中药封包联合腰背操在腰痛病(气滞血瘀证)患者中的应用效果研究  

Study on the application effect oftraditional Chinese medicine package combined with back exercises in patients with low back pain(qi stagnation and blood stasis type)

作　　者：魏晓宇 王玲玲 储蒙蒙 李小萌 WEI XiaoYu;WANG Lingling;CHU MengMeng(Department of Tuina,Fuyang Traditional Chinese Medicine Hospital,Fuyang Anhui 236000,China)

机构地区：[1]阜阳市中医医院推拿科,安徽阜阳236000

出　　处：《四川中医》2024年第9期220-222,F0003,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：安徽省红十字会中医药传承创新发展研究项目(编号:2022ZYZD05)。

摘　　要：目的:研究中药封包联合腰背操在腰痛病(气滞血瘀证)患者中的应用效果。方法:选取2022年6月~2023年6月本院收治的腰痛病患者90例的临床资料,按照治疗方案不同分为对照组45例(腰背操治疗)和观察组45例(中药封包+腰背操治疗)。对比两组总疗效率、疼痛分级评分法(Visual analogue scale, VAS)、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores, JOA)、Oswestry功能障碍指数(Oswestry disability index, ODI)、腰椎活动法(range of motor, ROM)及健康调查简表(the MOS 36-item short form health survey, SF-36)及不良反应发生率。结果:观察组与对照组总疗效率分别为93.33%、73.33%,观察组总疗效率高于对照组(P<0.05)。两组VAS评分均下降,且观察组下降幅度大于对照组(P<0.05)。两组ODI评分、ROM评分均下降,且观察组下降幅度大于对照组;两组JOA评分均上升,且观察组上升幅度大于对照组(P<0.05)。两组SF-36评分比治疗前均上升,且观察组上升幅度大于对照组(P<0.05)。对照组、观察组不良反应总发生率分别为4.44%、6.67%,两组相比较,差异无统计学意义(P>0.05)。结论:中药封包联合腰背操治疗可提高腰痛病(气滞血瘀证)患者总疗效率,有效缓解疼痛感及减轻临床症状,有利于患者恢复,安全性较好。Objective To study the application effect of traditional Chinese medicine package combined with back exercises in patients with low back pain(qi stagnation and blood stasis type).Methods The clinical data of 90 patients with low back pain admitted to our hospital from June 2022 to June 2023 were selected,according to different treatment plans,they were divided into a control group of 45 cases(lumbar back exercise treatment)and an observation group of 45 cases(traditional Chinese medicine envelope+waist back exercise therapy).The two groups were compared in terms of overall efficacy rate,visual analogue scale(VAS),Oswestry disability index(ODI),Japanese Orthopedic Association Scores(JOA),range of motor(ROM)and the MOS 36-item short form health survey(SF-36).Results The total curative effect rate of observation group and control group were 93.33%and 73.33%,respectively,and the total curative effect rate of observation group was higher than that of control group(P<0.05).The VAS scores of both groups decreased,and the decrease of observation group was greater than that of control group(P<0.05).ODI and ROM scores were lower in both groups,and the observation group was lower than the control group.JOA scores in both groups were increased,and the increase rate in observation group was greater than that in control group(P<0.05).The SF-36 score of the observation group increased more than that of the control group(P<0.05).Conclusion The combination of traditional Chinese medicine packets and back exercises can improve the overall therapeutic efficiency of patients with low back pain(qi stagnation and blood stasis type),effectively relieve pain and reduce clinical symptoms,and is conducive to patient recovery,good security.

关 键 词：中药封包 腰背操 气滞血瘀 腰痛 

分 类 号：R248.2[医药卫生—中医临床基础]