中医多模式干预联合瘀血痹片对亚急性和慢性腰腿疼患者治疗效果及心理状态的影响研究  

Study on Therapeutic Effect and Psychological State of Sub-acute and Chronic Low Back and Leg Pain Patients Treated by Multi-modal Intervention of Traditional Chinese Medicine Combined with Yuxuebi Tablet(瘀血痹片)

作　　者：娄祺祺 滕蔚然[1] 金立伦[1] 马碧涛[1] 罗健兴[1] 王乐杨[1] 崔若琳 LOU Qiqi;TENG Weiran;JIN Lilun;MA Bitao;LUO Jianxing;WANG Leyang;CUI Ruolin(Department of Traditional Chinese Medicine,Xinhua Hospital Affiliated to School of Medicine,Shanghai Jiao Tong University,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院中医伤科,上海200092

出　　处：《辽宁中医杂志》2022年第12期99-102,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：上海市进一步加快中医药事业发展三年行动计划(2018年-2020年)项目[Y(2018-2020)-ZYBZ-31]。

摘　　要：目的 观察亚急性和慢性腰腿疼患者进行中医多模式干预联合瘀血痹片的治疗效果和对其心理状态的影响。方法 临床选择2019年1月—2020年3月在上海交通大学医学院附属新华医院就诊的亚急性和慢性腰腿痛患者66例,根据随机对照法分组,分为A透药加手法加瘀血痹片组(22例)、B透药加针灸组(22例)、C西药对照组(22例),3组连续治疗1个月,治疗后3个月3组电话随访,比较3组的临床治疗效果;比较3组治疗前后的抑郁自评量表评分(SDS)指标、焦虑自评量表评分(SAS)指标。结果 A、B两组的临床有效率分别为95.5%(21/22)、90.9%(20/22),显著高于C组的59.1%(13/22),A、B两组的临床有效率差异无统计学意义(P>0.05);3组治疗后的视觉模拟评分(VAS)、Oswestry功能障碍(ODI)指数均有下降,但A、B两组治疗后的VAS、ODI指数显著低于C组(P<0.05),而A、B两组治疗后的VAS、ODI指数差异无统计学意义(P>0.05);3组治疗后的SAS、SDS均有下降,但A、B两组治疗后的SAS、SDS显著低于C组(P<0.05),而A、B两组治疗后的SAS、SDS差异无统计学意义(P>0.05)。结论 亚急性和慢性腰腿痛患者进行中医多模式干预联合瘀血痹片临床效果显著,同时可减低病人的抑郁、焦虑心态,值得临床推广。Objective To observe the treatment effects and mental state of sub-acute and chronic low back and leg pain patients using multi-modal TCM interventions.Methods Sixty-six sub-acute and chronic low back and leg pain patients treated from January 2019 to March 2020 in the hospital were selected and randomly divided into group A[drug penetration,massage techniques and Yuxuebi Tablet(瘀血痹片)],group B(drug penetration and acupuncture)and group C(western medicine),22 cases in each group.Three groups were treated for one month course.After three months,patients were followed via telephone.Treatment effects,SDS(self-rating depression scale)and SAS(self-rating anxiety scale)scores were compared.Results The clinical effective rate in group A(95.5%,21/22)and group B(90.9%,20/22)was significantly higher than that of group C(59.1%,13/22).The clinical effective rate between group A and group B was not significantly different(P>0.05).After treatment,visual analogue scale(VAS)scores and ODI(Oswestry disability index)for three groups were reduced,but VAS scores and ODI in group A and group B were even lower than those of group C(P<0.05).VAS scores and ODI between group A and group B were not significantly different(P>0.05).After treatment,SAS and SDS scores of three groups were reduced,but the related scores in group A and group B were even lower than those of group C(P<0.05).SAS and SDS scores between group A and group B were not significantly different(P>0.05).Conclusion The multi-modality TCM interventions are proven to be effective,which can relieve patients’depression and anxiety.It is worthy of clinical promotion.

关 键 词：心理状态 治疗效果 腰腿痛 中医多模式干预 瘀血痹片 

分 类 号：R681[医药卫生—骨科学]