自拟腰痛方加推拿治疗椎间盘源性下腰痛的疗效观察

Clinical Obervation on Discogenic Low Back Pain Treated with Self-design Lumbago Recipe and Massage

目的比较运用自拟验方腰痛方配合推拿治疗椎间盘源性下腰痛与单纯运用推拿治疗该病两者临床疗效的差别,并以此研究结果指导临床治疗。方法将符合纳入标准病例随机分为2组,对照组单纯运用推拿治疗,治疗组在推拿基础上配合口服自拟腰痛方,比较两组治疗前后JOA评分以及改善率、改善指数。结果治疗组、对照组治疗前后各JOA评分显著降低(P<0.01)。治疗后治疗组与对照组比较,P<0.05。治疗组平均改善率、平均改善指数均高于对照组。结论采用自拟腰痛方配合推拿手法治疗椎间盘源性下腰痛较单纯运用推拿治疗具有更显著的疗效,值得临床推广应用。

Objective To compare the distinction of clinical effects between the treatment of self-design lumbago recipe of massage and the massage treatment only so to guide the clinical treatments by the results.Methods Cases according inclusion criteria were randomly divided into 2 groups.Control group were used the massage treatment only and treatment group were used self-design lumbago recipe based on the massage.JOA score,improvement rate and improvement index between 2 groups would be compared before and after treatment.Results The JOA scores of treatment group and control group were significantly reduced（P 0.01） before and after treatment.The overall mean improvement of the treatment group and average improve index was higher than those in the control group.Conclusion The treatment adopting the self-design lumbago recipe of massage had remarkable curative effects than simply massage therapy and was worth to clinical application.