独活寄生汤湿敷联合火疗治疗寒湿型腰肌劳损的临床效果观察

Observation on the Clinical Effect of Duhuozhi Decoction Combined with Fire Therapy in the Treatment of Cold and Wet Lumbar MuscleStrain

目的:观察独活寄生汤湿敷联合火疗治疗寒湿型腰肌劳损的临床效果.方法:选择2017年2月-2018年3月期间本院收治的68例寒湿型腰肌劳损患者,随机分为对照组和观察组,各34例.对照组患者采用独活寄生汤湿敷治疗,观察组在对照组基础上增加火疗治疗,对比2组治疗1个疗程后临床疗效,同时比较2组预后情况.结果:观察组寒湿型腰肌劳损治疗总有效率97.06%,显著高于对照组82.35%,差异具有统计学意义(x2=4.526,P=0.023).观察组腰及骶部症状改善时间为(3.36±1.25)天,对照组(4.51±1.34)天,差异具有统计学意义(t=12.623,P=0.022).观察组腰及骶部症状消退时间为(7.59±1.25)天,对照组(9.26±1.34)天,差异具有统计学意义(t=11.528,P=0.021).观察组半年内复发次数为(2.13±1.02)次,对照组(4.26±1.31)次,差异具有统计学意义(t=12.718,P=0.023).结论:寒湿型腰肌劳损患者采用独活寄生汤湿敷联合火疗治疗的临床效果较为理想,有助于快速改善患者临床症状,降低复发风险,临床应用效果良好.

Objective:To observe the clinical effect of duhuozhi decoction combined with fire therapy in the treatment of cold and wet lumbar muscle strain.Methods:68 cases of cold and wet type lumbar muscle strain patients admitted to our hospital from February 2017 to March 2018 were randomly divided into the control group and the observation group,with 34 cases each.The patients in the control group were treated with duhuozhi decoction wet compress,and the observation group was treated with fire therapy on the basis of the control group.The clinical efficacy of the two groups after one course of treatment was compared,and the prognosis of the two groups was also compared.Results:The total effective rate(97.06%)of cold and wet type lumbar muscle strain treatment in the observation group was significantly higher than that in the control group(82.35%),and the difference was statistically significant(X squared=4.526,p=0.023).The improvement time of lumbar and sacral symptoms in the observation group was 3.36+/-1.25 d and 4.51+/-1.34 d,respectively,and the difference was statistically significant(t=12.623,p=0.022).The regression time of lumbar and sacral symptoms in the observation group was(7.59+1.25)d,and that in the control group was(9.26+1.34)d,and the difference was statistically significant(t=11.528,p=0.021).The number of recurrence in the observation group was 2.13+/-1.02 times within half a year,and that in the control group was 4.26+/-1.31d,with statistically significant difference(t=12.718,p=0.023).Conclusion:The clinical eiffect of duhuozhi decoction combined with fire therapy for cold and wet type lumbar muscle strain patients is ideal,which is helpful to rapidly improve the clinical symptoms of patients,reduce the risk of recurrence,and has a good clinical effect.