消定膏联合杜仲腰痛丸治疗腰椎融合术后复发性下腰痛临床观察  

Clinical Efficacy of Xiaoding Ointment Joint Duzhong Yaotong Pill Treating Lumbar Fusion Postoperative Recurrent Low Back Pain

作　　者：赵生鑫 赵继荣[2] 朱宝[1] 赵宁[2] ZHAO Shengxin ZHAO Jirong ZHU Bao et al(Gansu University of Traditional Chinese Medicine, Gansu ,Lanzhou 730000, China)

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃省中医院,甘肃兰州730000

出　　处：《中国中医急症》2017年第3期501-504,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：兰州市科技局科研项目(2015-2-42)

摘　　要：目的观察消定膏联合杜仲腰痛丸治疗腰椎融合术后复发性下腰痛的临床疗效。方法将腰椎融合术后复发性下腰痛患者60例采用随机数字表法分为两组,实验组予消定膏外敷联合杜仲腰痛丸口服,对照组予云南白药气雾剂联合双氯芬酸钠缓释胶囊口服,分别在治疗1周和2周后采用腰痛视觉模拟评分(VAS)及JOA评分进行疗效评价。结果两组治疗1周后VAS评分、JOA评分相当(P>0.05);治疗2周后实验组VAS评分、JOA评分改善均优于对照组(P<0.05),治疗组治疗2周后总有效率为96.67%,对照组为73.33%,两组比较差异有统计学意义(P<0.05)。结论消定膏联合杜仲腰痛丸治疗腰椎融合术后复发性下腰痛的近期疗效较好,但其远期疗效有待进一步随访及临床研究证实。Objective： To investigate the clinical efficacy of Xiaoding ointment joint Duzhong Yaotong pill treating lumbar fusion postoperative recurrent low back pain. Methods： 60 cases of recurrent low back pain were randomly divided into two groups, the experimental group （eliminating cream set joint Duzhong Yaotong pill）, and the control group（United furman Baiyao aerosol diclofenac sodium extended-release capsules） with 30 cases in each group. In one week and two weeks,they were evaluated by pain visual analog scale（VAS） and JOA scores for efficacy evaluation. Results： Before treatment,VAS scores in the two groups were respectively （6.10±1.03）, （6.07± 0.74）,JOA scores were （19.03±3.70）, （18.83±2.11）,there was no significant difference between the two （P〉 0.05）. In 1 week after treatment,VAS scores were （3.33±1.27）, （3.27±1.26）,JOA scores were （21.90±1.79）, （22.17±1.97） which showed no significant difference （P〉 0.05） between the two. In Two weeks after treatment VAS scores were （1.70±0.75）, （2.20±1.03）,JOA scores were respectively （25.83±1.51）, （24.07±2.16） and the difference was statistically significant （P〈 0.05）,In 2 weeks of treatment,the total effective rate in the treatment group was 96.67% and 73.33% in the control group,the difference was statistically significant （P〈 0.05）. Conclusion ： The clinical efficacy of Xiaoding ointment joint Duzhong Yaotong pill on lumbar fusion postoperative recurrent low back pain is good, but further follow-up and long-term clinical study of its efficacy remains to be confirmed.

关 键 词：腰椎融合术后 复发性下腰痛 消定膏 杜仲腰痛丸 

分 类 号：R681.5[医药卫生—骨科学]