摘要
目的此研究探讨身痛逐瘀汤加味配合腰椎坐位旋转扳法对血瘀型LDH的临床疗效。方法选取2020年6月—2021年2月在山西省中西医结合医院就诊的血瘀型LDH患者60例,采用随机数字表法分为治疗组和对照组各30例,共60例。治疗组采用身痛逐瘀汤加味联合手法(腰椎坐位旋转扳法),对照组采用特定电磁波(TDP)+低频电疗,比较2组患者治疗前后的VAS、JOA、ODI、中医证候评分以及临床疗效的变化。结果对照组治疗2周后VAS、ODI、中医证候评分均低于治疗组,而JOA评分高于治疗组,差异具有统计学意义(P<0.05);观察组总有效率73.33%明显低于治疗组(90.00%)(P<0.05)。结论经身痛逐瘀汤加味联合手法治疗血瘀型LDH的疗效优于对照组,能够又快又好地恢复症状,具有临床推广价值。
Objective To investigate the clinical effect of Shentong Zhuyu decoction combined with manipulation in the treatment of lumbar disc herniation(LDH)of blood stasis type.Methods From June 2020 to February 2021,60 patients with LDH of blood stasis type were selected.They were randomly divided into treatment group and control group,with 30 cases in each group.The treatment group was treated with Shentong Zhuyu decoction combined with manipulation(lumbar sitting rotation pulling method),and the control group was treated with specific electromagnetic wave(TDP)and low frequency electrotherapy.The changes of vas,JOA,ODI,traditional Chinese medicine symptom score and clinical efficacy were compared between the two groups before and after treatment.Results After 2 weeks of treatment,VAS,ODI and traditional Chinese medicine symptom scores of the control group were lower than those of the treatment group,while JOA score was higher than that of the treatment group,and the difference was statistically significant(P<0.05).The total effective rate of the observation group was 73.33%,which was significantly lower than that of the treatment group 90.00%(P<0.05).Conclusion The curative effect of Shentong Zhuyu decoction combined with manipulation in the treatment of LDH of blood stasis type is better than that of the control group,which can recover symptoms quickly and well,and has clinical promotion value.
作者
芦冲
张红山
李鹏
贾旭明
王坚
栗丽丽
LU Chong;ZHANG Hongshan;LI Peng;JIA Xuming;WANG Jian;LI Lili(Department of Orthopedics and Traumatology,Shanxi Hospital of Integrated Traditional Chinese and Western Medicine,Shanxi Province,Taiyuan 030013,China)
出处
《光明中医》
2022年第4期607-610,共4页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
山西省中医药管理局科研课题(No.2020ZYYC036)。
关键词
腰椎坐位旋转扳法
身痛逐瘀汤
腰椎间盘突出症
中医综合疗法
lumbar sitting rotation pulling method
Shentong Zhuyu decoction
lumbar disc herniation
comprehensive therapy of TCM
