石氏逐痰通络汤联合石氏特色手法治疗腰椎间盘突出症临床研究  

Clinical Study on Shi's Zhutan Tongluo Decoction Combined with Shi's Characteristic Manipulation for Lumbar Disc Herniation

作　　者：江建春 吴军豪 郭天旻 吴海洋 沈祉培 JIANG Jianchun;WU Junhao;GUO Tianmin;WU Haiyang;SHEN Zhipei(Huangpu Branch of Shanghai Ninth People's hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院黄浦分院,上海200011

出　　处：《新中医》2024年第14期90-95,共6页New Chinese Medicine

基　　金：上海市黄浦区卫生健康系统中医药拔尖人才培养计划项目(ZY-2019RCTDPY-1008)。

摘　　要：目的:观察石氏逐痰通络汤联合石氏特色手法治疗腰椎间盘突出症(LDH)痰瘀阻络证的临床疗效。方法:选取84例LDH痰瘀阻络证患者,按随机数字表法分为治疗组和对照组各42例。治疗组剔除1例,最终纳入研究对照组42例、治疗组41例。对照组给予石氏逐痰通络汤治疗,治疗组在对照组基础上给予石氏特色手法治疗。2组均治疗4周。比较2组临床疗效、视觉模拟评分法(VAS)评分、日本骨科协会评估治疗分数(JOA评分)、Oswestry功能障碍指数(ODI)评分及不良事件发生率。结果:治疗4周后,治疗组总有效率95.12%,高于对照组80.95%(P<0.05)。治疗1周、2周、4周后,2组VAS评分均较治疗前降低(P<0.05),治疗组VAS评分均低于同期对照组(P<0.05)。治疗1周、2周、4周后,2组JOA评分均较治疗前升高(P<0.05),治疗组JOA评分均高于同期对照组(P<0.05)。治疗1周、2周、4周后,2组ODI评分均较治疗前降低(P<0.05)。治疗1周后,2组ODI评分比较,差异无统计学意义(P>0.05)。治疗2周、4周后,治疗组ODI评分均低于同期对照组(P<0.05)。治疗期间,对照组不良事件发生率2.38%,治疗组无不良事件发生,2组比较,差异无统计学意义(P>0.05)。结论:石氏逐痰通络汤联合石氏特色手法治疗LDH痰瘀阻络证安全有效,可明显缓解疼痛,改善腰部功能。Objective:To observe the clinical effect of Shi's Zhutan Tongluo Decoction combined with Shi's characteristic manipulation on lumbar disc herniation(LDH)with phlegm-stasis obstructing the collaterals syndrome.Methods:A total of 84 cases of LDH patients with phlegm-stasis obstructing the collaterals syndrome were selected and divided into the treatment group and the control group according to the random number table method,with 42 cases in each group.One case was excluded from the treatment group,and ultimately 42 cases were included in the control group and 41 cases in the treatment group.The control group was treated with Shi's Zhutan Tongluo Decoction,and the treatment group was treated with Shi's characteristic manipulation based on the treatment of the control group.Both groups were treated for four weeks.The clinical effects,Visual Analogue Scale(VAS)scores,Japanese Orthopedic Association Assessment Treatment Score(JOA),Oswestry Dysfunction Index(ODI)scores,and incidence of adverse events were compared between the two groups.Results:After four weeks of treatment,the total effective rate was 95.12%in the treatment group,higher than that of 80.95%in the control group(P<0.05).After treatment for one week,two weeks,and four weeks,the VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the VAS scores in the treatment group were lower than those in the control group during the same period(P<0.05).After treatment for one week,two weeks,and four weeks,the JOA scores in the two groups were increased when compared with those before treatment(P<0.05),and the JOA scores in the treatment group were higher than those in the control group during the same period(P<0.05).After treatment for one week,two weeks,and four weeks,the ODI scores in the two groups were decreased when compared with those before treatment(P<0.05).After one week of treatment,there was no significant difference in ODI scores between the two groups(P>0.05).After two and four weeks of treatment,the ODI scores

关 键 词：腰椎间盘突出症 痰瘀阻络证 石氏逐痰通络汤 石氏特色手法 疼痛 腰部功能 

分 类 号：R681.5[医药卫生—骨科学]