腰痹通胶囊治疗椎间盘源性腰痛临床研究

Clinical Study on Yaobitong Capsules for Discogenic Low Back Pain

目的:观察腰痹通胶囊联合悬吊运动疗法、醋氯芬酸肠溶胶囊治疗椎间盘源性腰痛的临床疗效。方法:选取89例椎间盘源性腰痛患者,按随机数字表法分为观察组46例与对照组43例。对照组给予悬吊运动疗法联合醋氯芬酸肠溶胶囊治疗,观察组在对照组基础上结合腰痹通胶囊治疗。比较2组临床疗效,记录患者治疗前后视觉模拟评分法(VAS)评分、日本骨科协会(JOA)腰椎功能评分及生活质量评分。结果:总有效率观察组93.48%,对照组67.44%,2组比较,差异有统计学意义(P <0.05)。治疗后,2组VAS评分均较治疗前降低(P <0.05),JOA腰椎功能评分均较治疗前升高(P <0.05);观察组VAS评分低于对照组(P <0.05),JOA腰椎功能评分高于对照组(P <0.05)。治疗后,2组精神健康、情感职能、生理职能及社会功能评分均较治疗前提高(P <0.05);观察组生理健康、情感职能、生理职能及社会功能评分均高于对照组(P <0.05)。结论:腰痹通胶囊联合悬吊运动疗法、醋氯芬酸肠溶胶囊治疗椎间盘源性腰痛临床疗效显著,可改善患者的腰椎功能,提高生活质量。

Objective:To observe the clinical effect of Yaobitong capsules combined with sling exercise therapy and aceclofenac enteric-coated capsules for discogenic low back pain.Methods:A total of 89 cases of patients with discogenic low back pain were divided into the observation group and the control group according to the random number table method,46 and 43 cases in each group respectively.The control group was treated with sling exercise therapy combined with aceclofenac enteric-coated capsules,and the observation group was additionally treated with Yaobitong capsules based on the treatment of the control group.The clinical effect in the two groups was compared,and the scores of Visual Analogue Scale(VAS),the lumbar vertebrae function of Japanese Orthopaedic Association(JOA)and quality of life of patients before and after treatment were recorded.Results:The total effective rate was 93.48%in the observation group,higher than that of67.44%in the control group,the difference being significant(P<0.05).After treatment,the scores of VAS in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of the lumbar vertebrae function of JOA in the two groups were increased when compared with those before treatment(P<0.05);the score of VAS in the observation group was lower than that in the control group(P<0.05),and the score of the lumbar vertebrae function of JOA in the observation group was higher than that in the control group(P<0.05).After treatment,the scores of metal health,role-emotional,role-physical and social functioning in the two groups were increased when compared with those before treatment(P<0.05);the scores of metal health,role-emotional,role-physical and social functioning in the observation group were higher than those in the control group(P<0.05).Conclusion:The therapy of Yaobitong capsules combined with sling exercise therapy and aceclofenac enteric-coated capsules has significant clinical effect in treating discogenic low back pain,which can improve the lumbar vertebrae function of patients and enhance their quality of life.