补肾活血方配合董氏奇穴治疗肾虚血瘀型慢性腰痛病

Bushen Huoxue Recip combined with Dong's extra-acupoint in the treatment of chronic low back pain of kidney deficiency and blood stasis type

目的观察补肾活血方联合董氏奇穴针刺治疗肾虚血瘀型慢性腰痛病的临床疗效。方法选择2019年6月至2020年6月湖南中医药大学第一附属医院脊柱科就诊的60例肾虚血瘀型慢性腰痛病患者,按随机对照设计,将患者分为治疗组(30例)和对照组(30例)。治疗组内服补肾活血方联合董氏奇穴针刺治疗,对照组口服塞来昔布胶囊和盐酸替扎尼定片,观察比较两组治疗前后视觉疼痛模拟评分(VAS)、腰椎功能障碍指数(ODI)、日本骨科协会(JOA)评分及临床疗效。结果治疗过程中脱落和失访5例,最终有效病例55例,治疗组和对照组分别为27、28例。两组治疗前VAS、ODI、JOA评分差异无统计学意义(P>0.05),治疗后两组VAS、ODI评分低于治疗前,JOA评分高于治疗前,且治疗后两组间差异均有统计学意义(P<0.01)。治疗组痊愈3例、显效11例、有效10例、无效3例,对照组痊愈0例、显效7例、有效15例、无效6例,治疗组临床疗效优于对照组(Z=2.161,P=0.031)。结论补肾活血方联合董氏奇穴针刺疗法,对慢性腰痛病(肾虚血瘀型)治疗有效,可以降低患者腰部疼痛,改善腰椎活动度,提高患者生活质量,疗效可靠。

Objective To observe the clinical effect of Bushen Huoxue Recip combined with Dong's extra-acupoint on chronic low back pain of kidney deficiency and blood stasis type.Methods A total of 60 patients with chronic low back pain of kidney deficiency and blood stasis type treated in the Spine Department of the First Affiliated Hospital of Hunan University of TCM from June 2019 to June 2020 were selected.According to the randomized control design,60 patients were divided into treatment group(30 cases)and control group(30 cases).The treatment group was treated with Bushen Huoxue Recip combined with Dong's extra-acupoint,and the control group was treated with celecoxib capsule and tizanidine hydrochloride tablets.The visual analogue score(VAS),Oswestry disability index(ODI),Japanese Orthopaedic Association(JOA)scores and clinical effects were observed and compared between two groups before and after treatment.Results During the treatment,5 cases fell off and lost to follow-up,and 55 cases were finally effective with 27 cases in treatment group and 28 cases in control group.There was no significant difference in VAS,ODI and JOA score between two groups before treatment(P>0.05).After treatment,the VAS,ODI score of two groups were lower than those before treatment,while JOA scores of two groups were higher than that before treatment,and there were significant differences between two groups after treatment(P<0.01).There were cured in 3 cases,markedly effective in 11 cases,effective in 10 cases,ineffective in 3 cases in treatment group,while cured in 0 cases,markedly effective in 7 cases,effective in 15 cases and ineffective in 6 cases in control group.The clinical efficacy of treatment group was better than that of control group(Z=2.161,P=0.031).Conclusions Bushen Huoxue Recip combined with Dong's extra-acupoint is effective in the treatment of chronic low back pain(kidney deficiency and blood stasis type).It can reduce low back pain,improve lumbar mobility and quality of life of the patients.