知柏地黄汤加减治疗更年期女性慢性下腰痛的临床观察

发布时间：2018-03-14 15:17

本文选题：知柏地黄汤　切入点：更年期综合征　出处：《湖北中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:采用临床观察的方法,观察知柏地黄汤加减对更年期女性慢性下腰痛的临床疗效及更年期综合征对腰痛的影响,并与西药对照组比较,以暨探讨知柏地黄汤加减治疗更年期女性慢性下腰痛的优势及机理。方法:根据更年期女性慢性下腰痛的选择标准,选取2014年8月至2016年3月我院治疗的60例更年期女性伴慢性下腰痛患者,把60例患者随机组合后分成观察组及对照组,每组30人。对照组给以常规抗骨质疏松类西药治疗,观察组给以知柏地黄汤加减治疗。观察对照两组患者的更年期综合征症状及治疗前后腰部疼痛、功能活动改善情况。结果:两组更年期慢性下腰痛女性患者的病史资料对比不同无统计学意义(P㧐0.05),具有相比性。给予知柏地黄汤加减治疗的患者总有效率为86.67%,给予常规抗骨质疏松类西药治疗总有效率为66.67%,知柏地黄汤组临床疗效明显优于对照组,差别存在统计学意义(P㩳0.05);通过对两组患者治疗前与治疗后更年期症状及腰部疼痛、功能活动进行打分,将获得的数据经统计学处理,具有显著性差别(P0.05);治疗后知柏地黄汤组的更年期症状明显减轻,腰部疼痛、功能活动方面的改善程度明显优于比较组,两组比较差别有统计学意义(P㩳0.05)。结论:1.更年期综合征对于女性慢性下腰痛有影响,通过改善其更年期症状,可以达到缓解患者腰痛,改善腰部功能活动的作用。2.知柏地黄汤加减治疗更年期女性慢性下腰痛,疗效确切,未见明显副反应,且远期疗效稳定,病情反复率较低,可明显改善患者生活质量,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of Zhibaidihuang decoction on chronic low back pain in climacteric women and the effect of climacteric syndrome on low back pain, and to compare it with the control group of western medicine. To explore the advantage and mechanism of Zhibai Dihuang decoction in the treatment of chronic low back pain in climacteric women. Methods: according to the selection criteria of chronic low back pain in menopausal women, From August 2014 to March 2016, 60 climacteric women with chronic low back pain were randomly divided into observation group (n = 30) and control group (n = 30). The observation group was treated with Zhibaidihuang decoction. The symptoms of climacteric syndrome and pain in the waist before and after treatment were observed in the control group. Results: two groups of menopausal chronic low back pain female patients with different medical history data were not statistically significant? The total effective rate of patients treated with Zhibai Dihuang decoction was 86.67 and that of routine anti-osteoporosis medicine was 66.67.The clinical effect of Zhibaidihuang decoction group was obviously better than that of control group, and the difference was statistically significant. After treatment, the climacteric symptoms, lumbar pain and functional activities of the two groups were scored, and the data obtained were statistically analyzed, with significant difference (P0.05); after treatment, the climacteric symptoms in the Zhibaidihuang decoction group were obviously alleviated. The degree of improvement in waist pain and functional activity was significantly better than that in the comparison group, and the difference between the two groups was statistically significant. Conclusion: 1. Climacteric syndrome has an effect on chronic low back pain in women. By improving its climacteric symptoms, it can relieve the low back pain of patients and improve the function of waist function. 2. Zhibai Dihuang decoction can be used to treat chronic low back pain in climacteric women. The curative effect is definite, no obvious side effect is seen, and the long-term curative effect is stable, the recurrence rate of the disease is low, it can obviously improve the quality of life of the patients, and it is worth popularizing in clinic.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

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