舒腰通痹汤治疗腰椎间盘突出症（寒湿型）的临床研究

发布时间：2018-03-14 18:42

本文选题：腰椎间盘突出　切入点：寒湿型　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:探讨舒腰通痹汤对腰椎间盘突出症“寒湿型”的治疗效果及作用机理。方法:观察2015年1月至2016年1月湖南中医药大学附属一医院骨伤四科符合腰椎间盘突出症(寒湿型)诊断的患者100例,随机将其分为两组,试验组采用舒腰通痹汤进行治疗,30天为1个疗程。对照组采用中成药腰痛宁胶囊口服进行治疗,30天为1个疗程。通过中医症状分级、JOA评分及临床疗效结果改善情况的观察,对治疗前后进行疗效评估。结果:1,治疗后中医症状量化评分的主症和次症变化结果显示:两组经治疗后腰腿冷痛重着、转侧不利、肢体发凉、肢体发麻具有统计学意义(P0.05),且试验组优于对照组。2.治疗后JOA症状体征总积分和单项积分(腰痛程度、下肢疼麻木、翻身情况、步行能力)有统计学意义(P0.05),且试验组优于对照组。3.治疗后两组临床疗效结果评定比较,试验组总有效率96.67%,对照组的总有效率为90.00%.经比较有统计学意义(P0.05),两组疗效都有效,治疗组优于对照组。结论:1.舒腰通痹汤与中成药腰痛宁胶囊对腰椎间盘突出症(寒湿型)均有治疗效果,但前者更为明显。2.腰椎间盘突出症(寒湿型)通过“益气健脾、补益肝肾”的固本之法与“祛风除湿、通络止痛”的治标之法在临床上能够取得较好的疗效。3.舒腰通痹汤由肝脾肾三脏入手,从腰痹论治治疗腰椎间盘突出症(寒湿型),具有一定的临床价值,值得进一步的研究与推广。
[Abstract]:Objective: to investigate the therapeutic effect and mechanism of Shuyao Tongbi decoction on "cold and wet type" of lumbar disc herniation. Methods: from January 2015 to January 2016, four departments of bone injury conformed to lumbar intervertebral disc in a hospital affiliated to Hunan University of traditional Chinese Medicine (Hunan University of traditional Chinese Medicine). 100 cases of herniation (cold and wet type), They were randomly divided into two groups. The experimental group was treated with Shuyao Tongbi decoction for 30 days as a course of treatment, while the control group was treated with traditional Chinese patent medicine Yutongning capsule orally for 30 days as a course of treatment. Results: after treatment, the changes of the main symptoms and secondary symptoms in the quantitative score of TCM symptoms showed that: after treatment, the two groups suffered from cold pain and heavy pain in the waist and legs, turned unfavorable, and developed cold limbs. After treatment, the total score and single score of JOA symptoms and signs (low back pain, lower extremity pain, numbness, turning over) in the experimental group were better than those in the control group. The total effective rate of the experimental group was 96.677.The total effective rate of the control group was 90.005.After the comparison, the two groups were effective. Conclusion: the treatment group is superior to the control group. Conclusion both Shuyaotongbi decoction and Xuotongning capsule have therapeutic effect on lumbar disc herniation (cold and wet type), but the former is more obvious .2.Lumbar intervertebral disc herniation (cold and wet type) through "invigorating Qi and strengthening spleen," The method of nourishing the liver and kidney and the method of treating the symptoms of "dispelling wind and removing dampness, unblocking the collaterals and relieving pain" can obtain better curative effect in clinic .3.The decoction of Shuyao Tongbi starts with the three viscera of liver, spleen and kidney. Treatment of lumbar disc herniation from lumbar arthralgia has certain clinical value and is worthy of further study and popularization.
【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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