温经通络汤治疗寒湿型腰背肌筋膜炎的临床观察  

Clinical Observation on the Efficacy of Warming and Activating MeridianDecoction on Treatment of Myofascitis of the Back Region

作　　者：徐天人 高锋[1] 刘静[1] 孟祥奇[1] 李宇卫[1] 黄桂成[2] XU Tianren;GAO Feng;LIU Jing;MENG Xiangqi;LI Yuwei;HUANG Guicheng(Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine,Suzhou 215009,Jiangsu China;Nanjing University of Traditional Chinses Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学附属苏州市中医医院,江苏苏州215009 [2]南京中医药大学

出　　处：《中国中医骨伤科杂志》2021年第7期39-42,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：苏州市科技发展计划项目(SYSD2019220)。

摘　　要：目的:观察温经通络汤治疗腰背肌筋膜炎的疗效。方法:选取66例寒湿型腰背肌筋膜炎患者,按照随机数字表法及入组顺序随机分入治疗组和对照组。对照组选取美洛昔康片口服,7.5 mg/次,2次/d,2周为1个疗程;治疗组选用温经通络汤(附子8 g,桂枝6 g,蜈蚣3 g,全蝎3 g,醋延胡索15 g,土茯苓15 g,熟地15 g,胆南星10 g,陈皮10 g,泽泻10 g,牛膝10 g,鸡血藤12 g,广地龙12 g,甘草8 g)治疗,1剂/d,2周为1个疗程。观察治疗组与对照组治疗前后的ODI(Oswestry Disability Index)评分、VAS评分变化,比较两组的临床疗效。结果:2周临床观察后发现治疗组的临床疗效优于对照组,腰部功能评分及疼痛评分在治疗前差异无统计学意义(P>0.05),治疗后腰部功能评分及疼痛评分治疗组低于对照组,差异有统计学意义(P<0.01),且无过敏等不良事件。结论:温经通络汤治疗寒湿型腰背肌筋膜炎安全有效,有助于改善患者的腰背痛,提高生活质量。Objective:To observe the curative efficacy of warming and activating meridian decoction on patients with myofascitis of the back region.Methods: 66 patients with cold-dampness type myofascitis of the back region were randomly divided into treatment group and control group according to random number table method and inclusion order.In the control group, meloxicam tablets were taken orally, 7.5 mg at a time, twice a day, and two weeks as a course of treatment.The treatment group was treated with warming and activating meridian decoction(Aconitum carmichaeli 8 g, Ramulus Cinnamomi 6 g, Scolopendra 3 g, Scorpio 3 g, vinegar Rhizoma Corydalis 15 g, Rhizoma Smilacis Glabrae 15 g, Radix Rehmanniae Preparata 15 g, Arisaema cum bile 10 g, Pericarpium Citri Tangerinae 10 g, Alismatis Rhizoma 10 g, Achyranthis Radix 10 g, Caulis Spatholobi 12 g, Pheretima 12 g and Glycyrrhrizae Radix 8 g), with one dose per day and two weeks as a course of treatment.The changes of ODI(Oswestry disability index) score and VAS score before and after treatment were observed to compare the clinical efficacy between the two groups.Results: After two weeks’ clinical observation, it was found that the clinical efficacy of the treatment group was better than that of the control group, while the ODI and VAS scores were lower than those of the control group after treatment(P<0.01), and there were no adverse events such as allergy.Conclusion: Warming and activating meridian decoction is safe and effective to treat cold-dampness type myofascitis of the back region, which is helpful to improve patients’ low back pain and quality of life.

关 键 词：温经通络汤 腰背肌筋膜炎 临床观察 

分 类 号：R686.1[医药卫生—骨科学]