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通阳健腰方治疗腰椎小关节骨关节炎

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目的 探讨通阳健腰方治疗腰椎小关节骨关节炎的临床治疗效果.方法 将96例腰椎小关节骨关节炎患者按照随机数字分组法分成观察组与对照组.对照组予常规西药治疗,观察组在常规临床治疗基础上联合通阳健腰方治疗.观察2组治疗前和治疗2周后肝肾亏虚证证候积分、视觉模拟评分法(VAS)评分、日本骨科学会JOA脊柱功能评分(JOA评分)、Oswestry功能障碍指数(ODI)评分、腰椎功能活动度及血清C-反应蛋白(C-reactive protein,CRP)、白介素6(interleukin-6,IL-6)及肿瘤坏死因子-α(tumor necrosis factor,TNF-α)改善状况,统计2组总有效率并评估治疗安全性.结果 观察组治疗后肝肾亏虚证证候积分,VAS评分,ODI评分及血清CRP、IL-6、TNF-α水平均低于对照组(P<0.05),JOA评分、腰椎前屈度数、后伸度数、左屈度数、右屈度数均高于对照组(P<0.05);观察组总有效率93.75%(45/48)高于对照组79.17%(38/48);2组均未发生明显药物不良反应.结论 通阳健腰方能够抑制腰椎小关节骨关节炎患者体内炎症反应,改善患者腰椎活动度,有助于缓解疼痛症状,促进腰椎功能的恢复.
Clinical observation on the treatment of lumbar facet osteoarthritis with Tongyang Jianyao Formula
Objective To explore the clinical efficacy of Tongyang Jianyao Formula in the treatment of lumbar facet osteoarthritis.Methods A total of 96 patients with lumbar facet osteoarthritis were randomly divided into an observation group and a control group using a random number grouping method.The control group received a conventional western medicine treatment,while the observation group received a combined treatment with Tongyang Jianyao Formula on the basis of the routine clinical treatment.The scores of the liver and kidney deficiency syndrome,the scores of Visual Analog Scale(VAS),Japanese Orthopaedic Association(JOA),Oswestry Dysfunction Index(ODI),the lumbar functional activity,and the improvement of serum C-reactive protein(CRP),interleukin-6(IL-6),and tumor necrosis factor-α(TNF-α)were observed before and after 2 weeks of treatment in the two groups,the total effective rate was calculated in the two groups,and the safety of treatment was evaluated in both groups.Results The scores of the liver and kidney deficiency syndrome,the VAS scores,the ODI scores,the serum levels of CRP,IL-6,and TNF-α were lower in the observation group than those in the control group after treatment(P<0.05),while the JOA scores,the lumbar flexion,extension,left flexion,and right flexion were higher than those in the control group(P<0.05).The total effective rate of the observation group(93.75%,45/48)was higher than that in the control group(79.17%,38/48).No significant adverse drug reactions occurred in either group.Conclusion The application of Tongyang Jianyao Formula can inhibit inflammatory responses in patients with lumbar facet osteoarthritis,improve lumbar spine mobility,help alleviate pain symptoms,and promote the recovery of lumbar spine function.

Tongyang Jianyao Formulalumbar facet osteoarthritislumbar spine functioninflammatory factorslumbar functional range of motion

杜鹏、柴芳芳、李玉冰、郭雨凡、蔡迎峰

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广州中医药大学附属广州中医医院,广州 510000

广州医科大学附属中医医院/广州市中医医院,广州 510000

通阳健腰方 腰椎小关节骨关节炎 腰椎功能 炎性因子 腰椎功能活动度

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(12)