通督散寒活血汤配合循经推拿治疗腰腿痛临床观察

Clinical Observation of Applying Tongdu Sanhan Huoxue Decoction Combined with Meridian Massage in Treating Lumbago and Leg Pain

目的:观察通督散寒活血汤配合循经推拿治疗腰腿痛的临床效果。方法:将在我院治疗的120例腰腿痛患者分成观察组和对照组各60例。对照组给予通督散寒活血汤治疗,观察组给予通督散寒活血汤配合循经推拿治疗。结果:观察组临床总有效率为93.33%高于对照组的80.00%,差异有统计学意义(P<0.05);两组患者治疗后的JOA、FMA评分均较治疗前升高,且观察组上述评分升高幅度对于对照组,差异均有统计学意义(P<0.05);治疗后,两组患者疼痛程度及发作频率均较治疗前降低,且疼痛持续时间短于治疗前,且观察组上述指标改善优于对照组,差异均有统计学意义(P<0.05);治疗后,两组患者的生活质量较治疗前改善,且观察组患者改善程度优于对照组,差异均有统计学意义(P<0.05)。结论:通督散寒活血汤配合循经推拿治疗腰腿痛能有效的改善其临床症状,促进其关节活动及功能的恢复,降低疼痛程度及发作频率,缩短疼痛持续时间,改善其生活质量,提高临床疗效,具有良好的临床应用价值。

Objective:To observe the clinical effect of applying Tongdu Sanhan Huoxue Decoction combined with massage along meridians in the treatment of lumbago and leg pain.Methods:120 patients with lumbocrural pain in our hospital were divided into observation group and controlled group with 60 cases in each group.The controlled group was treated with Tongdu Sanhan Huoxue Decoction, and the observation group was treated with Tongdu Sanhan Huoxue Decoction combined with meridian massage.Results:The total clinical effective rate of the observation group was 93.33%, which was higher than 80.00% of the controlled group, the difference was statistically significant(P<0.05).The JOA and FMA scores of the two groups after treatment were higher than those before treatment, and the increase of the above scores in the observation group was statistically significant for the controlled group(P<0.05).After treatment, the pain degree and attack frequency of the two groups were lower than those before treatment, and the pain was persistent.The continuous time was shorter than before treatment, and the improvement of the above indicators in the observation group was better than that in the controlled group, the difference was statistically significant(P<0.05).After treatment, the quality of life in the two groups was better than that before treatment, and the improvement of the patients in the observation group was better than that in the controlled group, the difference was statistically significant(P<0.05).Conclusion:Tongdu Sanhan Huoxue Decoction combined with meridian massage can effectively improve the clinical symptoms of lumbocrural pain, promote the recovery of joint activity and function, reduce the degree and frequency of pain, shorten the duration of pain, improve the quality of life, improve the clinical efficacy, with good clinical application value.