摘要
目的观察自拟化瘀利水方治疗腰椎间盘突出症急性期的临床疗效。方法将86例腰椎间盘突出症急性期患者随机分为治疗组与对照组各43例;两组均给予20%甘露醇静滴5 d,治疗组同时给予自拟化瘀利水方汤剂口服2周;对照组给予双氯芬酸钠肠溶片口服2周;分别于治疗前(T0)、治疗后5 d(T1)、10 d(T2)、14 d(T3)监测两组患者疼痛视觉模拟评分(VAS)、腰椎疾患综合成绩评分(JOA)和Oswestry功能障碍指数(ODI)评分情况。结果两组治疗后各时间点各评分均优于治疗前(P<0.05),治疗组的VAS评分及ODI评分持续减低,JOA评分持续增高,均较前一时间点差异有统计学意义(P<0.05);对照组各指标T3与T2时变化差异无统计学意义(P>0.05);T1时治疗组和对照组各指标评分之间差异无统计学意义(P>0.05),T2、T3时对照组各指标评分均优于对照组(P<0.05)。结论自拟化瘀利水方能明显减轻腰椎间盘突出症急性期疼痛症状,改善腰椎功能,疗效持续。
Objective:To observe the effects of self-made Huayu Lishui Formula in the treatment of patients with lumbar disc herniation(LDH)in acute stage.Methods:A total of 86 patients with LDH in acute stage were randomly divided into the treatment group and control group,43 cases in each group.Both groups were given 20%mannitol intravenously for 5 days,while the treatment group was given self-made Huayu Lishui Formula orally for 2 weeks;the control group was given diclofenac sodium enteric-coated tablets orally for 2 weeks.The visual ana⁃logue scale(VAS)score,the Japanese Orthopaedic Association(JOA)lumbar spine disorder comprehensive perfor⁃mance score and Oswestry dysfunction index(ODI)of the two groups at before treatment(T0),5 d(T1),10 d(T2),14 d(T3)after treatment were monitored.Results:The scores of the two groups at each time point after treatment were better than those before treatment(P<0.05).The VAS score and ODI score of the treatment group continued to decrease,and the JOA score continued to increase.There were statistical differences compared to the previous time point(P<0.05);there was no statistical difference in the changes of the indicators of the control group at T3 and T2(P>0.05);there was no statistical difference between the scores of the treatment group and the control group at T1(P>0.05),The scores of all indicators in the treatment group at T2 and T3 were better than those of the control group(P<0.05).Conclusion:Self-made Huayu Lishui Formula could relieve pain of lumbar disc her⁃niation in acute stage and improve lumbar function with continuous effect.
作者
刘灿
白志强
Liu Can;Bai Zhiqiang(Beijing First Hospital of Integrated Chinese and Western medicine,Beijing 100026,China)
出处
《中国中医急症》
2020年第12期2151-2154,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
中国中医科学院中医基础理论研究所“院所协同创新科研专项基金”项目(YZ1832)。
关键词
腰椎间盘突出症
急性期
活血化瘀
利水消肿
Lumbar disc herniation
Acute stage
Promoting blood circulation for removing blood stasis
Induc⁃ing diuresis to alleviate edema