除痹止痛汤治疗寒湿痹阻型腰椎间盘突出症的临床效果及对睡眠质量的影响

The clinical effect of Chubi Zhitong Decoction treated in cold-dampness blockage type of lubar intervertebral disc protrusion decoction and quality of sleep

目的探究与分析除痹止痛汤治疗寒湿痹阻型腰椎间盘突出症的临床效果及对睡眠质量的影响。方法选取山东省莒县中医医院2014年7月~2016年7月收治的80例寒湿痹阻型腰椎间盘突出症患者,采取随机数字表法分为对照组(40例)与观察组(40例)。对照组给予扶他林缓释片治疗,观察组给予口服除痹止痛汤治疗,对比两组疗效、治疗前后VAS及JOA评分、睡眠质量。结果与对照组相比,观察组总有效率较高,差异有统计学意义(P<0.05)。与治疗前相比,两组治疗后VAS评分降低,JOA评分升高;观察组治疗后与对照组治疗后相比,上述评分改善更佳显著,差异有统计学意义(P<0.05)。与治疗前相比,两组治疗后睡眠时间、睡眠障碍、入睡时间、睡眠效率、日间功能及安眠药物评分均较低,观察组治疗后与对照组治疗后相比上述评分改善更佳显著,差异有统计学意义(P<0.05)。结论除痹止痛汤治疗寒湿痹阻型腰椎间盘突出症的临床效果显著,缓解疼痛,改善睡眠质量。

Objective To explore the clinical effect of Chubi Zhitong Decoction treated in cold-dampness blockage type of lubar intervertebral disc protrusion decoction and quality of sleep. Methods 80 cases with cold-dampness blockage type of lubar intervertebral disc protrusion decoction treated in Hospital of Traditional Chinese Medicine of Ju County from July 2014 to July 2016 were selected. All the patients were divided into the control group （40 cases） and observation group （40 cases）, according to random number table. The control group was taken Diclofenac Sodium Sus- tained Release Tablets, the observation group was taken Chubi Zhitong Decoction. The urative effect, VAS and JOA score and the sleep quality of the two groups were compared. Results The total effective rate of observation group was higher than that of the control group, with statistically significant difference （P 〈 0.05）. The VAS scores of the two groups after treatment were decreased, and the JOA scores were increased, and the improvement of observation group after treatment was more remarkable than that of the control group after treatment, with statistically significant differ- ence （P 〈 0.05）. The sleep disorder, sleep time, sleep efficiency, daytime function and sleeping drug scores of the two groups after treatment were decreased, and the improvement of observation group after treatment was more remarkable than that of the control group after treatment, with statistically significant difference （P 〈 0.05）. Conclusion The applli- cation of Chubi Zhitong Decoction on cold-dampness blockage type of lubar intervertebral disc protrusion decoction can receive remarkable effect, relieve pain, and can improve sleep quality.