温肾蠲痹汤联合温针灸治疗寒湿型腰椎间盘突出临床疗效观察

Clinical observation on treatment of cold and dampness lumbar intervertebral disc protrusion by Wenshen Juanbi decoction combined with warming acupuncture and moxibustion

目的 探讨温肾蠲痹汤联合温针灸在治疗寒湿型腰椎间盘突出的临床疗效。方法 回顾性分析本院2015年4月-2017年2月收治的60例寒湿型腰椎间盘突出症患者的临床资料,按照治疗方式不同分为对照组与研究组,各30例,对照组行常规单一骨盆牵引治疗,研究组行温肾蠲痹汤联合温针灸治疗,比较2组患者治疗后症状改善情况。结果 研究组治疗总有效率为86.67%（26/30）,对照组为58.06%（18/30）,组间比较差异具有统计学意义（P〈0.05）;较之治疗前,2组患者治疗后腰及下肢放射痛、直腿抬高试验、下肢皮肤感觉、腱反射、棘突旁压痛、腰部活动受限等指标均明显改善（P〈0.05）,且研究组改善效果明显优于对照组（P〈0.05）。结论 温肾蠲痹汤联合温针灸应用于寒湿型腰椎间盘突出的治疗中疗效确切,可有效提高临床治疗效果,改善患者临床不良症状,具有较高临床应用与推广价值。

Objective To explore the clinical efficacy of Wenshen Juanbi Deco ction combined with warm acupuncture in the treatment of cold and dampness lumbar disc herniation. Methods Retrospective analysis of our hospital in April 2015 to February 2017 treatment of 60 cases of cold and humid lumbar disc herniation in patients with clinical data, according to different treatment methods were divided into control group and the study group,with 30 cases in each group.The control group underwent routine single Pelvic traction treatment, the study group underwent Wenshen Juanbi decoction combined with warm acupuncture treatment, The symptom improvement after treatment in two groups was compared. Results The total effective rate was 86.67% （26/30） in the study group and 58.06% （18/30） in the control group. The difference between the two groups was statistically significant （P〈0.05）. Compared with before treatment, the index of lower and lower extremity radiating pain, straight leg raising test, lower limb skin sensation, tendon reflex, spinous process tenderness and limited waist activity after treatment in the two groups were significantly improved （P〈0.05）. And the improvement effect of the study group was better than that of the control group （P〈0.05）. Conclusion Wenshen Juanbi Decoction combined with warm acupuncture is effective in the treatment of cold and dampness lumbar disc herniation, which can effectively improve the clinical curative effect and improve the clinical symptoms of patients with high clinical application and popularization value.