针刺结合右归胶囊治疗肾阳虚慢性腰痛疗效观察

Curative Effect Observation on Acupuncture Combined with Yougui Capsules for Chronic Low Back Pain with Kidney-Yang Deficiency

目的:观察针刺结合右归胶囊治疗肾阳虚慢性腰痛的临床疗效。方法:将60例肾阳虚慢性腰痛患者按随机数字表分为2组各30例。对照组采用口服右归胶囊,治疗组在对照组基础上接受针刺治疗,2组疗程均为4周,观察2组治疗后及治疗结束后1月(随访)的视觉模拟评分法(VAS)评分和Oswestry功能障碍指数问卷表(ODI)评分差异,比较2组的疗效。结果:2组治疗前VAS评分比较,差异无统计学意义(P> 0.05);治疗后、结束后1月2组VAS评分均低于治疗前(P <0.05)。治疗后、结束后1月,治疗组VAS评分均低于对照组,差异有统计学意义(P <0.05)。治疗前,2组ODI评分比较,差异无统计学意义(P>0.05);治疗后、结束后1月2组ODI评分均低于治疗前(P <0.05)。治疗后、结束后1月,治疗组ODI评分均低于对照组,差异有统计学意义(P <0.05)。治疗后,治疗组总有效率97.5%,对照组总有效率87.5%,2组比较,差异有统计学意义(P <0.05)。治疗后1月,治疗组总有效率97.5%,对照组总有效率82.5%,2组比较,差异有统计学意义(P <0.05)。结论:针刺结合右归胶囊治疗肾阳虚慢性腰痛具有良好的临床疗效。

Objective:To observe the clinical effect of acupuncture combined with Yougui capsules for chronic low back pain with kidney-yang deficiency. Methods:Divided 60 cases of patients with chronic low back pain with kidney-yang deficiency into two groups according to random number table method,30 cases in each group. The control group was treated with Yougui capsules orally,while the treatment group was additionally treated with acupuncture based on the treatment of the control group. The treatment lasted for four weeks in the two groups. Observed the difference between the score of visual analogue scale (VAS) and score of Oswestry disability index(ODI) in the two groups after treatment and one-month of follow up,and compared the curative effect in the two groups. Results: Compared the VAS scores in the two groups before treatment,there was no significance in the difference(P>0.05). After treatment and one-month of follow up,VAS scores in the two groups were lower than those before treatment(P<0.05). After treatment and one-month of follow up,VAS score in the treatment group was lower than that in the control group,the difference being significant(P<0.05). Before treatment,compared the ODI scores in the two groups,there was no significance in the difference(P>0.05). After treatment and one-month of follow up,ODI scores in the two groups were lower than those before treatment(P<0.05). After treatment and one-month of follow up,ODI score in the treatment group was lower than that in the control group,the difference being significant(P<0.05). After treatment,the total effective rate was 97.5% in the treatment group and was 87.5% in the control group,the difference being significant(P<0.05). One month after treatment,the total effective rate was 97.5% in the treatment group and was 82.5% in the control group, the different being significant (P<0.05). Conclusion: The therapy of acupuncture combined with Yougui capsules has significant clinical effect in treating chronic low back pain with kidney-yang deficiency.