针灸联合抗骨增生汤治疗腰椎骨质增生性腰痛(肝肾不足证)患者效果观察

Efficacy of acupuncture plus the Kanggu Zengsheng decoction on lumbar hyperosteogeny of lumbago of the Ganshen Buzu symptom

目的:探讨分析针灸联合抗骨增生汤治疗腰椎骨质增生性腰痛(肝肾不足证)患者效果。方法:选取2018年1月-2019年1月收治的98例腰椎骨质增生性腰痛(肝肾不足证)患者随机分为观察组和对照组,对照组给予常规治疗,观察组给予针灸联合抗骨增生汤治疗,比较两组临床疗效,治疗前后日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)、腰痛ODI评分标准(The Oswestry Disability Index,ODI)、简化McGill疼痛评分。结果:观察组临床疗效总有效率较对照组显著提高(P<0.05),治疗前两组JOA、ODI、简化McGill疼痛评分无统计学差异(P>0.05),治疗后两组JOA评分显著上升,ODI、疼痛分级指数(PRI)、现时疼痛强度(PPI)、视觉模拟评分法(Visual Analogue Scale,VAS)评分均显著下降,且观察组JOA评分上升、ODI、PRI、PPI、VAS评分降低更显著(P<0.05);结论:针灸联合抗骨增生汤治疗腰椎骨质增生性腰痛(肝肾不足证)患者可显著提高临床疗效,恢复腰椎功能,减轻腰椎疼痛程度,值得在临床上推广。

Objective:To explore and analyze the effect of acupuncture plus the Kanggu Zengsheng decoction(抗骨增生汤)on lumbar hyperosteogeny of lumbago of the Ganshen Buzu symptom(肝肾不足证).Methods:98 cases were randomly divided into the observation group and control group.The control group was given conventional treatment,and the observation group was given acupuncture with the Kanggu Zengsheng decoction.Results:The total efficiency in the observation group was higher than the control group(P<0.05).JOA scores were increased significantly,ODI,PRI,PPI and VAS scores were all decreased significantly in two groups.And those in the observation group were better(P<0.05).Conclusion:Acupuncture with the Kanggu Zengsheng decoction was effective,restore lumbar function,and reduce lumbar pain.It is worthy of clinical promotion.