杜仲腰痛丸联合腰椎牵引治疗早期腰椎间盘突出症疗效观察  

Clinical Observation on Duzhong Yaotong Pills Combined with Lumbar Traction in the Treatment of the Early Stage of Lumbar Disc Herniation

作　　者：刘晓雪 张彦军[2] 邓强[2] 郭铁峰[2] 杜凯然 李军杰 徐浩军 王雨榕 张凯东 罗林钊 乔小万 LIU Xiaoxue;ZHANG Yanjun;DENG Qiang;GUO Tiefeng;DU Kairan;LI Junjie;XU Haojun;WANG Yurong;ZHANG Kaidong;LUO Linzhao;QIAO Xiaowan(Gansu University of Chinese Medicine,Lanzhou 730050,China;Gansu Provincial Hospital of Traditional Chinese Medicine)

机构地区：[1]甘肃中医药大学,甘肃兰州730050 [2]甘肃省中医院

出　　处：《西部中医药》2022年第10期97-99,共3页Western Journal of Traditional Chinese Medicine

基　　金：2021年中央财政转移地方项目实施方案(20210200111);甘肃省卫生行业科研计划(GSWSKE2016-01)。

摘　　要：目的:观察杜仲腰痛丸联合腰椎牵引治疗早期腰椎间盘突出症的临床疗效。方法:选取194例腰椎间盘突出症患者,随机分为观察组和对照组,每组97例。对照组服用扶他林胶囊联合腰椎牵引,观察组给予杜仲腰痛丸联合腰椎牵引治疗。两组均治疗4周。比较两组临床疗效、直腿抬高角度(angle straight leg raising,ASLR)、视觉疼痛量表(visual analogue scale,VAS)评分、腰背痛评分(Japanese orthopae-dic association,JOA)、Oswestry功能障碍指数(Oswestry disability index,ODI)及不良反应。结果:与治疗前比较,两组治疗后JOA评分增高(P<0.05),直腿抬高角度增大(P<0.05),VAS评分降低(P<0.05),ODI指数降低(P<0.05);且观察组上述指标改善情况均优于对照组(P<0.05)。观察组治愈率为[48.45%(47/97)],总有效率为[93.81%(91/97)],对照组治愈率为[41.24%(40/97)],总有效率为[88.66%(86/97)]。治愈率及总有效率两组比较,差异有统计学意义(P<0.05)。两组病例在治疗过程中均未发现明显副反应。结论:杜仲腰痛丸联合腰椎牵引治疗腰椎间盘突出症明显缓解患者疼痛症状,改善腰背功能,临床疗效显著。Objective:To observe clinical effects of Duzhong Yaotong pills joined with lumbar traction in the treatment of the early stage of LDH.Methods:All 194 LDH patients were randomized into the observation group and the control group,97 cases in each group.The control group took voltaren capsules orally and lumbar traction,while the observation group Duzhong Yaotong pills joined with lumbar traction.Both groups were treated for four weeks.To compare clinical effects,ASLR,VAS,JOA,ODI and adverse reaction between both groups.Results:Compared with before treating,JOAscores raised in both groups after treatment(P<0.05),ASLR increased(P<0.05),VAS scores decreased(P<0.05),ODI lowered(P<0.05);and the observation group was superior to the control group in the improvements of these indexes above(P<0.05).The cure rate of the observation group was[48.45%(47/97)],and total effective rate was[93.81%(91/97)],and both rates of the control group were[41.24%(40/97)]and[88.66%(86/97)].The differences were statistically significant between both groups in the cure rate and total effective rate(P<0.05).No obvious adverse reaction happened in both groups during therapeutic course.Conclusion:Duzhong Yaotong pills joined with lumbar traction in the treatment of LDH could apparently relieve pain,lumbar and back function with notable clinical effects.

关 键 词：腰椎间盘突出症 杜仲腰痛丸 腰椎牵引 临床观察 

分 类 号：R681.57[医药卫生—骨科学]