甘姜苓术汤加味联合温针灸治疗慢性腰肌劳损寒湿型疗效观察

Clinical Observation of Ganjiang Lingzhu Decoction Combined with Warm Acupuncture in Treatment of Cold and Wet Type Chronic Lumbar Muscle Strain

目的:探究甘姜苓术汤加味联合温针灸治疗慢性腰肌劳损(寒湿型)的临床疗效。方法:选取经我院确诊为慢性腰肌劳损的80例门诊患者作为研究对象,随机将2组患者随机分为对照组和治疗组各40例,其中对照组采用甘姜苓术汤加味口服治疗,治疗组在对照组的基础上联合温针灸治疗,观察2组患者在治疗前、治疗1周后、治疗2周后的VAS评分、ODI指数的变化并对比两组患者的临床疗效。结果:完成既定的治疗后,治疗组总有效率为97.30%,对照组总有效率为88.89%,经秩和检验其差异具有统计学意义(P<0.05);治疗前2组患者在VAS评分及ODI指数的对比上差异无统计学意义(P>0.05),具有可比性,但在不同的治疗时间节点两组患者在上述两个指标的变化方面均以治疗组改善较为明显(P<0.05)。结论:甘姜苓术汤加味联合温针灸在慢性腰肌劳损(寒湿型)的治疗方面,具有起效更快疗效更佳的优势,更为适宜现代生活快节奏的需求,有推广应用的价值。

Objective:To explore the clinical effect of Ganjiang Lingzhu decoction plus warm acupuncture on chronic lumbar muscle strain(cold and damp type).Methods:Eighty outpatients diagnosed with chronic lumbar muscle strain in our hospital were selected as the research object,and the two groups of patients were randomly divided into a control group and a treatment group of 40 cases,of which the control group was treated with Ganjiang Lingzhu decoction plus warm acupuncture.In the treatment group,combined with warm acupuncture and moxibustion treatment on the basis of the control group,observe the changes in VAS score and ODI index of the two groups of patients before treatment,after 1 week of treatment,and after 2 weeks of treatment,and compare the clinical efficacy of the two groups of patients.Results:After completion of the established treatment,the total effective rate of the treatment group was 97.30%,and the total effective rate of the control group was 88.89%.The difference was statistically significant after the rank sum test(P<0.05);the VAS scores of the two groups of patients before treatment There is no statistically significant difference in comparison with the ODI index(P>0.05),which is comparable,but the two groups of patients at the different treatment time nodes have more obvious improvement in the above two indicators in terms of changes in the above two indicators(P<0.05).Conclusion:Ganjiang Lingzhu decoction combined with warm acupuncture has the advantage of faster onset and better curative effect in the treatment of chronic lumbar muscle strain(cold and damp type),which is more suitable for the fast-paced needs of modern life,and is widely used.value.