文章摘要
大推拿手法联合清湿利腰汤治疗湿热型腰椎间盘突出症的临床研究
Clinical Study on Large Massage Technique Combined With Qingshi Liyao Decoction in the Treatment of Damp-Heat Type Lumbar Disc Herniation
投稿时间:2024-07-02  修订日期:2024-07-02
DOI:
中文关键词: 大推拿手法  清湿利腰汤  湿热型腰椎间盘突出症  疗效
英文关键词: Large massage technique  Qingshi liyao decoction  Damp-heat lumbar disc herniation  Efficacy
基金项目:广东省中医药科技协同创新中心项目(2018B020207009)
作者单位邮编
孙健* 广州中医药大学第八临床医学院 528000
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中文摘要:
      目的:探讨大推拿手法联合清湿利腰汤治疗湿热型腰椎间盘突出症(LDH)的临床研究。方法:选取佛山市中医院2023年6月2023年9月期间诊治的LDH患者64例。按照随机数字表法,分为对照组(n=32,清湿利腰汤治疗)和观察组(n=32,大推拿手法联合清湿利腰汤治疗)。对比两组临床疗效、中医证候评分、相关量表评分和不良反应发生率。结果:对照组总有效率例数24例,占比75.00%;观察组总有效率例数30例,占比93.75%,组间对比有差异(P<0.05)。治疗后,两组腰痛评分、湿热感评分、腰部活动度评分、舌质评分、脉搏评分下降,且观察组的改善幅度更大(P<0.05)。治疗后,两组疼痛视觉模拟(VAS)评分、Oswestry功能障碍指数问卷表(ODI)评分下降,日本骨科学会下腰痛评分(JOA)评分升高,且观察组的改善幅度更大(P<0.05)。两组不良反应发生率组间对比未见差异(P>0.05)。结论:大推拿手法联合清湿利腰汤治疗湿热型LDH患者,可提升临床疗效,改善临床症状,减轻疼痛程度,且治疗安全性良好。
英文摘要:
      Objective: To explore the clinical study of large massage technique combined with qingshi liyao decoction in the treatment of damp-heat lumbar disc herniation (LDH). Methods: 64 patients with LDH who were treated in Foshan Traditional Chinese Medicine Hospital from June 2023 to September 2023 were selected. Random number table method was used, patients were divided into control group (n=32, treated with qingshi liyao decoction) and observation group (n=32, large massage technique combined with qingshi liyao decoction). The clinical efficacy, traditional chinese medical syndrome score, related scale score and incidence of adverse reactions were compared between two groups. Results: The total effective rate in control group was 24 cases, accounting for 75.00%. The total effective rate in observation group was 30 cases, accounting for 93.75%, and there was a difference between the groups (P<0.05). After treatment, the scores of low back pain, damp-heat sensation, lumbar activity, tongue and pulse in two groups decreased, and the improvement in observation group was greater (P<0.05). After treatment, the visual analogue scale (VAS) score and Oswestry disability index (ODI) score in two groups decreased, and the japanese orthopaedic association low back pain score (JOA) score increased, and the improvement in observation group was greater (P<0.05). There was no difference in the incidence of adverse reactions between two groups (P>0.05). Conclusion: Large massage technique combined with qingshi liyao decoction in the treatment of patients with damp-heat LDH, which can improve clinical efficacy, improve clinical symptoms, reduce pain, and have good treatment safety.
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