益气通络方联合针刺治疗腰痹病临床观察  

Clinical observation on Yiqi-Tongluo prescription combined with acupuncture treatment of low-back bi syndrome

作　　者：范为民[1] 李艳[1] 

机构地区：[1]皖南医学院弋矶山医院中医科,芜湖241001

出　　处：《东南国防医药》2017年第4期337-340,共4页Military Medical Journal of Southeast China

基　　金：国家中医药管理局重点学科建设项目(国中医药人教发[2012]32号);安徽省卫生计生委科研计划项目(全科医学临床科研课题)(2016QK010);皖南医学院重点科研项目培育基金(WK2015ZF06)

摘　　要：目的观察益气通络方联合针刺对腰痹病的治疗效果。方法将40例腰痹病患者随机化分为益气通络方联合针刺组(观察组)和对照组,每组20例。对照组采用单纯针刺疗法,选取肾俞、大肠俞、承山、环跳、委中、腰阳关、命门、腰夹脊等腧穴,每天治疗1次。7 d为1疗程,连续治疗2个疗程。观察组在针刺疗法的基础上,联合益气通络方加减服用,每次服用200 m L,早晚各1次。7 d为1疗程,连续治疗2个疗程。2组治疗前后分别测定视觉模拟评分指数(VAS)、Oswestry功能障碍指数(ODI),并进行疗效评价。结果观察组和对照组治疗后较治疗前VAS、ODI评分明显降低(P<0.01);与对照组治疗后比较,观察组治疗后VAS评分[(3.66±0.75)分vs(2.10±0.22)分]、ODI评分[(13.76±3.95)分vs(9.10±2.22)分]均下降(P<0.05)。且观察组总有效率(95%)高于对照组总有效率(70%),差异具有统计学意义(P<0.05)。结论益气通络方联合针刺疗法对腰痹病具有较好的临床疗效。Objective To observe the clinical effect of Yiqi-Tongluo recipe combined with acupuncture on palsy disease. Methods The clinical patients were randomly divided into two groups： Yiqi-Tongluo combined acupuncture group （the experimental group） and the control group, each group had 20 cases. The control group was treated with acupuncture therapy, selected Shenshu points, Dachang points, Yaoyangguan points, Mingmen points, Yaojiaji points, Chengshan points, Huantiao points, Weizhong points, daily treatment 1 times. 7 for a course of treatment, continuous treatment of 2 courses. The treatment group on the basis of acupuncture therapy, combined with the benefits of meridian side plus or minus taking. Each taking 200 mL, daily morning and evening each taking 1 times. 7 for a course of treatment, continuous treatment of 2 courses. The pain visual analogue score index（ VAS）and Oswestry dysfunction index（ ODI）were measured before and after treatment, and the curative effect was evaluated. Results Both the experimental group and the control group were able to significantly reduce VAS, ODI score （P〈0.01）.Compared with the control group after treatment,the experimental group VAS[ （3.66±0.75） vs （2.10±0.22） ], ODI [ （ 13.76± 3.95 ） vs （ 9.10± 2.22） ] score significantly decreased after treatment （P〈0.05）. And the total effective rate （95%） in the test group was higher than that in the control group （70%）, and the difference was statistically significant （P〈0.05）. Conclusion Yiqi-Tongluo prescription combined with acupuncture treatment of low-back bi syndrome has a good clinical effect on the disease.

关 键 词：腰痹病 益气通络方 中医药疗法 

分 类 号：R255.6[医药卫生—中医内科学]