首页|身痛逐瘀汤加减联合止痛散治疗腰椎间盘突出症的疗效分析

身痛逐瘀汤加减联合止痛散治疗腰椎间盘突出症的疗效分析

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目的 探究身痛逐瘀汤加减联合止痛散治疗腰椎间盘突出症的疗效.方法 100例腰椎间盘突出症患者作为研究对象,依据随机数字法分为对照组和研究组,每组 50 例.对照组实施止痛散治疗,观察组在对照组基础上增加身痛逐瘀汤加减治疗.比较两组患者治疗前后视觉模拟评分法(VAS)评分、中医证候积分、日本骨科协会(JOA)评分以及治疗效果.结果 治疗后 1、7 d,研究组患者VAS评分分别为(4.81±0.49)、(2.52±0.47)分,均低于对照组的(5.62±0.65)、(4.65±0.56)分,差异具有统计学意义(P<0.05).治疗后,研究组患者中医证候积分(3.21±0.42)分低于对照组的(5.67±1.25)分,JOA评分(23.28±3.17)分高于对照组的(19.31±3.55)分,差异具有统计学意义(P<0.05).研究组治疗总有效率96.00%显著高于对照组的 72.00%,差异具有统计学意义(χ2=10.714,P=0.001<0.05).结论 对于腰椎间盘突出症患者采用身痛逐瘀汤加减联合止痛散治疗,有助于降低术后疼痛,缓解临床症状,有助于改善中医证候积分,促进腰椎功能恢复,临床疗效明显,推广应用价值较高.
Analysis of curative effect of modified Shentong Zhuyu Decoction combined with Zhitong San on lumbar disc herniation
Objective To investigate the curative effect of modified Shentong Zhuyu Decoction combined with Zhitong San on lumbar disc herniation.Methods 100 patients with lumbar disc herniation were divided into a control group and a study group according to random number method,with 50 cases in each group.The control group was treated with Zhitong San,and the observation group was treated with modified Shentong Zhuyu Decoction on the basis of the control group.The visual analogue scale(VAS)score,traditional Chinese medicine syndrome score,Japanese Orthopaedic Association(JOA)score and treatment effect were compared between the two groups.Results After 1 and 7 d of treatment,VAS scores of the study group were(4.81±0.49)and(2.52±0.47)points,which were lower than(5.62±0.65)and(4.65±0.56)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the traditional Chinese medicine syndrome score of(3.21±0.42)points in the study group was lower than(5.67±1.25)points in the control group,and the JOA score of(23.28±3.17)points was higher than(19.31±3.55)points in the control group.The difference was statistically significant(P<0.05).The total effective rate of the study group was 96.00%,which was significantly higher than 72.00%of the control group,and the difference was statistically significant(χ2=10.714,P=0.001<0.05).Conclusion For patients with lumbar disc herniation,the combination of modified Shentong Zhuyu Decoction and Zhitong San can help to reduce postoperative pain,relieve clinical symptoms,improve traditional Chinese medicine syndrome scores,and promote the recovery of lumbar function.It has obvious clinical efficacy and high application value.

Lumbar disc herniationShentong Zhuyu DecoctionStandard radio frequencyOzone injection

张蕴铮、李吉平

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132000 吉林省吉林中西医结合医院骨伤科

腰椎间盘突出症 身痛逐瘀汤 标准射频 臭氧注射

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(4)
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