补肾活血方治疗椎间盘源性腰痛的临床观察

Clinical Observation on Treatment of Discogenic Low Back Pain by Bushenhuoxue Decoction

目的:观察补肾活血方治疗椎间盘源性腰痛的临床疗效。方法:43例椎间盘源性腰痛患者采用补肾活血方内服治疗,连续服用2周,于治疗前、治疗后,随访时(疗程结束后1个月)进行VAS和ODI评分,并观察临床疗效。结果:43例患者治疗第1周有效率为86.04%,治疗第2周及随访时有效率为90.69%;在VAS评分及ODI评分上,治疗第1周、第2周与随访均与治疗前有明显差异(P<0.001),治疗第2周、随访与治疗第1周也有差异(P<0.05),但治疗第2周与随访时差异无统计意义(P>0.05)。结论:补肾活血方能有效改善椎间盘源性腰痛患者的临床症状,随访期疗效稳定。

Objective：To observe the clinical curative effect of BushenHuoxue decoction on discogenic low back pain. Methods： There were 43 cases of discogenic low back pain taking Bushenhuoxue decoction orally, 1 agent/d, for 2 continuous weeks. The VAS and ODI scores were recorded before treatment, after treatment and follow-up after one month,while observing of the clinical symp- toms and judging the curative effect. Results： The clinical efficiency of first week of treatment is 86.04% among 43 patients, 90. 69% second week and follow-up. There was a significant difference between the VAS and ODI scores of before treatment,after treatment and follow-up （ P 〈 0. 001 ） , so was that of second week of treatment and follow-up （ P 〈 0.05 ） , but there were no statisti- cal significance between the second weeks of treatment and follow-up （ P 〉 0, 05 ）. Conclusion ： Bushenhuoxue decoction can signifi- cantly improve the clinical symptoms of patients of discogenic low back pain, and the curative effect is stable during follow-up peri- od.