活血通络汤治疗腰椎间盘突出症开窗术后综合征（气滞血瘀证）的临床研究

发布时间：2018-02-09 00:23

本文关键词： 腰椎间盘突出症开窗术后综合征活血通络汤身痛逐瘀汤临床疗效　出处：《湖南中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:探讨活血通络汤治疗腰椎间盘突出症开窗术后综合征(气滞血瘀证)的临床疗效。方法:将60例气滞血瘀型腰椎间盘突出症开窗术后综合征患者随机分为两组,A组30例为治疗组,B组30例为对照组。两组在口服甲钴胺胶囊、腰背功能锻炼的基础上,A组予以活血通络汤口服,B组予以身痛逐瘀汤口服,疗程均为4周;采用中医症状疗效评分、VAS评分、ODI评分对两组治疗前后进行评定,观察两组治疗前后症状、体征的改善情况。结果:研究结果表明,治疗前两组患者中医症状评分、VAS评分、ODI评分比较无差异性,组间具有可比性(P0.05);治疗2周后、治疗4周后,两组患者VAS评分较治疗前均明显下降(P0.01),差异有统计学意义,而治疗组下降更明显,优于对照组,差异有统计学意义(P0.05);治疗4周后治疗组中医症状总分及中医症状疗效高于对照组(P0.05),差异有统计学意义;两组ODI评分比较,治疗2周后治疗组与对照组两组改善相当,差异无统计学意义(P0.05),治疗4周后,治疗组较对照组改善更明显,差异有统计学意义(P0.05)。结论:活血通络汤治疗血瘀型腰椎间盘突出症开窗术后综合征能有效的改善患者的临床症状及体征,在改善中医症状评分及疗效、VAS评分、ODI评分疗效评价等方面明显优于身痛逐瘀汤。因此,活血通络汤值得进一步开发研究和推广应用。
[Abstract]:Objective: to investigate the clinical effect of Huoxue Tongluo decoction (Huoxue Tongluo decoction) in the treatment of syndrome of lumbar intervertebral disc herniation after fenestration (Qi stagnation and blood stasis syndrome). Methods: 60 patients with syndrome of lumbar intervertebral disc herniation with Qi stagnation and blood stasis after fenestration were randomly divided into two groups. There were 30 cases in group A and 30 cases in group B as control group. On the basis of waist and back function exercise, group A was treated with Shentong Zhuyu decoction for 4 weeks, group A was treated with Huoxue Tongluo decoction for 4 weeks, and the two groups were evaluated before and after treatment with traditional Chinese medicine symptom score and VAS score and ODI score. Observe the improvement of symptoms and signs before and after treatment in the two groups. Results: the results showed that there was no difference between the two groups in TCM symptom score and VAS score and ODI score before treatment, and there was comparability between the two groups (P 0.05); after 2 weeks of treatment, 4 weeks after treatment, there was no significant difference between the two groups. The VAS score of the two groups was significantly lower than that of the control group (P 0.01), but the decrease of the treatment group was more obvious than that of the control group. After 4 weeks of treatment, the total score of TCM symptoms and the curative effect of TCM symptoms in the treatment group were higher than those in the control group (P 0.05), and the difference was statistically significant. The ODI score of the two groups was similar to that of the control group after 2 weeks of treatment. The difference was not statistically significant (P 0.05). After 4 weeks of treatment, the improvement of the treatment group was more obvious than that of the control group. Conclusion: Huoxue Tongluo decoction can effectively improve the clinical symptoms and signs of patients with syndrome after fenestration of blood stasis type lumbar intervertebral disc herniation. It is superior to Shentong Zhuyu decoction in improving TCM symptom score and VAS score and ODI evaluation. Therefore, Huoxue Tongluo decoction is worth further development and application.
【学位授予单位】：湖南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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