独活寄生汤联合中医骨伤手法按摩治疗腰椎间盘突出症临床观察  

Duhuo Jisheng Decoction Combined with Traditional Chinese Medicine Bone Injury Massage in the Treatment of Lumbar Disc Herniation

作　　者：魏骏 WEI Jun(Department of Orthopedics and Traumatology,Dingnan Nanfang Hospital of Integrated Traditional Chinese and Western Medicine,Jiangxi Province,Ganzhou 341900,China)

机构地区：[1]江西省定南南方中西医结合医院骨伤科,江西赣州341900

出　　处：《中国中医药现代远程教育》2024年第20期70-72,108,共4页Chinese Medicine Modern Distance Education of China

摘　　要：目的探究独活寄生汤加减联合中医骨伤手法按摩治疗腰椎间盘突出症的临床效果。方法选择2020年4月—2022年4月收治的100例腰椎间盘突出症患者作为研究对象,以随机数字表法分为对照组和观察组,各50例。对照组仅给予中医骨伤手法按摩治疗,观察组在此基础上给予独活寄生汤治疗,对比两组治疗效果、视觉模拟量表(VAS)评分、腰椎功能、炎症因子水平及不良反应发生情况。结果观察组治疗总有效率为92.00%(46/50),显著高于对照组的76.00%(38/50)(P<0.05)。治疗后,观察组VAS评分、日本骨科协会(JOA)评分、不良反应发生率及肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)水平均显著低于对照组(P<0.05)。结论独活寄生汤联合中医骨伤手法按摩治疗腰椎间盘突出症,能够提高临床效果,缓解患者疼痛感并改善腰椎功能、消除炎症因子,赢得了临床工作者的认可,值得大力借鉴、应用。Objective To explore the clinical effect of modified Duhuo Jisheng decoction combined with traditional Chinese medicine bone injury massage on lumbar disc herniation.Methods A total of 100 patients with lumbar disc herniation were selected as the sub⁃jects,all of whom were treated from April 2020 to April 2022.Randomized number table method was used to divide the patients into control group and observation group,both of which were 50 cases.The former was only given traditional Chinese bone injury massage therapy,while the latter took Duhuo Jisheng decoction based on the former.The therapeutic effects,pain scores,lumbar function scores,levels of inflammatory factors and adverse reactions of the two groups were compared.Results The total effective rate in the ob⁃servation group was 92.00%(46/50),which was significantly higher than that in the control group(76.00%,38/50)(P<0.05).The VAS score,JOA score,incidence of adverse reactions,and the levels of TNF-α,hs-CRP,IL-6 in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The treatment of lumbar disc herniation with Duhuo Jisheng decoction combined with traditional Chinese medicine bone injury manual massage can improve the therapeutic effect,relieve patients’sense of pain,improve lumbar function,and eliminate inflammatory factors.Therefore,it has won the recognition of clinical related personnel,and is worthy of great reference and application in clinical practice.

关 键 词：痹证 腰椎间盘突出症 独活寄生汤 手法按摩 中医骨伤 中医药疗法 

分 类 号：R274.9[医药卫生—中西医结合]