腰痛熏药方熏蒸联合西药治疗气滞血瘀证腰椎间盘突出症临床疗效观察

Clinical observation of lumbar disc herniation treated by lumbago fumigation prescription fumigating combined with biological lamp irradiation

目的:观察腰痛熏药方熏蒸联合西药治疗气滞血瘀证腰椎间盘突出症的临床疗效。方法:选取昆山市中医医院2023年1—7月收治的气滞血瘀证腰椎间盘突出症住院患者70例,将其随机分为对照组与治疗组,每组35例。对照组采用脱水消肿、消炎止痛等常规药物治疗,治疗组在对照组治疗的基础上加用腰痛熏药方熏蒸治疗,治疗前后通过疼痛视觉模拟评分(VAS)、日本骨科协会评分(JOA)及中医病症诊断疗效标准进行疗效评价。结果:治疗组总有效率为80.00%,对照组为57.14%,治疗组的总有效率高于对照组,差异有统计学意义(P<0.01)。两组患者治疗后VAS评分、JOA评分与治疗前比较,差异均具有统计学意义(P<0.05),治疗后两组VAS评分、JOA评分比较,差异均具有统计学意义(P<0.05)。结论:腰痛熏药方熏蒸联合西药治疗腰椎间盘突出症临床疗效可靠,特色突出,值得临床应用。

Objective Observe the clinical effect of Lumbago Fumigation prescription fumigating combined with biological lamp irradiation in the treatment of lumbar disc herniation.Methods Seventy patients were randomly divided into the control group and the treatment group,and each group has 35 patients.The control group was treated with conventional drugs such as dehydration,swelling,inflammation and pain relief.On the basis of the control group,the treatment group was treated with Lumbago Fumigation prescription fumigating combined with biological lamp radiotherapy,and it was evaluated by visual analogue score(VAS),Japanese Orthopaedic Association(JOA)score,the diagnosis and therapeutic criteria of TCM symptoms.Results The total effective rate of the treatment group was 80.00%,and that of the control group was 57.14%.The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.01).There were statistically significant pre-/posttreatment differences in the VAS score and JOA score between the two groups(P<0.05).There were statistically significant posttreatment differences in the VAS score and JOA score between the two groups(P<0.05).Conclusions The treatment of lumbar disc herniation with Lumbago Fumigation prescription fumigating combined with biological lamp irradiation has good clinical efficacy and features of herniation,which is worth promoting.