地龙散联合中医定向透药治疗腰椎间盘突出症34例  

Dilong powder plus traditional Chinese medicine directional penetration therapy in treating 34 cases of patients with lumbar intervertebral disc herniation

作　　者：黄黎 周长征[2] Huang Li;Zhou Changzheng

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中医临床研究》2020年第18期109-111,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:评估地龙散加减联合中医定向透药疗法对于腰椎间盘突出症(血瘀证)患者的治疗效果。方法:选取2018年6月-12月湖南中医药大学第一附属医院脊柱二科住院的65例腰椎间盘突出症(血瘀证的)患者作为临床观察对象,随机分为对照组(31例)以及治疗组(34例)。对照组采用一般常规治疗,卧床休息、佩戴腰围、腰背肌功能锻炼、脱水消肿、消炎镇痛等。治疗组在其基础上加用地龙散加减联合中医定向透药疗法。评估治疗组及对照组的临床疗效,以及治疗前及治疗后10 d、1个月、3个月、6个月的视觉模拟评分法(Visual Analogue Scale/Score,VAS)评分及日本骨科学会下腰痛评分量表(Japanese Orthopedic Association Scores,JOA)评分。结果:治疗组缓解率94.12%(32/34)明显高于对照组缓解率83.87%(26/31),治疗组治疗后的JOA、VAS评分在治疗后各个时间点均优于对照组,差异具有统计学意义(P <0.05),临床疗效有明显差异。结论:地龙散加减联合中医定向透药治疗腰椎间盘突出症(血瘀证)临床疗效确切。Objective: To evaluate the therapeutic effect of Dilong powder(地龙散) plus traditional Chinese medicine directional penetration therapy on patients with lumbar intervertebral disc herniation(blood stasis syndrome). Methods: 65 patients with lumbar intervertebral disc herniation(blood stasis syndrome) hospitalized in the Second Department of Spine, Hunan First Affiliated Hospital of Traditional Chinese Medicine from June to December 2018 were randomly divided into the control group(31 cases) and the treatment group(34 cases). The control group was treated with general routine treatment, such as bed rest, waist circumference, functional exercise of lumbar and dorsal muscles, dehydration and detumescence, anti-inflammatory and analgesic treatment, and the treatment group was treated with Dilong powder plus directional Chinese medicine penetration therapy. The clinical efficacy of the treatment group and the control group, as well as VAS and JOA scores before and 10 days, 1 month, 3 months and 6 months after treatment were evaluated. Results: The remission rate of the treatment group 94.12%(32/34) was significantly higher than that of the control group 83.87%(26/31). The JOA and VAS scores of the treatment group after treatment were better than those of the control group at all time points after treatment. The difference was statistically significant(P<0.05), and the clinical efficacy was significantly different. Conclusion: Dilong powder plus traditional Chinese medicine directional penetration has a definite clinical effect in the treatment of lumbar intervertebral disc herniation(blood stasis syndrome).

关 键 词：腰椎间盘突出症 地龙散 中医定向透药 

分 类 号：R274.9[医药卫生—中西医结合]