益气舒筋汤联合推拿治疗颈肩腰腿痛的临床研究  

Clinical study of Yiqi Shujin Decoction combined with massage in the treatment of neck-shoulder and lumbocrural pain

作　　者：田丙生[1] 齐春蕾[1] TIAN Bingsheng;QI Chunlei(Department of Rehabilitation Medicine,Affiliated Hospital of Shandong Academy of Medical Sciences,Shandong Province,Ji′nan 250038,China)

机构地区：[1]山东省医学科学院附属医院康复医学科,山东济南250038

出　　处：《中国医药导报》2020年第12期157-160,共4页China Medical Herald

基　　金：山东省科技发展计划项目(2016GSF110023)。

摘　　要：目的探讨益气舒筋汤联合推拿治疗颈肩腰腿痛的临床效果。方法选取2014年1月~2018年12月山东省医学科学院附属医院收治的103例颈肩腰腿痛患者为研究对象,按照随机数字表法将患者分为对照组(51例)和研究组(52例)。对照组采用推拿治疗,研究组在对照组基础上加用益气舒筋汤治疗,两组连续治疗30 d。治疗后统计两组的临床总有效率,分别于治疗前后评价视觉模拟评分(VAS)、疼痛发作频率、疼痛持续时间及生活质量评分,观察两组治疗期间的不良反应发生情况。结果研究组的临床总有效率明显高于对照组,差异有统计学意义(P <0.05)。两组治疗后VAS、疼痛发作频率均低于治疗前,且研究组低于对照组,差异有统计学意义(P <0.05);两组治疗后疼痛持续时间短于对照组,且研究组短于对照组,差异有统计学意义(P <0.05)。两组治疗后焦虑状态评分、抑郁状态评分、生活能力评分及社会活动评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P <0.05)。两组治疗期间均未出现严重的不良反应。结论益气舒筋汤联合推拿治疗颈肩腰腿痛的临床效果显著,能够明显减轻疼痛,降低发作频率,提高生活质量,且安全性较好。Objective To explore clinical effect of Yiqi Shujin Decoction combined with massage in the treatment of neck-shoulder and lumbocrural pain. Methods One hundred and three patients with neck-shoulder and lumbocrural pain admitted to Affiliated Hospital of Shandong Academy of Medical Sciences from January 2014 to December 2018 were selected as study objects. The patients were divided into control group(51 cases) and study group(52 cases) according to random number table method. Control group was treated with massage. Study group was treated with Yiqi Shujin Decoction on the basis of control group. Two groups were treated for 30 days. After treatment, the total clinical effective rate of two groups was counted. Visual analogue scale(VAS) score, frequency of pain onset, duration of pain and quality of life score were evaluated before and after treatment. The adverse reaction of two groups during treatment was observed. Results The total clinical effective rate of study group was significantly higher than that of control group, and the difference was statistically significant(P < 0.05). After treatment, the frequency of VAS and pain attack in two groups were lower than those before treatment, and those in study group was lower than those in control group, and the differences were statistically significant(P < 0.05). After treatment, the duration of pain in two groups was shorter than that in control group, which in study group was shorter than that in control group, the differences were statistically significant(P <0.05). After treatment, the scores of anxiety state, depression state, life ability and social activity in two groups were lower than those before treatment, which in study group were lower than those in control group, the differences were statistically significant(P < 0.05). No serious adverse reactions occurred in both groups during the treatment. Conclusion Yiqi Shujin Decoction combined with massage is effective in the treatment of neck-shoulder and lumbocrural pain. It can obviously relieve pain, reduce

关 键 词：颈肩腰腿痛 益气舒筋汤 推拿 临床应用 

分 类 号：R274[医药卫生—中医骨伤科学]