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[1]孫廣江,崔海艦.絡(luò)病理論指導(dǎo)下應(yīng)用獨活寄生湯加減治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(12):37-40.
　SUN Guangjiang,CUI Haijian.Clinical study on oral application of Duhuo Jisheng Tang Jiajian(獨活寄生湯加減)under the guidance of collaterals disease theory for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(12):37-40.
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絡(luò)病理論指導(dǎo)下應(yīng)用獨活寄生湯加減治療腰椎間盤突出癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年12期
頁碼:
37-40
欄目:
臨床研究
出版日期:
2015-12-30

文章信息/Info

Title:
Clinical study on oral application of Duhuo Jisheng Tang Jiajian(獨活寄生湯加減)under the guidance of collaterals disease theory for treatment of lumbar disc herniation
作者:
孫廣江1; 崔海艦2
1.遼寧中醫(yī)藥大學(xué)附屬醫(yī)院,遼寧 沈陽 110032;
2.遼寧中醫(yī)藥大學(xué),遼寧 沈陽 110032
Author(s):
SUN Guangjiang1; CUI Haijian2
1.The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China
2.Liaoning University of Traditional Chinese Medicine,Shengyang 110032,Liaoning,China
關(guān)鍵詞:
獨活寄生湯;  椎間盤移位;  腰椎;  絡(luò)病理論
Keywords:
Duhuo Jisheng Tang;  intervertebral disc displacement;  lumbar vertebrae;  collaterals disease theory
摘要:
目的:探討絡(luò)病理論指導(dǎo)下應(yīng)用獨活寄生湯加減治療腰椎間盤突出癥的臨床療效。方法:將121例腰椎間盤突出癥患者隨機分為2組,在休息、外敷止痛散、特定電磁波照射的基礎(chǔ)上,分別采用絡(luò)病理論指導(dǎo)下的獨活寄生湯加減口服治療和洛索洛芬鈉片口服治療,共治療14 d。分別采用疼痛視覺模擬評分(visual analogue scale,VAS)及Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)對治療前后患者腰腿疼痛及腰椎功能情況進(jìn)行評價。結(jié)果:治療前2組患者腰腿疼痛VAS評分和ODI評分比較,組間差異均無統(tǒng)計學(xué)意義[(6.82±1.21)分,(6.34±1.53)分; t=1.929,P=0.056;(50.67±14.73)分,(49.66±15.31)分; t=0.589,P=0.551]。治療后2組患者腰腿疼痛VAS評分和ODI評分均較治療前降低[t=17.290,P=0.000; t=7.181,P=0.000; t=18.630,P=0.000; t=9.084,P=0.000]; 且獨活寄生湯組腰腿疼痛VAS評分和ODI評分均低于洛索洛芬鈉組[(3.33±1.27)分,(4.18±1.94)分,t=2.980,P=0.004;(17.38±5.35)分,(28.31±5.34)分,t=10.340,P=0.000]。結(jié)論:以絡(luò)病理論為指導(dǎo)采用獨活寄生湯加減口服治療腰椎間盤突出癥,可有效緩解腰腿疼痛、改善腰椎功能,且療效優(yōu)于口服洛索洛芬鈉片。
Abstract:
Objective:To explore the clinical curative effects of oral application of Duhuo Jisheng Tang Jiajian(獨活寄生湯加減,DHJSTJJ)under the guidance of collaterals disease theory for treatment of lumbar disc herniation(LDH).Methods:One hundred and twenty-one patients with LDH were randomly divided into 2 groups and were treated with oral application of DHJSTJJ under the guidance of collaterals disease theory(DHJSTJJ group)and loxoprofen sodium tablets(loxoprofen sodium group)respectively for 14 days.Meanwhile,all the patients were administered with bed rest,external application of analgesic powder and specific electromagnetic wave irradiation.Lumbago-leg pain and lumbar function were evaluated by using the visual analogue scale(VAS)and Oswestry disability index(ODI)before and after the treatment.Results:There was no statistical difference in lumbago-leg pain VAS scores and ODI scores between the 2 groups before the treatment(6.82+/-1.21 vs 6.34+/-1.53 points; t=1.929,P=0.056; 50.67+/-14.73 vs 49.66+/-15.31 points; t=0.589,P=0.551).Both lumbago-leg pain VAS scores and ODI scores decreased in the 2 groups after the treatment(t=17.290,P=0.000; t=7.181,P=0.000; t=18.630,P=0.000; t=9.084,P=0.000).The VAS scores and ODI scores were lower in DHJSTJJ group compared to loxoprofen sodium group(3.33+/-1.27 vs 4.18+/-1.94 points,t=2.980,P=0.004; 17.38+/-5.35 vs 28.31+/-5.34 points,t=10.340,P=0.000).Conclusion:Oral application of DHJSTJJ under the guidance of collaterals disease theory can effectively relieve the lumbago-leg pain and improve the lumbar function in the treatment of LDH,moreover,its curative effect is better than that of oral application of loxoprofen sodium tablets.

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備注/Memo

備注/Memo:
2015-08-17收稿 2015-10-15修回
基金項目:遼寧省沈陽市科技創(chuàng)新專項資金—人口與健康科技攻關(guān)專項(F13-220-9-74)
更新日期/Last Update: 2015-12-30