桂枝人参汤治疗寒湿痹阻型腰椎间盘突出症疗效观察
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摘要
目的观察桂枝人参汤治疗寒湿痹阻型腰椎间盘突出症(LDH)患者的临床疗效。方法收集2014年6月至2017年6月期间的LDH患者66例,采用随机数字表法随机分为治疗组33例给予桂枝人参汤,对照组33例给予扶他林片,两组均治疗2个疗程后,评价其视觉模拟量表(VAS)评分以及总体疗效。结果两组治疗后VAS评分均较治疗前下降,差异均有统计学意义(P<0.01);治疗后两组间比较,差异有统计学意义(P<0.05)。治疗后治疗组总有效率为93.94%,对照组总有效率为72.73%,两组间比较差异有统计学意义(P<0.05)。结论桂枝人参汤在改善寒湿痹阻型腰椎间盘突出症患者症状体征积分及缓解疼痛方面具有优势。
Objective To observe the clinical efficacy lumbar disc herniation(LDH) with syndrome of cold-dampness treated with Guizhi Renshen Decoction.Methods From June 2014 to June 2017,66 LDH cases were divided into treatment group and control group with 33 cases in each group.The control group was treated with voltaren and the treatment group was treated with Guizhi Renshen Decoction.After 2 courses of treatment,the VAS scores and the total clinical effect were evaluated.Results The VAS scores of the two groups were lower than those before treatment,indicating statistical difference(P<0.01).There was significant difference in VAS scores between the two groups(P<0.05).The total effective rate was 93.94% in the treatment group and 72.73% in the control group.There was significant difference in the total effective rate between the two groups(P<0.05).Conclusion Guizhi Renshen Decoction has advantages in improving the symptoms and signs scores and relieving pain in patients with lumbar intervertebral disc herniation with Syndrome of cold-dampness.
Objective To observe the clinical efficacy lumbar disc herniation(LDH) with syndrome of cold-dampness treated with Guizhi Renshen Decoction.Methods From June 2014 to June 2017,66 LDH cases were divided into treatment group and control group with 33 cases in each group.The control group was treated with voltaren and the treatment group was treated with Guizhi Renshen Decoction.After 2 courses of treatment,the VAS scores and the total clinical effect were evaluated.Results The VAS scores of the two groups were lower than those before treatment,indicating statistical difference(P<0.01).There was significant difference in VAS scores between the two groups(P<0.05).The total effective rate was 93.94% in the treatment group and 72.73% in the control group.There was significant difference in the total effective rate between the two groups(P<0.05).Conclusion Guizhi Renshen Decoction has advantages in improving the symptoms and signs scores and relieving pain in patients with lumbar intervertebral disc herniation with Syndrome of cold-dampness.
引文
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[3]高立珍,孟彪.五虎定痛膏外贴配合针刺治疗腰椎间盘突出症70例[J].吉林中医药,2015,35(6):599-601.
[4]石印玉.中西医结合骨伤科学[M].北京:中国中医药出版社,2007:42.
[5]杨公博,朱立国,何佩珊,等.药对淫羊藿-白芍治疗老年腰椎间盘突出症的临床研究[J].中华中医药杂志,2018,33(6):2710-2712.
[6]吴少祯,吴敏.常见疾病的诊断与疗效判定标准[S].北京:中国中医药出版社,1999:698.
[7]蒋协远,王大伟.骨科临床疗效评价标准[S].北京:人民出版社,2005:103.
[8]周庆来,崔镇海,赵文海,等.软伤丸配合天池伤科手法治疗腰椎间盘突出症60例[J].吉林中医药,2015,35(11):1169-1171.
[9]王艳菊,齐峰.桂枝人参汤加减对虚寒型慢性非萎缩性胃炎的临床疗效观察[J].中西医结合心血管病杂志,2018,6(4):189-195.
[10]王成虎.桂枝人参汤治疗虚寒型胃痛急性发作临床体会[J].慢性病学杂志,2010,12(6):517.
[11]周仲瑛.中医内科学[M].北京:中医中医药出版社,2007:24.
[12]王庆国.伤寒论讲义[M].北京:高等教育出版社,2007:21.
[13]肖培根.新编中药志[M].北京:化学工业出版社,2002:575.
[14]黄煌.经方100首[M].南京:江苏科学技术出版,2006:125.
[15]施杞,王和鸣.骨伤科学[M].北京:人民卫生出版社,2001:1148.
[16]范德辉.卢桂梅自拟“芍甘五藤汤”加减治疗腰椎间盘突出症疗效观察[J].北京中医药,2015,34(6):474-476.
[17]李克光.金匮要略讲义[M].北京:上海科学技术出版社,1985:125.
[18]张建军,李伟,王丽丽,等.赤芍和白芍品种、功效及临床应用述评[J].中国中药杂志,2013,38(20):3595-3599.
[19]果嘉,赵伟鸿,樊紫周,等.甘草总黄酮抗抑郁作用研究[J].中药药理与临床,2012,28(6):59-62.