腰腹肌功能锻炼联合中药补肾通络复方对肾气不足型腰椎间盘突出症患者疼痛程度及腰椎功能的影响  

Effect of Lumbar and Abdominal Muscle Function Exercise combined with Traditional Chinese Medicine Bushen Tongluo Compound on Pain Degree and Lumbar Function in Patients with Lumbar Disc Herniation with Kidney Qi Deficiency

作　　者：韩安 杨英昕 白旸[3] HAN An;YANG Ying-Xin;BAI Yang(Department of Traditional Chinese Medicine Orthopedics,Shenyang Fourth People's Hospital,Shenyang I10021,China;Rehabilitation Medicine Department of Beiling Campus,Northern Theater Hospital,Shenyang 110000,China;Rehabilitation Department of Armed Police Liaoning Provincial Corps Hospital,Shenyang 110000,China)

机构地区：[1]沈阳市第四人民医院中医骨伤科,沈阳110021 [2]北部战区医院北陵院区康复医学科,沈阳110000 [3]武警辽宁省总队医院康复科,沈阳110000

出　　处：《中国药物经济学》2023年第6期87-91,共5页China Journal of Pharmaceutical Economics

摘　　要：目的 探讨腰腹肌功能锻炼联合中药补肾通络复方对肾气不足型腰椎间盘突出症患者疼痛程度、腰椎功能的影响。方法 选取2019年10月至2021年8月于沈阳市第四人民医院诊治的90例康复期腰椎间盘突出症疼痛患者作为研究对象,按照随机数字表法分为结合组、西药组、对照组,每组30例。对照组口服布洛芬缓释胶囊进行治疗,康复组给予腰腹肌功能锻炼,结合组行腰腹肌功能锻炼联合中药补肾通络复方治疗。比较3组患者疼痛程度变化情况[疼痛数字评价量表(NRS)]、腰椎功能[Oswestry功能障碍指数(ODI)]改善情况、腰腹肌(腰背肌、腹肌)肌力改变情况,血清超氧化物歧化酶(SOD)、丙二醛(MDA)水平变化情况。结果 治疗3个月、6个月后,结合组NRS评分低于康复组、对照组(P<0.05);治疗6个月后,结合组ODI评分低于康复组、对照组(P<0.05);治疗6个月后,结合组腰背肌、腹肌肌力水平均较康复组、对照组升高(P<0.05);治疗6个月后,结合组MDA、SOD水平提高情况优于康复组、对照组(P<0.05)。结论 康复期腰椎间盘突出症疼痛患者应用腰腹肌功能锻炼联合中药补肾通络复方治疗,可通过下调血清MDA水平、上调SOD水平,有效改善疼痛程度及腰腹肌肌力水平,使腰椎功能快速恢复。Objective To explore the effect of lumbar abdominal muscle function exercise combined with Bushen Tongluo compound on pain degree and lumbar function of patients with lumbar disc herniation of kidney qi deficiency.Methods A total of 90 patients with pain and lumbar disc herniation during rehabilitation who were treated in the Fourth People's Hospital of Shenyang from October 2019 to August 2021 were selected as research objects,and were divided into combination group,western medicine group and control group according to random number table method,with 30 cases in each group.The control group was treated with ibuprofen sustained release capsules,the rehabilitation group was treated with waist and abdominal muscle functional exercise,and the combination group was treated with waist and abdominal muscle functional exercise combined with Bushen Tongluo compound.Changes in pain degree [Pain Numerical Evaluation Scale(NRS)],improvement in lumbar function [Oswestry Disability Index(ODI)],changes in lumboabdominal muscle strength(lumboback muscle and abdominal muscle),and changes in serum superoxide dismutase(SOD) and malondialdehyde(MDA) levels of the 3 groups were compared.Results After 3 and 6 months of treatment,the NRS score of combination group was lower than that of rehabilitation group and control group(P<0.05).After 6 months of treatment,ODI score of combination group was lower than that of rehabilitation group and control group(P<0.05).After 6 months of treatment,the muscle strength levels of lumbback muscle and abdominal muscle in combination group were increased compared with rehabilitation group and control group(P<0.05).After 6 months of treatment,the improvement of MDA and SOD levels in combination group was better than that in rehabilitation group and control group(P<0.05).Conclusion In the rehabilitation period of patients with pain from lumbar disc herniation,the application of lumbar abdominal muscle functional exercise combined with Bushen Tongluo compound therapy can effectively improve the degree of

关 键 词：腰腹肌功能锻炼 补肾通络复方 腰椎间盘突出症 丙二醛 超氧化物歧化酶 

分 类 号：R274.9[医药卫生—中西医结合] R289.5[医药卫生—中医骨伤科学]