加味补阳还五汤联合核心稳定性训练治疗腰椎管狭窄症的临床观察  

Clinical Observation of Treating Lumbar Spinal Stenosis Using Modified Buyan huanwu Decoction Combined with Core Stability Exercises

作　　者：童海珊 孙海凤 唐树杰 TONG Haishan;SUN Haifeng;TANG Shujie(Qinghzou Hospital of Chinese Medicine,Qingzhou 262500,Shandong China;School of Chinese Medicine,Jinan University,Guangzhou 510632,China)

机构地区：[1]山东省青州市中医院,山东青州262500 [2]暨南大学中医学院

出　　处：《中国中医骨伤科杂志》2020年第7期21-23,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：广东省科技计划项目(2017A020215102);潍坊市中医药科技计划项目(2018-2-009)。

摘　　要：目的:观察加味补阳还五汤联合核心稳定性训练治疗腰椎管狭窄症的临床疗效。方法:将2016年10月至2019年4月收治的腰椎管狭窄症患者116例,采用随机数字表法分为治疗组和对照组,每组58例。对照组患者进行核心稳定性训练,治疗组同时口服加味补阳还五汤。治疗前及治疗12周时,采用目测类比评分法(VAS)评估患者腰腿痛程度,采用ODI问卷评估患者腰椎功能,采用中文版SF-36量表评估患者生活质量,记录患者无痛行走距离。结果:经12周治疗后两组患者VAS,ODI,SF-36评分和无痛行走距离皆较治疗前改善,差异有统计学意义(P<0.01);其中治疗组改善程度优于对照组,差异有统计学意义(P<0.01)。结论:核心稳定性训练可缓解腰椎管狭窄症患者疼痛,改善腰椎功能,增加无痛行走距离,提高生活质量;联合口服加味补阳还五汤使治疗机制更完备,能进一步提高疗效。Objective:To observe the effectiveness of modified Buyanghuanwu decoction combined with core stability exercises in treating lumbar spinal stenosis. Methods:From October 2016 to June 2019,116 patients with lumbar spinal stenosis were randomly divided into treatment and control group,58 patients in each. The patients in the control group were treated using core stability exercises,and using modified Buyanghuanwu decoction combined with core stability exercises in the treatment group. Before treatment and at 12 weeks after treatment,Visual analogue scale(VAS) was used to evaluate the intensity of low back pain,Oswestry disability index(ODI) to evaluate lumbar function,and 36-item Short Form Health Survey(36-SF) to evaluate the quality of life. In addition,walking distance without pain was recorded. Results:The VAS,ODI,SF-36 and walking distance without pain were improved significantly in both groups 12 weeks after treatment(P<0.01),and these items improved more significant in treatment group than those in control group(P<0.01). Conclusion:Core stability exercises alone can reduce pain,improve lumbar function,and increase walking distance without pain and quality of life for patients with lumbar spinal stenosis. The effectiveness of core stability exercises,combined with modified Buyanghuanwu decoction,can be better.

关 键 词：加味补阳还五汤 核心稳定性训练 腰椎管狭窄症 

分 类 号：R681.5[医药卫生—骨科学]