摘要
目的:分析中药封包联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症的效果。方法:选取2020年10月至2023年10月接受治疗的腰椎间盘突出症患者94例,通过随机数字表法将患者分为对照组和观察组(各47例)。给予对照组中药封包治疗,观察组在对照组的基础上联合服用身痛逐瘀汤,所有患者均治疗2周。记录患者的临床疗效,比较治疗前、治疗3 d后、1周后和2周后的腰部和腿部疼痛评分,并对比治疗前后的血清指标[C反应蛋白(CRP)、前列腺素E_(2)(PEG_(2))、5-羟色胺(5-HT)]、中医证候评分(腰痛僵硬、下肢麻木、腰膝酸软)、腰椎功能及腰椎活动度。结果:观察组的治疗总有效率高于对照组,且治疗后的疼痛评分、血清指标和中医证候评分更低,而腰椎功能评分和腰椎活动度更高,差异均有统计学意义(P<0.05)。结论:中药封包联合身痛逐瘀汤有助于提高腰椎间盘突出症患者的治疗效果,减轻疼痛并改善腰椎功能。
Objective:To analyze the efficacy of herbal poultice combined with Shentong Zhuyu decoction in patients with Qi stagnation and blood stasis type lumbar disc herniation.Methods:A total of 94 patients with lumbar disc herniation treated from October 2020 to October 2023 were included in this study.Patients were randomly divided into the control group and the observation group,with 47 patients in each group.The control group received herbal poultice treatment,while the observation group received a combination of herbal poultice and Shentong Zhuyu decoction.All patients were treated for 2 weeks.Clinical efficacy was recorded,and pain scores for the lower back and legs were compared before treatment,after 3 d,1 week,and 2 weeks of treatment.Serum markers(C-reactive protein(CRP),prostaglandin E_2(PEG_2),serotonin(5-HT)),traditional Chinese medicine(TCM) syndrome scores(back pain stiffness,lower limb numbness,lumbar and knee soreness),lumbar function,and lumbar mobility were also compared before and after treatment.Results:The total effective rate of treatment in the observation group was higher than that in the control group.There was a statistically significant difference in post-treatment pain scores,serum markers,TCM syndrome scores,and assessments of lumbar function and mobility,all favoring the observation group(P<0.05).Conclusion:The combination of herbal poultice and Shentong Zhuyu decoction enhances the treatment efficacy in patients with lumbar disc herniation,reduces pain,and improves lumbar function.
作者
张为民
丁建球
宋辉
ZHANG Weimin;DING Jianqiu;SONG Hui(Tongling Municipal Hospital,Tongling 244000,Anhui China)
出处
《中国中医骨伤科杂志》
CAS
2024年第10期60-63,70,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
安徽省自然科学重点研究项目(KJ2020A0875)。
关键词
中药封包
身痛逐瘀汤
气滞血瘀证
腰椎间盘突出症
herbal poultice
Shentong Zhuyu decoction
Qi stagnation and blood stasis
lumbar disc herniation
