中药膏摩联合超短波治疗寒湿腰痛病临床研究
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Clinical Study on Chinese Herbal Ointment-Rubbing Combined with Ultrashort Wave for Lumbago with Cold-Damp Syndrome
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    摘要:

    目的:观察中药膏摩联合超短波治疗寒湿腰痛病的临床疗效。方法:将138 例寒湿腰痛病患者随 机分为联合组、膏摩组及短波组各46 例,膏摩组单纯给予中药膏摩疗法治疗,短波组单纯应用超短波疗法进 行治疗,联合组给予中药膏摩与超短波两种疗法联合施治,治疗10 d 为1 个疗程,治疗2 个疗程后评价疗 效。观察比较3 组治疗前后疼痛视觉模拟评分法(VAS) 评分、日本骨科协会(JOA) 评分以及Oswestry 功能 障碍指数(ODI) 评分,通过SF-36 问卷表随访治疗后的情况,监测治疗异常反应,并分析临床总疗效。结 果:治疗后,联合组VAS、ODI 评分均较膏摩组和短波组明显降低,差异均有统计学意义(P<0.05);联合组 JOA 评分较膏摩组和短波组明显升高,差异均有统计学意义(P<0.05);治疗结束后1 个月随访,联合组 SF-36 评分较膏摩组和短波组明显升高,差异均有统计学意义(P<0.05);临床疗效总有效率联合组91.3%, 膏摩组71.7%,短波组69.6%,3 组临床疗效总有效率比较,差异有统计学意义(P<0.05),联合组高于膏摩 组和短波组。不良反应方面,3 组在面色、饮食、精神、皮损程度、皮损数量方面比较,差异均无统计学意 义(P>0.05),在皮肤刺激性、皮肤色素沉着方面比较,差异均有统计学意义(P<0.05),短波组优于膏摩组 和联合组,且膏摩组优于联合组。结论:中药膏摩联合超短波治疗寒湿证腰痛病疗效显著,能有效改善患者生 活功能,减轻疼痛。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Chinese herbal ointment-rubbing combined with ultrashort wave for lumbago with cold- damp syndrome. Methods: A total of 138 cases of patients with lumbago with cold- damp syndrome were randomly divided into the combined treatment group , the ointment- rubbing group,and the shortwave group,with 46 cases in each group. The ointment- rubbing group was simply treated with Chinese herbal ointment-rubbing therapy;the shortwave group was simply treated with ultrashort wave therapy; the combined treatment group was treated with Chinese herbal ointment- rubbing combined with ultrashort wave, with 10 days being a course of treatment. After two courses of treatment, the curative effects were evaluated. The scores of Visual Analogue Scale (VAS), Japanese Orthopaedic Association (JOA), and Oswestry Disability Index (ODI) in the three groups were observed and compared before and after treatment. The SF- 36 questionnaire was used to follow up with the patients after treatment; the abnormal responses to treatment were monitored; the overall clinical effect was analyzed. Results: After treatment, the scores of VAS and ODI in the combined treatment group were significantly decreased when compared with those in the ointment- rubbing group and the shortwave group,differences being significant (P<0.05). JOA score in the combined treatment group was significantly increased when compared with those in the ointment- rubbing group and the shortwave group,differences being significant (P<0.05). One month follow-up after treatment,the SF-36 score in the combined treatment group was significantly higher than that in the ointment-rubbing group and that in the shortwave group,differences being significant (P<0.05). The total effective rate of clinical effect was 91.3% in the combined treatment group, 71.7% in the ointment- rubbing group, and 69.6% in the shortwave group. There were significant differences being found in the comparison of the total effective rates of clinical effect among the three groups (P<0.05), and total effective rate of clinical effect in the combined treatment group was higher than that in the ointment- rubbing group and that in the shortwave group. There was no significant difference being found in the comparison of adverse reactions in complexion,diet,mind,degree of skin lesions,and number of skin lesions among the three groups (P> 0.05). There were significant differences being found in the comparison of skin irritation and skin pigmentation among the three groups (P<0.05);the two indexes in the shortwave group were better than those in the ointment- rubbing group and the combined treatment group, and the two indexes in the ointmentrubbing group were better than those in the combined treatment group. Conclusion: Chinese herbal ointment- rubbing combined with ultrashort wave has a significant curative effect in the treatment of lumbago with cold- damp syndrome, which can effectively improve life function of patients, and relieve pain.

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李松,范应武,史晓然,刘东华,刘春艳,段明武.中药膏摩联合超短波治疗寒湿腰痛病临床研究[J].新中医,2023,55(10):127-133

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  • 在线发布日期: 2023-05-25
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