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推拿联合腰痛活血胶囊治疗腰椎间盘突出症(血瘀型)的疗效观察

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目的:运用推拿手法联合腰痛活血胶囊,观察对腰椎间盘突出症(Lumbar disc herniatin,LDH)(血瘀型)的疗效.方法:采用信封法将安徽中医药大学第一附属医院推拿科门诊纳入的60例明确诊断为LDH(血瘀型)的患者,分成观察组(推拿+药物组)30例和对照组(推拿组)30例.对照组(推拿组)用推拿干预,观察组(推拿+药物组)在推拿基础上联用腰痛活血胶囊药物治疗.治疗2个疗程结束后观察2组临床疗效、中医证候积分、腰椎功能障碍指数(Oswestry disability index,ODI)及视觉模拟量表(Visual analogue scale,VAS)评分.结果:治疗结束后,可见观察组(推拿+药物组)比对照组(推拿组)总有效率高(P<0.05).2组患者治疗后中医证候积分、ODI指数、VAS评分较治疗前均降低(P<0.05),且治疗后观察组(推拿+药物组)较对照组(推拿组)明显降低(P<0.05).结论:推拿手法联合腰痛活血胶囊治疗腰椎间盘突出症(血瘀型),可更有效改善腰椎功能,缓解疼痛程度,提高临床疗效.
Clinical Effect of Tuina Combined with Lumbago Huoxue Capsule on Lumbar Disc Herniation (Blood Stasis Type)
Objective: To observe the therapeutic effect on lumbar disc herniatin (LDH) (blood stasis type) using massage techniques combined with Yaotong Huoxue Capsules. Methods: Using the envelope method, 60 patients with definite diagnoses of LDH (blood stasis type) enrolled in the Massage Clinic of the First Clinical College of Anhui Uni-versity of Traditional Chinese Medicine were divided into an observation group (massage + drug group) of 30 patients and a control group (massage group) of 30 patients. group) 30 cases. The control group (massage group) received mas-sage intervention, and the observation group (massage + drug group) received Yaotong Huoxue Capsule drug treatment on the basis of massage. After 2 courses of treatment, the clinical efficacy, TCM syndrome scores, lumbar spine dys-function index (Oswestry disability index, ODI) and visual analogue scale (VAS) scores of the 2 groups were observed. Results: After the treatment, it can be seen that the total effective rate of the observation group (massage + drug group) is higher than that of the control group (massage group) (P<0.05). After treatment, the TCM syndrome scores, ODI in-dex, and VAS scores of the 2 groups of patients were all lower than before treatment (P<0.05), and the observation group (massage + drug group) after treatment was significantly lower than the control group (massage group) (P<0.05) ). Conclusion: Massage manipulation combined with Yaotong Huoxue Capsules in the treatment of lumbar disc herniation (blood stasis type) can more effectively improve lumbar spine function, relieve pain, and improve clinical efficacy.

MassageLumbar Pain Huoxue CapsuleLumbar disc herniationBlood stasis typeCurative effect ob-servation

王晓增、张宇、吕子萌

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安徽中医药大学第一临床医学院 安徽合肥 230038

安徽中医药大学第一附属医院 安徽合肥 230031

安徽省中西医结合医院 安徽合肥 230061

推拿 腰痛活血胶囊 腰椎间盘突出症 血瘀型 疗效观察

安徽省中医优势专科(推拿科)专科建设项目安徽省中医药传承创新项目

2022-342020ccyb06

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(4)
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