大推拿手法联合清湿利腰汤治疗湿热型腰椎间盘突出症的临床研究
Clinical Study on Large Massage Technique Combined with Qingshi Liyao Decoction in the Treatment of Damp-Heat Type Lumbar Disc Herniation
孙健 1关宏刚 2胡容瑞 3区志楷 4黄宝晖5
作者信息
- 1. 广州中医药大学第八临床医学院/佛山市中医院骨一科 广东佛山 528000
- 2. 广州中医药大学附属第八临床医学院/佛山市中医院骨科中心 广东佛山 528000
- 3. 广州中医药大学附属第八临床医学院/佛山市中医院骨四科 广东佛山 528000
- 4. 佛山市中医院禅城高新区医院外科 广东佛山 528000
- 5. 佛山市普济医院综合骨科 广东佛山 528203
- 折叠
摘要
目的:探讨大推拿手法联合清湿利腰汤治疗湿热型腰椎间盘突出症(LDH)的临床研究.方法:选取LDH患者64例按照随机数字表法,分为对照组(n=32,清湿利腰汤治疗)和观察组(n=32,大推拿手法联合清湿利腰汤治疗).对比两组临床疗效、中医证候评分、相关量表评分和不良反应发生率.结果:观察组总有效率高于对照组(P＜0.05).治疗后,两组腰痛评分、湿热感评分、腰部活动度评分、舌质评分、脉搏评分、疼痛视觉模拟(VAS)评分、Oswestry功能障碍指数问卷表(ODI)评分下降,日本骨科学会下腰痛评分(JOA)评分升高,且观察组的改善幅度更大(P＜0.05).两组不良反应发生率组间对比未见差异(P＞0.05).结论:大推拿手法联合清湿利腰汤治疗湿热型LDH患者,可提升临床疗效,改善临床症状,减轻疼痛程度,且治疗安全性良好.
Abstract
Objective:To explore the clinical study of large massage technique combined with qingshi liyao decoction in the treat-ment of damp-heat lumbar disc herniation(LDH).Methods:64 patients with LDH were selected.Random number table method was used,patients were divided into control group(n=32,treated with qingshi liyao decoction)and observation group(n=32,large massage technique combined with qingshi liyao decoction).The clinical efficacy,traditional chinese medical syndrome score,related scale score and incidence of adverse reactions were compared between two groups.Results:The total effective rate of the observation group was higher than that of the control group(P＜0.05).After treatment,the scores of low back pain,damp-heat sensation,lumbar activity,tongue,pulse,visual analogue scale(VAS)score and Oswestry disability index(ODI)score in two groups decreased,the japanese orthopaedic association low back pain score(JOA)score increased,and the improvement in observation group was greater(P＜0.05).There was no dif-ference in the incidence of adverse reactions between two groups(P＞0.05).Conclusion:Large massage technique combined with qingshi liyao decoction in the treatment of patients with damp-heat LDH,which can improve clinical efficacy,improve clinical symptoms,reduce pain,and have good treatment safety.
关键词
大推拿手法/清湿利腰汤/湿热型腰椎间盘突出症/疗效Key words
Large massage technique/Qingshi liyao decoction/Damp-heat lumbar disc herniation/Efficacy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据