首页|地龙舒腰汤治疗退行性腰椎管狭窄症(肾虚血瘀型)临床疗效观察

地龙舒腰汤治疗退行性腰椎管狭窄症(肾虚血瘀型)临床疗效观察

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目的:探究地龙舒腰汤治疗退行性腰椎管狭窄症(肾虚血瘀型)的临床疗效.方法:选取2021年12月—2022年12月收治的退行性腰椎管狭窄症患者68例,按随机数字表法将患者分为治疗组与对照组,每组各34例,对照组予以现代医学常规治疗,治疗组在对照组基础上予以地龙舒腰汤治疗,持续治疗28d.比较2组患者治疗前后的疼痛视觉模拟评分法(VAS评分)、日本骨科学会腰椎评估治疗分数评分(JOA评分)及中医证候积分.结果:治疗前,2组患者疼痛程度、腰椎评估治疗分数及中医证候积分比较,差异均无统计学意义;治疗后2组患者疼痛程度及中医证候积分均低于治疗前,且治疗组均低于对照组,差异均具有统计学意义;治疗后2组患者JOA评分均高于治疗前,且治疗组高于对照组,差异具有统计学意义;治疗组有效率为97.06%高于对照组的88.23%,差异具有统计学意义.结论:地龙舒腰汤能有效缓解退行性腰椎管狭窄症患者的临床症状,有效减轻疼痛,改善其腰椎功能,提高患者的生活质量,值得在临床推广.
Observation on the Clinical Efficacy of Dilong Shuyao Decoction in the Treatment of Degenerative Lumbar Spinal Stenosis (Kidney Deficiency and Blood Stasis Type)
Objective: To explore the clinical efficacy of Dilong Shuyao Decoction in the treatment of degenerative lumbar spinal stenosis (kidney deficiency and blood stasis type). Methods: Select 68 patients with degenerative lumbar spinal stenosis who were treated from December 2021 to December 2022. The patients were divided into a treatment group and a control group according to the random number table method, with 34 cases in each group. The control group was treated with modern medicine. For routine treatment, the treatment group was given Dilong Shuyao Decoction on the basis of the control group, and the treatment was continued for 28 days. The pain visual analog scale (VAS score), Japanese Orthopedic Association lumbar spine assessment and treatment score (JOA score) and traditional Chinese medicine syndrome score were compared between the 2 groups of patients before and after treatment. Results: Before treatment, there was no statistically significant difference in the pain level, lumbar spine assessment and treatment scores, and TCM syndrome scores between the two groups of patients; after treatment, the pain levels and TCM syn-drome scores of the two groups were lower than before treatment, and the treatment group Both were lower than those in the control group, and the differences were statistically significant; after treatment, the JOA scores of the two groups of patients were higher than before treatment, and the treatment group was higher than that of the control group, and the difference was statistically significant; the effective rate of the treatment group was 97.06%, which was higher than that of the control 88.23% of the group, the difference is statistically significant. Conclusion: Dilong Shuyao Decoction can effectively relieve the clinical symptoms of patients with degenerative lumbar spinal stenosis, effectively reduce pain, improve their lumbar function, and improve the quality of life of patients, and is worthy of clinical promotion.

Dilong Shuyao Decoctiondegenerative lumbar spinal stenosiskidney deficiency and blood stasis typeclinical efficacy

董唐博、廖承友、赵光辉、于其华、辛坤

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安徽中医药大学附属太和中医院 安徽太和 236600

地龙舒腰汤 退行性腰椎管狭窄症 肾虚血瘀型 临床疗效

于其华全国名老中医工作室2021年度安徽中医药大学临床科研项目重点项目

国中医药人教函[2022]75号2021LCTH03

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(2)
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