独活寄生汤加减联合中药贴敷疗法治疗寒湿型腰椎间盘突出症患者的效果分析

Effect Analysis of Duhuo Jisheng Decoction Combined with Chinese Medicine Plaster Therapy on Patients with Cold-Dampness Type Lumbar Disc Herniation

目的分析独活寄生汤加减联合中药贴敷疗法治疗寒湿型腰椎间盘突出症患者的效果。方法选择2022年8月—2023年6月南通市通州区中医院收治的70例寒湿型腰椎间盘突出症患者为研究对象,采取随机抽签法将其分为对照组和研究组,每组35例。对照组采用常规治疗,研究组采用独活寄生汤加减联合中药贴敷疗法治疗,两组均持续治疗20 d。对比两组患者的腰椎功能、疼痛程度、生活能力及生活质量。结果治疗前,两组腰椎日本骨科协会评估治疗分数(JOA)、疼痛视觉模拟(VAS)、日常生活能力量表(ADL)、健康调查简表(SF-36)评分对比,组间差异无统计学意义(P>0.05)。治疗20 d后,研究组JOA、SF-36各个维度评分均高于对照组,组间差异有统计学意义(P<0.05);研究组VAS评分为(2.42±0.57)分,低于对照组的(3.97±0.79)分,差异有统计学意义(P<0.05);研究组ADL评分为(79.17±6.55)分,高于对照组的(69.85±6.57)分,差异有统计学意义(P<0.05)。结论对寒湿型腰椎间盘突出症患者应用独活寄生汤加减与中药贴敷疗法联合治疗可降低患者疼痛程度,增强腰椎功能,提高生活质量,为其日常生活能力的恢复奠定良好基础。

Objective To analyze the effect of Duhuo Jisheng Decoction combined with Chinese medicine plaster therapy on patients with Cold-Dampness Type lumbar disc herniation.Methods Seventy patients with Cold-Dampness Type lumbar disc herniation treated in Nantong Tongzhou District Traditional Chinese Medicine Hospital from August 2022 to June 2023 were selected as the research subjects,and were divided into a control group and a research group by random drawing method,with 35 cases in each group.The control group was treated with conventional treatment,and the research group was treated with Duhuo Jisheng Decoction combined with Chinese medicine plaster therapy,both groups were treated for 20 days.Lumbar spine function,pain degree,life ability and quality of life were compared between the two groups.Results Before treatment,there were no significant differences in the scores of the lumbar spine Japanese Orthopaedic Association Scores(JOA),Visual Analogue Scale(VAS),Activities of Daily Living Scale(ADL)and the 36-item Short-Form health survey(SF-36)between the two groups(P>0.05).After 20 days of treatment,the JOA and SF-36 scores of the research group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05);the VAS score of the research group was(2.42±0.57)points,which was lower than(3.97±0.79)points of the control group,and the difference was statistically significant(P<0.05);the ADL score of the research group was(79.17±6.55)points,which was higher than(69.85±6.57)points of the control group,and the difference was statistically significant(P<0.05).Conclusion The combination treatment of Duhuo Jisheng Decoction and Chinese medicine plaster therapy can reduce the degree of pain,enhance the function of lumbar spine,improve the quality of life,and lay a good foundation for the recovery of the ability of daily living in patients with cold-dampness type lumbar disc herniation.