壮骨片治疗腰椎间盘突出症肝肾亏虚证的临床研究  

Clinical Study of Comprehensive Therapy Based on Zhuanggupian in Lumbar Intervertebral Disc Herniation of Liver-Kidney Asthenia

作　　者：张志峰[1] 

机构地区：[1]广州中医药大学附属东莞中医院骨科,广东东莞523000

出　　处：《中国中医骨伤科杂志》2008年第8期18-19,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察内服壮骨片为主综合治疗腰椎间盘突出症肝肾亏虚证的临床疗效。方法:将60例符合腰椎间盘突出症肝肾亏虚证诊断的患者随机分为两组,对照组30例,以常规方法(扶他林+弥可保+腰椎牵引)治疗;治疗组30例,在对照组治疗基础上加服壮骨片治疗。两组均以4周为1疗程,治疗2疗程后观察疗效。结果:治愈率治疗组为43.3%,对照组为20.0%,2组比较,差异有显著性意义(P<0.05)。治疗后疼痛积分、直腿抬高试验积分及主要症状体征总积分2组均有改善,与治疗前比较,差异有显著性或非常显著性意义(P<0.05,P<0.01);治疗组与对照组治疗后比较,除直腿抬高试验积分外,差异均有显著性意义(P<0.05)。治疗3月后随访,治疗组复发率为10.3%,对照组为34.6%。2组比较,差异有显著性意义(P<0.05)。结论:内服壮骨片为主综合治疗腰椎间盘突出症肝肾亏虚证疗效显著,症状、体征改善明显,且复发率低。Objective： To study the clinical effects of comprehensive therapy based on Zhuanggupian（ZGP） in lumbar intervertebral disc herniation（LIDH） of liver-kidney asthenia.Methods： Sixty patients with LIDH of liver-kidney asthenia were randomly divided into 2 groups.Thirty cases in control group were treated with Voltaren,Methycobal and lumbar traction.Based on the above therapy,another 30 cases in treatment group were treated with oral ZGP additionally.Four weeks was one course of treatment and both groups received 2 courses of treatment.The items observed included curative effects,main symptoms and signs,pain lessening before and after treatment,and recurrence rate 3 months later.Results： There was significant difference in cure rate between the two groups（43.3% vs 20.0%,P〈0.05）.Pain calculation,straight-leg raising test calculation and total calculation including cardinal symptoms and signs were improved in both groups after treatment,which was of significant difference compared with before treatment（P〈0.05,P〈0.01）.There were significant differences in pain calculation and total calculation between two groups after the treatment（P〈0.05）.Three months later,a follow-up showed that the recurrence rate was 10.3% in treatment group and 34.6% in control group,which was remarkably different（P〈0.05）.Conclusion： Comprehensive therapy based on ZGP oral administration has significant curative effects on LIDH of liver-kidney asthenia,with obvious improvements in symptoms and signs and low recurrence rate.

关 键 词：椎间盘突出 移位 肝肾亏虚 壮骨片 综合 

分 类 号：R681.53[医药卫生—骨科学] R243[医药卫生—外科学]