四子散中药封包治疗腰椎间盘突出症的临床研究  

Clinical study on Sizisan Chinese medicine packet for treating lumbar intervertebral disc protrusion

作　　者：廖军[1] 周荣斌[1] 朱君军 冯勇[1] 杨强 LIAO Jun;ZHOU Rongbin;ZHU Junjun;FENG Yong;YANG Qiang(Department of Orthopedics,Fuling District Hospital of Traditional Chinese Medicine,Chongqing 408000,China)

机构地区：[1]重庆市涪陵区中医院骨科,408000

出　　处：《重庆医学》2020年第6期959-962,共4页Chongqing medicine

摘　　要：目的探讨四子散中药封包治疗腰椎间盘突出症的临床效果。方法选择2016年2月至2018年2月到该院就诊的100例腰椎间盘突出症患者,分为观察组和对照组,每组50例。常规治疗给予口服非甾体抗炎药及肌松剂,对照组在常规治疗基础上给予普通热疗,观察组在常规治疗基础上给予四子散中药封包治疗。在治疗的不同时间段比较两组在疼痛、中医症候积分与临床疗效等方面的差异。结果治疗1个月后,观察组总有效率高于对照组(92.0%vs.76.0%,χ2=4.762,P=0.029<0.05)。治疗前,两组VAS评分、JOA评分和中医症候积分差异均无统计学意义(P>0.05);治疗后,两组相关指标评分总体呈下降趋势,观察组在治疗1个月后各项指标均优于对照组(P<0.05)。两组在治疗过程中总体不良反应发生率差异无统计学意义(χ2=0.796,P=0.372)。结论在常规治疗的基础上,四子散中药封包治疗腰椎间盘突出症,能有效减轻疼痛等临床症状,取得较好的治疗效果。Objective To investigate the clinical effect of Sizisan Chinese medicine packet in the treatment of lumbar intervertebral disc protrusion.Methods One hundred patients with lumbar intervertebral disc protrusion in this hospital from Feb.2016 to Feb.2018 were selected and randomly divided into the observation group and control group,50 cases in each group.Oral NSAIDs and muscle relaxants were given in the routine treatment.On the basis of routine treatment,the control group was given the general thermal therapy,while on the basis of the routine treatment the observation group was given the Sizisan Chinese medicine packet therapy.The differences in the aspects of pain,Chinese syndrome score and clinical effect were compared among different treatment time periods.Results After 1-month treatment,the total effective rate of the observation group was higher than that of the control group(92.0%vs.76.0%,χ2=4.762,P=0.029<0.05).Before treatment,there was no statistically significant difference in the VAS score,JOA score,and TCM syndrome score between the two groups(P>0.05);after 1-month treatment,the related scores in both groups showed a decreasing tendency,and the various indicators in the observed group were better than those in the control group(P<0.05).There was no significant different in the overall adverse reaction rate between the two groups during treatment(χ2=0.796,P=0.372).Conclusion On the basis of routine treatment,Sizisan Chinese medicine packet in the treatment of lumbar intervertebral disc protrusion can effectively alleviate the clinical manifestations such as pain and achieves better therapeutic effect.

关 键 词：四子散 中药封包 腰椎间盘突出症 

分 类 号：R816.8[医药卫生—放射医学]