random number table method.The patients in the control group were treated with conventional Western medicine therapy,and those in the traditional Chinese medicine group were treated with Shi′s Wenjing Qiangyao Prescription and Chinese medicine fumigation on the basis of the treatment in the control group.The clinical treatment effect,the changes in traditional Chinese medicine syndrome scores before and after treatment(heavy pain in waist and legs,pain in buttocks and legs,cold limbs,light fat tongue,etc.),the changes in the levels of inflammatory factors such as C-reactive protein(CRP)and tumor necrosis factorα(TNF-α),the pain scale(visual analogue scale,VAS),Japanese Orthopaedic Associationscores(JOA score)and adverse reactions of two groups were compared.Results The total effective rate of the traditional Chinese medicine group(95.12%,39/41)was higher than that of control group(80.00%,32/40)(P<0.05).Before treatment,TCM syndrome scores(waist and leg cold pain,pain with buttock and leg,limb cold,tongue fat,etc.),CRP and TNF-αlevels,VAS score and JOA score were compared among all groups,P>0.05.After treatment,TCM syndrome score(heavy pain in waist and legs,pain in buttocks and legs,cold limbs,light fat tongue,etc.),the levels of CRP and TNF-αand VAS score were significantly decreased in both groups,and those of the traditional Chinese medicine group were lower than those of the control group.The JOA scores were increased in two groups,and the score of the traditional Chinese medicine gr
作者
赵旭涛
俞仲翔
ZHAO Xutao;YU Zhongxiang(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China;Shuguang Clinical School of Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shi′s Traumatology Medical Center of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine/Institute of Orthopedics and Traumatology of Shanghai Academy of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《辽宁中医杂志》
CAS
北大核心
2024年第3期128-131,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
上海市“科技创新行动计划”医学创新研究专项项目(20MC1920600)。
关键词
腰椎间盘突出症
寒湿痹阻型
石氏温经强腰方
中药熏蒸
JOA评分
lumbar disc herniation
cold dampness obstruction type
Shi′s Wenjing Qiangyao Prescription(石氏温经强腰方)
Chinese medicine fumigation
JOA score
