腰突症Ⅰ号方治疗寒湿痹阻证腰椎间盘突出症的临床观察
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摘要
目的:观察腰突症Ⅰ号方治疗寒湿痹阻证腰椎间盘突出症的临床疗效。方法:将120例寒湿痹阻证腰椎间盘突出症患者随机分为治疗组和对照组,每组60例。治疗组予腰突症Ⅰ号方口服,对照组予腰痛宁胶囊口服。观察两组患者治疗前后JOA评分、症状体征分级量化评分。结果:治疗组患者治疗后症状体征分级量化评分、JOA评分均较治疗前改善,差异均有统计学意义(P<0.05);治疗组患者治疗后症状体征分级量化评分、JOA评分均优于对照组,差异均有统计学意义(P<0.05);治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。结论:腰突症Ⅰ号方治疗寒湿痹阻证腰椎间盘突出症有较好疗效,可改善患者症状、体征及生活质量。
Objective: To observe the clinical effect of Lumbar Protrusion FormulaⅠin treating lumbar disc herniation with cold-dampness obstruction syndrome. Methods: 120 cases of lumbar intervertebral disc herniation with cold-dampness obstruction syndrome were randomly divided into treatment group and control group, 60 cases in each group. The treatment group was given Lumbar Protrusion FormulaⅠ orally and the control group was given Yaotongning capsule(腰痛宁胶囊) orally. JOA scores, symptoms and signs grading and quantification score were observed before and after treatment in both groups. Results: After treatment, the symptoms and signs grading and JOA scores of the patients in the treatment group were improved compared with those before treatment(P <0.05); after treatment, the symptoms and signs grading and JOA scores of the patients in the treatment group were better than those in the control group(P<0.05); the clinical efficacy of the treatment group was better than that of the control group(P <0.05). Conclusion: Lumbar Protrusion Formula Ⅰ is effective in treating lumbar intervertebral disc herniation with cold-dampness obstruction syndrome. It can improve the symptoms, signs and quality of life of patients.
Objective: To observe the clinical effect of Lumbar Protrusion FormulaⅠin treating lumbar disc herniation with cold-dampness obstruction syndrome. Methods: 120 cases of lumbar intervertebral disc herniation with cold-dampness obstruction syndrome were randomly divided into treatment group and control group, 60 cases in each group. The treatment group was given Lumbar Protrusion FormulaⅠ orally and the control group was given Yaotongning capsule(腰痛宁胶囊) orally. JOA scores, symptoms and signs grading and quantification score were observed before and after treatment in both groups. Results: After treatment, the symptoms and signs grading and JOA scores of the patients in the treatment group were improved compared with those before treatment(P <0.05); after treatment, the symptoms and signs grading and JOA scores of the patients in the treatment group were better than those in the control group(P<0.05); the clinical efficacy of the treatment group was better than that of the control group(P <0.05). Conclusion: Lumbar Protrusion Formula Ⅰ is effective in treating lumbar intervertebral disc herniation with cold-dampness obstruction syndrome. It can improve the symptoms, signs and quality of life of patients.
引文
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[2]中华医学会.临床诊疗指南骨科分册[M].北京:人民卫生出版社,2009:97-99.
[3]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:201-202.
[4]米坤龙,梁冰,张永忠.骨科疼痛诊疗分级评分法分析[J].实用骨科杂志,2013,19(3):232-234.
[5]欧礼,唐本夫.中医辨证治疗腰椎间盘突出症52例临床观察[J].中医药导报,2013,19(2):47-48.
[6]桂景雄,何林,姚共和.腰腿痛I号方配合牵引治疗腰椎间盘突出症(寒湿痹阻型)68例临床观察[J].中医药导报.2007,13(3):41-42.
[7]黄步峰.中西医结治疗腰椎间盘突出症76例临床观察[J].中医药导报,2013,19(8):105-106.
[8]朱国文.腰椎间盘突出症治疗研究进展[J].浙江中西医结合杂志,2015,25(5):522-524.
[9]吕峰,林勇毅,陈代园.薏苡仁活性多糖对小鼠的免疫调节作用[J].中国食品学报,2013,13(6):20-25.
[10]金玉青,洪远林,李建蕊,等.川芎的化学成分及药理作用研究进展[J].中药与临床,2013,4(3):44-48.
[11]李永仪.麻黄附子细辛汤加味治疗腰椎间盘突出症48例临床观察[J].中医药导报,2016,12(12):39-40.
[12]冯晗,周宏灏,欧阳冬生.杜仲的化学成分及药理作用研究进展[J].中国临床药理学与治疗学,2015,50(6):713-720.
[13]袁晓航.中药川乌与草乌的鉴别比较及药理活性探究[J].内蒙古中医药,2017,36(18):137-138.
[14]廖州伟,彭力平,陈达,等.牛膝醇提液透入疗法治疗膝关节滑膜炎的疗效观察[J].中医药导报,2017,23(23):99-100.
[15]宫文霞,周玉枝,李肖,等.当归抗抑郁化学成分及药理作用研究进展[J].中草药,2016,47(21):3905-3911.
[16]杨洗,杨耀洲,赵玛丽,等.白芍木瓜灵仙汤治疗神经根型颈椎病疗效观察[J].中医正骨,2008,20(2):9-11.