独活寄生汤联合推拿正骨治疗腰椎间盘突出随机平行对照研究

Live with Parasitic Soup Combined Palasy Random Parallel Control Study Method to Treat Lumbar

[目的]观察独活寄生汤联合推拿正骨治疗腰椎间盘突出疗效。[方法]使用随机平行对照方法,将80例门诊及住院患者按抛硬币法简单随机分为两组。对照组40例独活寄生汤(独活、茯苓、桑寄生各20g,熟地黄30g,防风12g,川芎、人参各10g,当归、杜仲、秦艽、川牛膝、白芍各15g,肉桂、甘草各6g,细辛3g;气滞血瘀去肉桂、白芍、熟地黄、防风、秦艽,加三七、桃仁、红花、香附各10g,地龙12g;身重如裹、腰膝冷疼,风寒湿加制川乌、附片各6g,鸡血藤12g;气血不足、困倦乏力、素体虚弱,肾虚去茯苓、秦艽、防风、细辛,加黄芪、狗脊、淫羊藿、骨碎补各15g),1剂/d,水煎200mL,早晚口服;药渣涂抹患处。治疗组40例推拿正骨:取仰卧位,双指点于腰部,点按夹脊穴,持续2min;左手全掌按压腰椎突出处,抬单侧膝部,背侧过伸,身体成为1条直线;屈髋、屈膝,站于腹侧,左手按臀部,右肘平按臀髋后方,将躯干扭转,直至耐受,并轻轻晃动,待肌处放松,肘部向下外侧出力,听到咔嚓声,表示手法成功;独活寄生汤治疗同对照组。连续治疗14d为1疗程。观测临床症状、VAS疼痛评分、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效28例,有效10例,无效2例,总有效率95.00%。对照组显效21例,有效9例,无效10例,总有效率75.00%。治疗组疗效优于对照组(P<0.05)。VAS疼痛评分两组均有改善(P<0.05),治疗组改善优于对照组(P<0.05)。[结论]独活寄生汤联合推拿正骨治疗腰椎间盘突出效果显著,值得推广。

[ Objective ] To observe the living by parasitic soup combined palasy method curative effect on lumbar disc. [ Methods ] Using random parallel control method, 80 cases of outpatient and hospitalized patients were randomly divided into two groups according to flip a coin method. Control group 40 cases alone live parasite soup （ Duhuo, Fuling, Sangjisheng each 20 g, Shudihuang 30g, Fangfengl2 g, Chuanqiong, Renshen each 10 g, Danggui, Duzhong, Qinjiu, Chuanniuxi, Baishao each 15 g, Rougui, Ganeao each 6 g, Xixin 3g; qi stagnation and blood stasis to Rougui, Baishao, Shudihuang, Fangfeng, Qinjiu, radix gentianae macrophyllae, Sanqi, Taoren, Honghua, Xiangfu each 10g, Dilong 12g, body weight, such as wrapping, waist and knee pain, cold wind cold dampness syndrome differentiation of traditional Chinese medicine and Zhichuanwu, Fupian 6 g, Jixueteng 12g, qi and blood deficiency, drowsiness fatigue, ferrite, weak, syndrome differentiation of traditional Chinese medicine kidney empty, Fuling, Qinjiu, Fangfeng, Xixin, plus Huangqi, gouqi, Yinyanghuo, Gusuibu each 15 g ）, l/d, Fried 200 ml water, morning and evening oral; The liquid to apply affected part. Treatment group of 40 cases of palasy method：take the supine position, use the double directions in the waist, click on the clip ridge, lasts 2 min. Left hand palm press lumbar prominent place, lift one knee, back tilting, body become 1 jump straight line; Hip flexion, kneeling, standing in the ventral, left hand according to the hips, your right elbow by hip hip rear, will the trunk, tolerance, and gently shake, to relax muscle, elbow lateral output down, hear clicks, said technique successfully. Liquid form the treatment with the control group. Continuous treatment of 14 d to 1 course of treatment. Observation of clinical symptoms, VAS pain score, adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [ Results ] The treatment group 28 cases, 10 cases of effective and ineffective in 2 cases, total effective rate was 95.00%. 9 cases of control group 21 cases were markedly effective, effective and invalid 10 cases, total effective rate was 75.00%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . VAS pain score in the two groups were improved （ P〈0.05 ）, the treatment group is better than that of control group （ P〈0.05 ） . E Conclusion ] Live alone parasitic soup combined palasy method has the significant effect of lumbar disc, is worth promoting.