四维牵引联合身痛逐瘀汤治疗血瘀型腰椎间盘突出症临床研究
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Clinical Study of Four-dimensional Traction Combined with Shentong Zhuyu Tang for Lumbar Disc Herniation of Blood Stasis Type
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    摘要:

    目的:观察四维牵引联合身痛逐瘀汤治疗血瘀型腰椎间盘突出症的临床疗效。方法:选取70例血瘀型腰椎间盘突出症患者,随机分为试验组及对照组各35例。试验组采用四维牵引联合身痛逐瘀汤治疗,对照组采用推拿手法治疗。观察2组治疗前后视觉模拟评分法(VAS)评分、日本骨科协会评估治疗分数(JOA评分)、Oswestry功能障碍指数量表(ODI)评分的变化。结果:治疗前,2组VAS、JOA、ODI评分比较,差异均无统计学意义(P>0.05),治疗后,2组VAS评分及ODI评分均较治疗前下降,JOA评分均较治疗前升高,差异均有统计学意义(P<0.05);试验组VAS评分及ODI评分均低于对照组,JOA评分高于对照组,差异均有统计学意义(P<0.05)。试验组临床疗效优于对照组,差异有统计学意义(2=-2.045,P=0.041)。结论:四维牵引联合身痛逐瘀汤治疗血瘀型腰椎间盘突出症临床疗效显著,值得临床推广使用。

    Abstract:

    Objective:To observe the clinical effect of four-dimensional traction combined with Shentong Zhuyu tang for lumbar disc herniation of blood stasis type.MethodsDivided 70 cases of patients with lumbar disc herniation of blood stasis type into the experiment group and the control group randomly,35 cases in each group.The experiment group receivedfour-dimensional traction combined with Shentong Zhuyu tang for treatment,while the control group received Tuina technique.Observed changes of scores of visual analogue scales(VAS),Japanese Orthopedic Association score(JOA score)and Oswestry disability index scale(ODI)before and after treatment in both groups.ResultsBefore treatment,no significant difference was found in the comparison of scores of VAS,JOA and ODI between the two groups(P > 0.05).After treatment,scores of VAS and ODI in both groups were decreased when compared with those before treatment,while JOA scores in both groups were increased when compared with those before treatment,differences being significant(P < 0.05).Scores of VAS and JOA in the experiment group were lower than those in the control group,while JOA scores in the experiment group were higher than those in the control group(P<0.05).Clinical effect in the experiment group was better than that in the control group(Z=-2.045,P=0.041).ConclusionThe therapy of four-dimensional traction combined with Shentong Zhuyu tang has a significant effect in treating lumbar disc herniation of blood stasis type,which is worthy of clinical promotion and application.

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龚兆阳,金理柜,胡思进,林建南.四维牵引联合身痛逐瘀汤治疗血瘀型腰椎间盘突出症临床研究[J].新中医,2018,50(3):119-122

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  • 在线发布日期: 2018-03-04
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