独活寄生汤联合针灸治疗肾虚兼寒湿型腰腿痛的临床研究

Clinical Study on Radix Angelicae Tuhuo Parasitic Decoction Combined with Acupuncture and Moxibustion for Low Back and Leg Pains of Kidney Deficiency and Cold Dampness Type

目的探究对肾虚兼寒湿型腰腿痛患者应用独活寄生汤联合针灸治疗方案后效果。方法本次研究选取社区卫生服务中心在2022年1—12月收治的66例肾虚兼寒湿型腰腿痛患者,并将其作为数据分析对象,按照数字随机方法分为对照组和观察组,每组33例。其中,对照组实施独活寄生汤治疗,观察组实施独活寄生汤联合针灸治疗,比较两组临床效果、疼痛(VAS)评分、复发率。结果两组对比治疗效果,观察组比对照组更高,差异明显有统计学意义(P<0.05)。两组疼痛(VAS)评分比较,观察组明显低于对照组,差异明显有统计学意义(P<0.05)。两组对比复发率,观察组明显低于对照组,差异明显有统计学意义(P<0.05)。结论在治疗肾虚兼寒湿型腰腿痛患者时,给予独活寄生汤联合针灸治疗法,效果较为显著,能够缓解疼痛,降低复发率,在临床治疗中值得大范围推广与实施。

Objective To explore effect of radix angelicae tuhuo parasitic decoction combined with acupuncture and moxibustion on kidney deficiency and cold dampness type low back and leg pains.Methods The paper chose 66 patients with kidney deficiency and cold dampness type lower back and leg pains admitted to community health service center from January 2022 to December 2022 as data analysis objects,and divided them into control and observation group digital random method,with 33 cases in each group.Control group was treated with radix angelicae tuhuo parasitic decoction,and observation group with radix angelicae tuhuo parasitic decoction combined with acupuncture and moxibustion.Clinical effect,pain(VAS)scores,and recurrence rate were compared between two groups.Results comparison between two groups showed,curative effect in observation group was 93.94%,higher than 75.76%in control group,difference was significant(P<0.05).Pain scores were(2.28±0.75)and(4.01±0.74)in observation and control group respectively,those of observation group were significantly lower than control group,difference was significant(P<0.05).Recurrence rate comparison between two groups showed,that in observation group was 6.06%,significantly lower than 27.27%in control group,with significant difference(P<0.05).Conclusion Radix angelicae tuhuo parasitic decoction combined with acupuncture and moxibustion is effective in treatment of kidney deficiency and cold dampness type low back and leg pains,can alleviate pains and reduce recurrence rate,which is worthy of promotion and application in a large scale in clinical treatment schemes.