圣愈汤加独活寄生汤联合中医定向透药治疗老年人腰椎间盘突出症临床疗效观察
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摘要
目的观察圣愈汤加独活寄生汤联合中医定向透药治疗老年人腰椎间盘突出症的临床疗效。方法选取2017年1—12月上海市虹桥街道社区卫生服务中心中医腰腿痛专病门诊病例,收集腰椎间盘突出症患者120例,按照随机数字表法分为治疗组和对照组。治疗组采用圣愈汤加独活寄生汤联合中医定向透药进行治疗,对照组采用双氯芬酸钠双释放肠溶胶囊联合中频脉冲进行治疗,治疗1个月,并继续随访3个月,比较2组患者视觉疼痛模拟评分、JOA腰腿痛评分以及疗效标准,使用SPSS 21.0统计软件对结果进行统计分析。结果 2组患者治疗后视觉疼痛模拟评分均较本组治疗前降低(均P<0.05),且治疗组降低更明显(均P<0.05);JOA腰腿痛评分较本组治疗前升高,且治疗组升高更明显(均P<0.05)。总有效率比较,治疗组疗效优于对照组(P<0.05)。随访3个月后,2组患者视觉疼痛模拟评分均有所升高,但治疗组的评分仍低于对照组,差异有统计学意义(P<0.05);JOA评分均有所下降,但治疗组的评分仍高于对照组,差异有统计学意义(P<0.05)。结论圣愈汤加独活寄生汤联合中医定向透药治疗老年人腰椎间盘突出症具有较好的临床疗效,值得在社区推广。
Objective To observe the clinical efficacy of Shengyu Decoction and Duhuo Jisheng Decoction combined with Chinese medicine directed permeation therapy in the treatment of lumbar disc herniation. Methods From January 2017 to December 2017, Hongqiao community health service center, Changning district Shanghai for Chinese medicine patients with low back and leg pain special diseases, 120 cases of lumbar disc herniation were collected. According to the random number table method, divided into two groups: treatment and control. The treatment group was treated with Shengyu Decoction and Duhuo Jisheng Decoction combined with Chinese medicine directed permeation. The control group was treated with diclofenac sodium double-release enteric capsule combined with Intermediate frequency pulse. All patients were treated for one months. And continue to follow up for 3 months. Analysis from visual pain simulation scores, JOA waist and leg pain score and efficacy criteria. Statistical analysis of the results using SPSS 21.0 software. Results The visual pain simulation scores of the two groups were significantly lower than those before the treatment(all P<0.05), and the treatment group decreased significantly(all P<0.05). The scores of JOA waist and leg pain after treatment was higher than those before treatment(all P<0.05), and the treatment group increased significantly(all P<0.05). The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05). The treatment group was better than the control group. After 3 months of follow-up, the visual pain simulation scores of both groups were increased, but the treatment was still lower(P<0.05). The JOA scores were decreased, but the treatment was still higher, and the difference was statistically significant(P<0.05). Conclusion Shengyu Decoction and Duhuo Jisheng Decoction combined with Chinese medicine directed permeation therapy for the treatment of lumbar disc herniation has better clinical efficacy. It is worth promoting in the community.
Objective To observe the clinical efficacy of Shengyu Decoction and Duhuo Jisheng Decoction combined with Chinese medicine directed permeation therapy in the treatment of lumbar disc herniation. Methods From January 2017 to December 2017, Hongqiao community health service center, Changning district Shanghai for Chinese medicine patients with low back and leg pain special diseases, 120 cases of lumbar disc herniation were collected. According to the random number table method, divided into two groups: treatment and control. The treatment group was treated with Shengyu Decoction and Duhuo Jisheng Decoction combined with Chinese medicine directed permeation. The control group was treated with diclofenac sodium double-release enteric capsule combined with Intermediate frequency pulse. All patients were treated for one months. And continue to follow up for 3 months. Analysis from visual pain simulation scores, JOA waist and leg pain score and efficacy criteria. Statistical analysis of the results using SPSS 21.0 software. Results The visual pain simulation scores of the two groups were significantly lower than those before the treatment(all P<0.05), and the treatment group decreased significantly(all P<0.05). The scores of JOA waist and leg pain after treatment was higher than those before treatment(all P<0.05), and the treatment group increased significantly(all P<0.05). The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05). The treatment group was better than the control group. After 3 months of follow-up, the visual pain simulation scores of both groups were increased, but the treatment was still lower(P<0.05). The JOA scores were decreased, but the treatment was still higher, and the difference was statistically significant(P<0.05). Conclusion Shengyu Decoction and Duhuo Jisheng Decoction combined with Chinese medicine directed permeation therapy for the treatment of lumbar disc herniation has better clinical efficacy. It is worth promoting in the community.
引文
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[2] 陈荣庄,阮紫娟.独活寄生汤合三虫散治疗腰椎间盘突出症疗效观察[J].实用中医药杂志,2015,31(1):18.
[3] 郑瑞清,冉唯君,邹旭东,等.改良独活寄生汤治疗腰椎间盘突出症临床研究[J].河南中医,2017,37(3):474-476.
[4] 刘志丹,张秀华.中医综合疗法治疗腰椎间盘突出症临床研究[J].中国民间疗法,2017,25(6):66-67.
[5] 贾峻.腰椎间盘突出症中医治疗述要[J].医学信息,2016,29(4):187-188.
[6] 车鸿平,裴玉霞.中医综合疗法治疗腰椎间盘突出症的临床疗效[J].中国医药指南,2017,15(17):192.
[7] 国家中医药管理局.中医病症证诊断疗效标准[S].南京:南京大学出版社,1994:186.
[8] 吴谦(清).医宗金鉴[M].北京:人民卫生出版社,2006:1323.
[9] 孙思邈(唐).备急千金要方[M].北京:中国医药科技出版社,2011:155.
[10] KIM H J,BAK K H,CHUN H J,et al.Posterior interspinous fusion device for one-level fusion in degenerative lumbar spine disease:comparison with pedicle screw fixation - preliminary report of at least one year follow up[J].J Korean Neurosurg Soc,2012,52(4):395-364.
[11] DJURASOVIC M,GLASSMAN S D,CARREON L Y,et al.Contempo-rary management of symptomatic lumbar spinal stenosis[J].Orthop Clin north Am,2010,41(2):42-43.
[12] 张文扬,陈舒强,叶海程.腰部练功展筋疗法治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2018,26(7):47-50.
[13] 周利.中医综合疗法治疗腰椎间盘突出症的临床疗效观察[J].实用中西医结合临床,2017,17(7):128-129.
[14] 嵇辉,陈其义,杨增敏,等.中医定向透药疗法治疗气滞血瘀型腰椎间盘突出症临床疗效观察[J].中医临床研究,2017,9(29):86-87.
[15] 董巍.中频脉冲联合局部封闭治疗腰椎间盘突出症的临床疗效观察[J].中国实用医药,2018,13(27):105-106.
[16] 王拥军,梁倩倩,崔学军,等.调和气血法防治慢性筋骨病的应用与发展[J].上海中医药杂志,2017,51(6):1-4,12.
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