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作 者:汤国敏 陈董东 刘文涛 黄永杰 温速女 TANG Guomin;CHEN Dongdong;LIU Wentao;HUANG Yongjie;WEN Su'nv
出 处:《新中医》2022年第8期33-36,共4页New Chinese Medicine
基 金:2021年惠州巿科技研发计划(医疗卫生)项目(2021WC0106045)。
摘 要:目的:观察当归四逆汤加味配合针刺联合麦肯基疗法在血虚寒凝型腰椎间盘突出症治疗中的临床疗效。方法:选取收治的血虚寒凝型腰椎间盘突出症患者60例,随机分成2组,每组30例。对照组采用麦肯基疗法治疗;治疗组采用麦肯基疗法联合当归四逆汤加味及针刺疗法。分别于治疗前、治疗2周后采用疼痛视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)、中医证候积分进行评价,治疗2周后比较2组临床疗效。结果:与治疗前比较,2组治疗2周后VAS评分、ODI评分、中医证候积分均明显降低,差异均有统计学意义(P<0.05)。与对照组比较,治疗组VAS评分、ODI评分、中医证候积分明显降低,差异均有统计学意义(P<0.05);治疗组临床疗效总有效率93.3%,明显高于对照组73.3%,差异有统计学意义(P<0.05)。结论:当归四逆汤加味配合针刺联合麦肯基疗法及麦肯基疗法在血虚寒凝型腰椎间盘突出症治疗中均有效,但当归四逆汤加味配合针刺联合麦肯基疗法优于单纯麦肯基疗法,能明显改善血虚寒凝型腰椎间盘突出症患者的疼痛程度和腰椎功能障碍情况。Objective:To observe the clinical effect of the therapy of Danggui Sini tang combined with acupuncture and McKenzie method on lumbar disc herniation of blood deficiency and cold congealing type. Methods:A total of 60 patients with lumbar disc herniation of blood deficiency and cold congealing type were randomly divided into two groups,with 30 cases in each group. The control group was treated with McKenzie method;the treatment group was treated with the therapy of McKenzie method combined with modified Danggui Sini tang and acupuncture. Before treatment and two weeks after treatment, the scores of Visual Analogue Scale(VAS), Oswestry Disability Index(ODI) and Chinese medicine syndrome scores were evaluated. After two weeks of treatment,the olinical efficacy of the two groups was compared. Results:After two weeks of treatment,the scores of VAS,ODI and Chinese medicine syndromes in the two groups were significantly decreased when compared with those before treatment,differences being significant(P<0.05). The scores of VAS,ODI and Chinese medicine syndromes in the treatment group were decreased significantly when compared with those in the control group,differences being significant(P<0.05). The total effective rate was 93.3% in the treatment group,higher than that of73.3% in the control group,the difference being significant(P<0.05). Conclusion:The therapy of modified Danggui Sini tang combined with acupuncture and McKenzie method and simple McKenzie method are both effective in the treatment of lumbar disc herniation of blood deficiency and cold congealing type,but the therapy of modified Danggui Sini tang combined with acupuncture and McKenzie method is superior to the simple McKenzie method,which can significantly improve the degree of pain and dysfunction of lumbar vertebra in patients with lumbar disc herniation of blood deficiency and cold congealing type.
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