摘要
目的:观察手法联合桃红四物汤治疗急性腰椎间盘突出症(LDH)的临床效果。方法:60例随机分为对照组和联合组各30例。对照组采用常规药物治疗,联合组采用手法联合桃红四物汤治疗。治疗4周,采用数值疼痛强度评定量表(NRS)评分评价疼痛程度,用日本骨科协会评分(JOA)评价腰痛疗效,用改良MacNab评分标准判定疗效评价临床疗效。结果:两组NRS评分和JOA评分显著改善(P<0.01),联合组改善优于对照组(P<0.05)。优良率对照组60%、联合组90%,两组优良率比较差异有统计学意义(P<0.01)。结论:手法联合桃红四物汤治疗LDH能缓解疼痛效果更好。
Objective ： To observe the effect of manipulation combined with Taohong Siwu Decoction on lumbar disc herniation （ LDH ） in the treatment of acute lumbar disc herniation （ LDH ） .Method ： 60 cases of acute LDH patients were randomly divided into control group and combined group, with 30 cases in each group. The control group were treated with conventional medicine while the combined group were treated with manipulation combined with Taohong Siwu Decoction. After four weeks of treatment, the assessment of pain intensity scale （ Numerical Rating value Scale, NRS ） score was used to evaluate the degree of pain. The Japanese Association for Department of orthopedics （ Japanese Orthopedic Association Scores score, JOA ） was use to evaluate curative effect of lumbago. The modified MacNab standard was used to evaluate the clinical therapeutic effect. Result： The NRS score and the JOA score were significantly improved in the two groups and the difference was statistically significant （ P〈0.01 ） .In addition, both the NRS score and the JOA score of the combined group were significantly superior to that of the control group （ P〈0.01 ） . The excellent and good rate of the control group was 60% while that of the combined group was 90%. The difference between the two groups was statistically significant （ P〈0.01 ） .Conclusion： The combination of manipulation and Taohong Siwu Decoction is better for relieving the pain of LDH patients.
出处
《实用中医药杂志》
2018年第9期1033-1034,共2页
Journal of Practical Traditional Chinese Medicine
关键词
腰椎间盘突出症
手法
桃红四物汤
Lumbar disc herniation （ LDH ）
Manipulation
Taohong Siwu Decoction
