固本除痹汤对退行性腰椎管狭窄症患者腰腿疼痛、腰椎功能及日常活动的影响  

Effects of Guben Chubi Decoction on lumbar and leg pain,lumbar function and daily activities in patients with degenerative lumbar spinal stenosis

作　　者：余宜春 金诚久 黄茂[1] YU Yichun;JIN Chengjiu;HUANG Mao(The First People’s Hospital of Anqing City,Anqing 246003,Anhui,China)

机构地区：[1]安庆市第一人民医院,安徽安庆246003

出　　处：《现代中西医结合杂志》2021年第22期2432-2435,2484,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的观察固本除痹汤对退行性腰椎管狭窄症患者腰腿疼痛、腰椎功能及日常活动的影响。方法将2019年1月—2020年1月安庆市第一人民医院收治的72例退行性腰椎管狭窄症患者随机分为2组,对照组36例给予氨糖美辛肠溶片口服,观察组36例在对照组治疗基础上给予固本除痹汤治疗,2组均连续治疗4周。观察2组治疗前后直腿抬高试验、腰椎过伸试验、JOA评分、疼痛VAS评分、Oswestry功能障碍指数(CODI)及步行距离变化,统计2组临床疗效及不良反应发生情况。结果观察组治疗后腰椎过伸试验和直腿抬高试验均得到明显改善(P均<0.05),对照组治疗前后腰椎过伸试验和直腿抬高试验比较差异无统计学意义(P均>0.05);2组治疗后VAS评分、CODI指数均较治疗前明显降低(P均<0.05),且观察组明显低于对照组(P均<0.05);2组治疗后JOA评分、步行距离均较治疗前明显升高(P均<0.05),且观察组明显高于对照组(P均<0.05);观察组治疗总有效率为88.9%(32/36),明显高于对照组的69.4%(25/36),差异有统计学意义(P<0.05);观察组不良反应发生率为5.5%(2/36),明显低于对照组的22.2%(8/36),差异有统计学意义(P<0.05)。结论固本除痹汤能够缓解退行性腰椎管狭窄症患者腰腿部疼痛,提高步行能力,改善腰腿功能,安全性高。Objective It is to observe the effects of Guben Chubi Decoction on lumbar and leg pain,lumbar function and daily activities in patients with degenerative lumbar spinal stenosis.Methods A total of 72 patients with degenerative lumbar spinal stenosis admitted to the First People’s Hospital of Anqing City from January 2019 to January 2020 were randomly divided into 2 groups.36 patients in the control group were treated with glycomethacin enteric-coated tablets by oral administration,and 36 cases in the observation group were treated with Guben Chubi Decoction on the basis of the treatment in the control group,both groups were continuously treated for 4 weeks.The changes in straight leg elevation test,lumbar hyperextension test,JOA score,pain VAS score,Oswestry dysfunction index(CODI)and walking distance before and after treatment were observed in the two groups,and the clinical efficacy was evaluated and adverse reactions were recorded in the two groups.Results The lumbar spine hyperextension test and the straight leg elevation test were significantly improved in the observation group after treatment(all P<0.05),and there was no significant difference in the lumbar spine hyperextension test and the straight leg elevation test before and after treatment in the control group(all P>0.05).After treatment,the VAS score and CODI index of the two groups were significantly lower than those before treatment(all P<0.05),and the observation group was significantly lower than the control group(P<0.05);after treatment,the JOA score and walking distance of the two groups were significantly higher or longer than those before treatment(all P<0.05),and the observation group was significantly longer or higher than the control group(all P<0.05);the total effective rate of treatment in the observation group was 88.9%(32/36),which was significantly higher than the control group’s 69.4%(25/36),the difference was significant(P<0.05);the incidence of adverse reactions in the observation group was 5.5%(2/36),which was significantly lowe

关 键 词：退行性腰椎管狭窄症 固本除痹汤 腰腿部疼痛 腰椎功能 步行距离 

分 类 号：R681.5[医药卫生—骨科学]