中药硬膏热敷贴治疗急性期腰背肌筋膜炎的临床疗效观察

The Clinical Observation on The Treatment of Acute Lumbodorsal Myofascitis by Hot Application of Chinese Herbal Paste

目的:观察中药硬膏热敷贴治疗急性期腰背肌筋膜炎的临床疗效。方法:将90例急性期腰背肌筋膜炎患者随机分为治疗组和对照组各45例。治疗组患者采用中药硬膏热敷贴联合盐酸乙哌立松片治疗,对照组患者采用双氯芬酸钠贴片联合盐酸乙哌立松片治疗。观察两组患者治疗前、后疼痛视觉模拟量表(VAS)评分和Oswestry功能障碍指数(ODI)评分及总有效率,评价两组患者的临床疗效。结果:治疗1个疗程后,治疗组的总疗效率为100%,明显高于对照组的88.9%(P<0.05);治疗后,两组患者的VAS评分和ODI评分均较治疗前明显降低(P<0.05),且治疗组的降低作用均明显优于对照组(P<0.05)。结论:中药硬膏热敷贴治疗急性期腰背肌筋膜炎安全可靠,且临床疗效优于双氯芬酸钠贴片。

objective: to observe the clinical effect of Chinese herbal paste on acute lumbago fasciitis. Methods: 90 cases of lumbago fasciitis were randomly divided into treatment group and control group,45 cases in each group. Patients in the treatment group were treated with Chinese medicine hard paste and eperisone hydrochloride tablets, while patients in the control group were treated with diclofenac sodium patch and eperisone hydrochloride tablets. Visual analogue scale VAS score, Oswestry dysfunction index(ODI) score and total effective rate of the two groups of patients before and after treatment were observed to evaluate the clinical efficacy of the two groups of patients. Results: After one course of treatment, the total curative effect rate of the treatment group was 100.0%, which was significantly higher than 88.9% of the control group(P< 0.05);after treatment, the VAS score and ODI score of the two groups were significantly lower than those before treatment(P<0.05), and the reduction effect of the treatment group was significantly better than that of the control group(P<0.05).Conclusion: the treatment of acute lumbago myofascitis with Chinese herbal paste is safe and reliable, and the clinical effect is better than diclofenac sodium patch.