基于“通督强脊”理论运用点按督脉法结合补肾壮筋汤治疗肝肾亏虚型腰椎间盘突出症的临床效果

Clinical effect on treating lumbar disc herniation with deficiency of liver and kidney by clicking on the Du meridian method combined with Bushen Zhuangjin Decoction based on"Tong Du Qiang Ji"theory

目的探讨“通督强脊”理论指导下运用点按督脉法结合补肾壮筋汤对肝肾亏虚型腰椎间盘突出症(LDH)的治疗作用及指导意义,为临床工作提供思路。方法选取2021年1月至12月就诊于福建中医药大学附属第三人民医院骨伤科的60例肝肾亏虚型LDH患者作为研究对象,采用随机数字表法将其分为试验组和对照组,每组各30例。试验组患者采用点按督脉法结合补肾壮筋汤治疗,对照组患者采用单纯口服补肾壮筋汤治疗。比较两组患者治疗前后的疼痛分级指数(PRI)、视觉模拟评分法(VAS)、腰椎活动度、直腿抬高角度和治疗效果。结果两组患者治疗前的PRI评分、VAS评分、腰椎活动度及直腿抬高角度比较,差异无统计学意义(P>0.05)。两组患者治疗后的PRI评分、VAS评分均低于两组治疗前,腰椎活动度、直腿抬高角度高于治疗前,差异有统计学意义(P<0.05)。试验组患者治疗后的PRI评分、VAS低于对照组,腰椎活动度、直腿抬高角度高于对照组,差异有统计学意义(P<0.05)。试验组患者治疗后的总有效率为83.3%,高于对照组的56.7%,差异有统计学意义(P<0.05)。结论在“通督强脊”理论指导下,运用点按督脉法联合补肾壮筋汤内服治疗肝肾亏虚型LDH,能显著缓解患者腰腿痛的症状和痛苦,促进腰部功能的恢复,改善患者的生活、工作质量,对于临床工作具有重要的指导意义。

Objectives To explore the therapeutic effect and guiding significance of the theory of"Tong Du Qiang Ji"on lumbar disc herniation(LDH)with deficiency of liver and kidney by clicking on the Du meridian method combined with Bushen Zhuangjin Decoction,and to provide ideas for clinical work.Methods Sixty patients with lumbar disc herniation with liver and kidney deficiency admitted to the Third People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January to December 2021 were selected as the research subjects,and they were divided into experimental group and control group according to random number table method,with 30 cases in each group.The experimental group was treated by clicking on the Du meridian method combined with Bushen Zhuangjin Decoction,and the control group was treated with oral Bushen Zhuangjin Decoction.The pain rating index(PRI),visual analogue scale(VAS),lumbar range of motion,straight leg elevation angle before and after treatment and the treatment effect were compared between the two groups.Results There were no significant differences in PRI score,VAS score,lumbar range of motion and straight leg elevation angle between the two groups before treatment(P>0.05).The PRI score and VAS score of the two groups after treatment were lower than those before treatment,the lumbar range of motion and straight leg elevation angle were higher than those before treatment,and the differences were statistically significant(P<0.05).After treatment,the PRI score and VAS score of the experimental group were lower than those of the control group,the lumbar range of motion and straight leg elevation angle of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of the experimental group after treatment was 83.3%,which was higher than 56.7%of the control group,and the difference was statistically significant(P<0.05).Conclusion Under the guidance of the theory of"Tong Du Qiang Ji",the click on the Du meridian method combined with Bushen Zhuangjin Decoction for the treatment of LDH can significantly relieve the symptoms and pain of patients with waist and leg pain,promote the recovery of waist function,and improve the quality of life and work of patients,which shows the important guiding significance for clinical work.