石氏理气固腰汤治疗气滞血瘀型腰椎间盘突出症的临床研究  

Clinical study on “Shi 's Liqi Guyao Decoction ” in treating lumbar disc herniation of qiblood stasis

作　　者：江建春[1] 邱德华[1] 蔡奇文[1] 郭天旻[1] 王敖明 

机构地区：[1]上海市黄浦区中心医院中医骨伤科,上海200002

出　　处：《上海中医药杂志》2016年第6期58-60,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫计委黄浦区卫生系统优秀人才培养项目(2014-2016);国家中医药管理局第二届国医大师传承工作室建设项目(2015-2018)

摘　　要：目的观察石氏理气固腰汤治疗气滞血瘀型腰椎间盘突出症的临床疗效。方法将102例气滞血瘀型腰椎间盘突出症患者随机分为对照组和治疗组,每组51例。对照组予双氯芬酸钠缓释片,治疗组予石氏理气固腰汤加减。两组疗程均为21天,观察临床疗效,比较中医证候积分、疼痛VAS评分及JOA腰部功能评分的变化情况。结果 1最终完成试验者100例,治疗组50例,对照组50例。2治疗组、对照组临床总有效率分别为94.00%和80.00%;组间临床疗效比较,差异有统计学意义(P<0.05)。3与本组治疗前比较,两组中医证候积分差异均有统计学意义(P<0.05);组间前后差值比较,差异有统计学意义(P<0.05)。4组间治疗后比较,疼痛VAS评分的降低与JOA腰部功能评分的升高差异有统计学意义(P<0.05)。结论石氏理气固腰汤治疗气滞血瘀型腰椎间盘突出症疗效满意,可明显缓解患者腰痛,改善腰部活动能力。Objective To observe the clinical effects of ＂Shi＇s Liqi Guyao Decoction＂in the treatment of lumbar disc herniation（ LDH） of qi-blood stasis.Methods One hundred and two LDH cases were randomly divided into control group and treatment group,51 cases in each group. The control group was treated with Diclofenac Sodium Sustained Release Tablets,while the treatment group was treated with＂Shi＇s Liqi Guyao Decoction＂,with a course of 21 days. The TCM syndrome score,pain VAS score and lumbar JOA score were observed before treatment and after treatment. Results 1Total 100 cases completed the clinical research,50 cases in treatment group and 50 cases in the control group. 2The total effective rate was 94. 00% in the control group and 80. 00% in the treatment group,with a statistical difference between the two groups（ P 〈 0. 05）. 3 There was a striking difference in TCM syndrome score between before and after treatment in the two groups（ P 〈 0. 001）,and between the two groups after comparison（ P 〈 0. 001）. 4There were significant differences in the differential value in the decrease of VAS score and increase of lumbar JOA between the two groups（ P 〈 0. 05）. Conclusion ＂Shi＇s Liqi Guyao Decoction＂has satisfactory effects on lumbar disc herniation（ LDH） of qi-blood stasis in relieving lumbago and improving lumbar performance.

关 键 词：腰椎间盘突出症 气滞血瘀 理气固腰汤 石氏伤科 

分 类 号：R274.9[医药卫生—中西医结合]