从肝脾论治青年腰肌劳损临床疗效观察

Clinical Study on Treatment of Lumbar Muscle Strain From Liver and Spleen on Young Patients

目的:观察从肝脾立论应用调理肝脾方加减治疗腰肌劳损青年患者疗效。方法:将60例腰肌劳损青年患者随机分到治疗组和对照组,对照组口服塞来昔布胶囊,治疗组在对照组基础上口服中药汤剂,观察患者治疗前后视觉模拟量表(VAS)评分、功能障碍指数问卷表(ODI)评分变化及临床疗效。结果:腰肌劳损的青年患者中,男性多见,以血瘀证最常见,其次为湿热证,两组治疗后VAS评分和ODI评分均有下降,治疗组疗效优于对照组,治疗组痊愈率为53.3%,有效率96.7%,优于对照组。结论:青年腰肌劳损患者,实证多见,内责之肝脾,外邪中湿热常见,从肝脾立论应用调理肝脾方加减治疗青年患者腰肌劳损有很好临床效果。

Objective To observe the curative effect of the treatment of liver and spleen by the treatment of liver and spleen in the treatment of lumbar muscle strain. Methods Sixty young patients with lumbar muscle strain were randomly assigned to the treatment group and the control group. The oral administration of oral celecoxib capsules in the control group was treated with traditional Chinese medicine decoction on the control group, The visual analogue scale （VAS） score, disability index, questionnaire （ODI） score and clinical efficacy were observed before and after treatment. Results Among the young patients with lumbar muscle strain, men were more common, and blood stasis was the most common, followed by damp-heat syndrome. Both VAS and ODI scores decreased after treatment. The cure rate of the treatment group was better than that of the control group. The cure rate was 53.3 % and the effective rate was 96.7 %, which was better than that of the control group. Conclusion Young patients with lumbar muscle strain, more common evidence, the responsibility of the liver and spleen, dampness common evil.