补肾健骨方联合正骨手法治疗腰椎间盘突出症临床研究
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R681.5+7

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Clinical Study on Bushen Jiangu Prescription Combined with Bonesetting Manipulation for Lumbar Disc Herniation
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    摘要:

    目的:观察补肾健骨方联合正骨手法治疗腰椎间盘突出症(LDH) 的临床疗效。方法:选取60 例LDH 患者,按随机数字表法分为对照组和治疗组各30 例。对照组采取正骨手法治疗,治疗组采取补肾健骨方联合正骨手法治疗。比较2 组临床疗效及治疗前后中医证候积分、疼痛评分、血浆β-内啡肽(EP) 水平。结果:治疗组总有效率93.33%,高于对照组73.33% (P<0.05)。治疗后,2 组中医证候积分、视觉模拟评分法(VAS) 评分均较治疗前降低(P<0.05),治疗组中医证候积分、VAS 评分均低于对照组(P<0.05)。治疗组疼痛改善优良率86.67%,高于对照组60.00% (P<0.05)。治疗后,2 组血浆β-EP 水平均较治疗前升高(P<0.05),治疗组血浆β-EP 水平高于对照组(P<0.05)。结论:补肾健骨方联合正骨手法治疗LDH 临床疗效确切,可减轻患者的临床症状,缓解疼痛。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Bushen Jiangu prescription combined with bonesetting manipulation for lumbar disc herniation(LDH). Methods: A total of 60 cases of LDH patients were selected and divided into the control group and the treatment group according to the random number table method,with 30 cases in each group. The control group was treated with bonesetting manipulation, and the treatment group was additionally treated with Bushen Jiangu prescription based on the treatment of the control group. Chinese medicine syndrome scores,pain scores,and levels of β-endorphins(EP) before and after treatment as well as clinical effects were compared between the two groups. Results:The total effective rate was 93.33% in the treatment group, higher than that of 73.33% in the control group(P< 0.05). After treatment, the scores of Chinese medicine syndrome and VAS in the two groups were decreased when compared with those before treatment(P<0.05), and the two scores in the treatment group were lower than those in the control group(P<0.05). The excellent and good rate of pain improvement was 86.67% in the treatment group, higher than that of 60.00% in the control group(P<0.05). After treatment,levels of β-EP in plasma in the two groups were increased when compared with those before treatment(P<0.05),and the level of β-EP in the treatment group was higher than that in the control group (P<0.05). Conclusion:Bushen Jiangu prescription combined with bonesetting manipulation has a defined clinical effect in the treatment of LDH,which can relieve clinical symptoms and pain.

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王永乐,沈斌,倪向明,徐仲翔,李悦.补肾健骨方联合正骨手法治疗腰椎间盘突出症临床研究[J].新中医,2022,54(18):84-87

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  • 在线发布日期: 2022-09-28
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