消肿止痛膏治疗气滞血瘀型腰椎间盘突出症临床观察  

Xiaozhong Zhitong Plaster in the Treatment of Lumbar Disc Herniation of Qi Stagnation and Blood Stasis Type

作　　者：张志强 曹伟灵[1] 刘江[1] 张鹏 张柳 ZHANG Zhiqiang;CAO Weiling;LIU Jiang;ZHANG Peng;ZHANG Liu(Department of Pharmacy,Shenzhen Luohu People’s Hospital,Guangdong Province,Shenzhen 518001,China)

机构地区：[1]深圳市罗湖区人民医院药学部,广东深圳518001

出　　处：《光明中医》2024年第6期1128-1131,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：深圳市罗湖区科技创新局软科学研究项目(No.LX20200804);广东省医院药学研究基金项目(No.2021A16)。

摘　　要：目的观察消肿止痛膏治疗气滞血瘀型腰椎间盘突出症(LDH)的临床疗效。方法选取气滞血瘀型LDH患者60例,随机分为对照组(30例)采用常规治疗;试验组(30例)在对照组基础上联合消肿止痛膏治疗,均治疗18 d,评估2组治疗效果。结果治疗后,试验组总有效率高于对照组(P<0.05);试验组JOA评分、中医证候评分、VAS评分、TNF-α和IL-1β改善均优于对照组(P<0.05);2个月后随访,试验组复发率低于对照组(P<0.05)。结论消肿止痛膏可有效减轻患者腰部疼痛,治疗效果显著,安全性高,复发率低,值得临床进一步推广运用。Objective To observe the clinical effect of Xiaozhong Zhitong plaster on lumbar disc herniation(LDH)of qi stagnation and blood stasis type.Methods Sixty patients of LDH of qi stagnation and blood stasis type were selected and randomly divided into two groups.The control group of 30 cases received conventional treatment.The experimental group of 30 cases was treated with Xiaozhong Zhitong plaster on the basis of the control group.The average treatment time of the two groups was 18 days.The therapeutic effect of the two groups was evaluated.Results After treatment,the total effective rate of experimental group was higher than that of control group(P<0.05).JOA score,TCM syndrome score,VAS score,TNF-αand IL-1βin experimental group were better than those in control group(P<0.05).After 2 months follow-up,the recurrence rate of the experimental group was lower than that of the control group(P<0.05).Conclusion Xiaozhong Zhitong plaster can effectively reduce the patients’waist pain,has significant therapeutic effect,high safety and low recurrence rate,and is worthy of clinical further promotion and application.

关 键 词：腰痛 腰椎间盘突出症 气滞血瘀证 消肿止痛膏 

分 类 号：R274.9[医药卫生—中西医结合]