| 孙 健,关宏刚,胡容瑞,区志楷,黄宝晖.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[J].,2024,(22):4330-4332 |
| 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：2024-08-06 |
| DOI：10.13241/j.cnki.pmb.2024.22.038 |
| 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） |
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| 中文摘要: |
| 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：观察组总有效率高于对照组（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、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: |
| ABSTRACT 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 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 of the observation group was higher than that of the control group (P<0.05). After treatment, the scores of low back pain, damp-heat sensation, lumbar activity, tongue, pulse, visual analogue scale(VAS) score and Oswestry disability index (ODI) score in two groups decreased, 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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