六味地黄改良方联合功能锻炼治疗腰腿痛的临床疗效分析

Clinical efficacy of Liuwei Dihuang improved decoction combined with functional exercise in the treatment of lumbocrural pain

目的研究六味地黄改良方联合功能锻炼治疗腰腿痛患者的临床效果。方法选取2014年2月至2016年5月于我院骨科就诊的316例腰腿痛患者,随机分为对照组和观察组,每组158例。对照组患者接受功能锻炼,观察组在此基础上,加用六味地黄改良方。观察两组患者治疗后的临床效果、治疗前后的疼痛情况以及临床症状改善情况。结果观察组患者的总有效率为95.57%,对照组患者为82.28%,组间差异具有统计学意义(P<0.05);观察组患者治疗后的疼痛评分为(2.69±0.85)分,低于对照组患者的(4.33±1.12)分,组间差异具有统计学意义(P<0.05);观察组患者的腰酸、麻木,感觉障碍,步行障碍,直腿抬高障碍以及活动受限评分改善均优于对照组患者(P<0.05)。结论六味地黄改良方与功能锻炼联合应用于腰腿痛患者的治疗,临床效果显著,能够明显缓解患者疼痛,改善临床症状,值得进一步推广。

Objective To investigate the clinical efficacy of Liuwei Dihuang improved decoction combined with functional exercise in the treatment of lumbocrural pain. Methods A total of 316 patients with lumbocrural pain in our hospital from February 2014 to May 2016 were selected and randomly divided into control group and observation group as 158 cases for each group. The patients in control group were given functional exercise, and the observation group was given additional Liuwei Dihuang improved decoction based on control group. The pain and clinical symptoms in two groups before and after treatment were observed. Results After treatment, the total effective rate in observation group was 95.57%, while that in the control group was 82.28%, the difference was statistically significant(P<0.05). The visual analogue scale score in observation group was(2.69±0.85), and that in control group was(4.33±1.12), the difference was statistically significant(P<0.05). Lumbar acid, numbness, feels obstacle, walking of barriers, obstacle to the straight leg-raising and restricted movement score in observation group were better than those in control group(P<0.05). Conclusion Liuwei Dihuang improved decoction combined functional exercise can obviously relieve patients' lumbocrural pain and improve the clinical symptoms. The clinical effect is remarkable, and worthy for further promotion.