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[1]葉長青,張海林,張寶良.中藥活血止痛酊中頻導(dǎo)入聯(lián)合推拿治療腰椎間盤突出癥血瘀證的臨床研究[J].中醫(yī)正骨,2016,28(09):27-29.
　YE Chang qing,ZHANG Hailin,ZHANG Baoliang.Clinical study on medium frequency iontophoresis of Huoxue Zhitong Ding(活血止痛酊)combined with manipulation for treatment of blood-stasis-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):27-29.
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中藥活血止痛酊中頻導(dǎo)入聯(lián)合推拿治療腰椎間盤突出癥血瘀證的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年09期
頁碼:
27-29
欄目:
臨床研究
出版日期:
2016-09-20

文章信息/Info

Title:
Clinical study on medium frequency iontophoresis of Huoxue Zhitong Ding(活血止痛酊)combined with manipulation for treatment of blood-stasis-type lumbar disc herniation
作者:
葉長青; 張海林; 張寶良
浙江省臺州市黃巖區(qū)中醫(yī)院,浙江 臺州 318020
Author(s):
YE Chang qing; ZHANG Hailin; ZHANG Baoliang
Huangyan Hospital of Traditional Chinese Medicine,Taizhou 318020,Zhejiang,China
關(guān)鍵詞:
腰腿痛;  腰椎;  椎間盤移位;  血瘀;  活血止痛酊;  中頻電治療儀;  推拿; 脊柱;  臨床試驗
Keywords:
lumbago-leg pain;  lumbar vertebrae;  intervertebral disc displacement;  blood stasis;  Huoxue Zhitong tinctures;  medium frequency electrotherapeutic apparatus;  manipulation; spinal;  clinical trial
摘要:
目的:觀察中藥活血止痛酊中頻導(dǎo)入聯(lián)合推拿治療腰椎間盤突出癥血瘀證的臨床療效和安全性。方法:將100例符合要求的腰椎間盤突出癥血瘀證患者隨機分為推拿組和聯(lián)合治療組,每組50例。推拿組僅進行推拿治療,聯(lián)合治療組在推拿治療的基礎(chǔ)上進行中藥活血止痛酊中頻導(dǎo)入治療。推拿和中藥活血止痛酊中頻導(dǎo)入治療均每天1次,每周5次,共治療12周。治療前和治療結(jié)束后評定2組患者的腰腿疼痛數(shù)字評價量表(numerical rating scale,NRS)評分、Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)評分、簡明健康狀況調(diào)查表(short form 36 health survey questionnaire,SF-36)評分,同時觀察患者治療期間的并發(fā)癥和不良反應(yīng)發(fā)生情況。結(jié)果:治療前2組患者的腰腿疼痛NRS評分、ODI評分、SF-36評分比較,組間差異均無統(tǒng)計學(xué)意義[(8.12±0.78)分,(8.14±0.81)分,t=1.161,P=0.272;(62.51±10.73)分,(61.92±9.83)分,t=3.262,P=0.354;(63.24±7.19)分,(64.12±5.97)分,t=3.519,P=0.427]。治療結(jié)束后,2組患者的腰腿疼痛NRS評分和ODI評分均降低(t=1.397,P=0.033; t=2.453,P=0.022; t=2.745,P=0.002; t=3.621,P=0.001),聯(lián)合治療組的NRS評分和ODI評分均低于推拿組[(6.38±0.58)分,(5.08±0.76)分,t=2.031,P=0.020;(46.28±5.86)分,(29.73±3.25)分,t=4.274,P=0.000]; 聯(lián)合治療組的SF-36評分較治療前增加(t=4.815,P=0.002),推拿組的SF-36評分與治療前相比差異無統(tǒng)計學(xué)意義(t=3.720,P=0.248),聯(lián)合治療組的SF-36評分評分高于推拿組[(68.36±4.12)分,(88.75±9.85)分,t=6.238,P=0.000]。治療期間2組均未發(fā)生嚴重并發(fā)癥或不良反應(yīng)。結(jié)論:中藥活血止痛酊中頻導(dǎo)入聯(lián)合推拿可有效減輕腰椎間盤突出癥血瘀證患者的腰腿痛癥狀,促進腰部功能恢復(fù),提高生活質(zhì)量,且療效優(yōu)于單純推拿治療。
Abstract:
Objective:To observe the clinical curative effects and safety of medium frequency iontophoresis of Huoxue Zhitong Ding(活血止痛酊,HXZTD)combined with manipulation for treatment of blood-stasis-type lumbar disc herniation(LDH).Methods:One hundred patients with blood-stasis-type LDH were enrolled in the study and were randomly divided into 2 groups,50 cases in each group.The patients were treated with monotherapy of manipulation(manipulation group)and combination therapy of medium frequency iontophoresis of HXZTD and manipulation(combination therapy group)respectively,once a day,5 times a week for consecutive 12 weeks.The lumbago-leg pain numerical rating scale(NRS)scores,Oswestry disability index(ODI)scores and short form 36 health survey questionnaire(SF-36)scores were evaluated and compared between the 2 groups before and after the treatment,and complication and adverse reactions were observed and compared between the 2 groups during the treatment period.Results:There was no statistical differences in the lumbago-leg pain NRS scores,ODI scores and SF-36 scores between the 2 groups before the treatment(8.12+/-0.78 vs 8.14+/-0.81 points,t=1.161,P=0.272; 62.51+/-10.73 vs 61.92+/-9.83 points,t=3.262,P=0.354; 63.24+/-7.19 vs 64.12+/-5.97 points,t=3.519,P=0.427).The lumbago-leg pain NRS scores and ODI scores decreased in both of the 2 groups after the end of the treatment(t=1.397,P=0.033; t=2.453,P=0.022; t=2.745,P=0.002; t=3.621,P=0.001),and the NRS scores and ODI scores were lower in combination therapy group compared to manipulation group(6.38+/-0.58 vs 5.08+/-0.76 points,t=2.031,P=0.020; 46.28+/-5.86 vs 29.73+/-3.25 points,t=4.274,P=0.000).The SF-36 scores increased in combination therapy group after the end of the treatment(t=4.815,P=0.002),and there was no statistical differences in the SF-36 scores between pre-treatment and post-treatment inmanipulation group(t=3.720,P=0.248),and the SF-36 scores were higher in combination therapy group compared to manipulation group(68.36+/-4.12 vs 88.75+/-9.85 points,t=6.238,P=0.000).No serious complications or adverse reactions were found in both of the 2 groups during the treatment period.Conclusion:The combination therapy of medium frequency iontophoresis of HXZTD and manipulation can effectively relieve the lumbago-leg pain and promote the waist functional recovery and improve the quality of life in patients with blood-stasis-type LDH,moreover,its curative effect is better than that of monotherapy of manipulation.

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備注/Memo

備注/Memo:
通訊作者:葉長青 E-mail:[email protected]
更新日期/Last Update: 1900-01-01