独活寄生汤配合正清风痛宁离子导入治疗寒湿腰痛的临床观察

发布时间：2018-04-22 21:10

本文选题：中医定向透药 + 寒湿腰痛　；参考：《山西中医学院》2016年硕士论文

【摘要】：目的:观察独活寄生汤配合正清风痛宁离子导入法治疗寒湿腰痛的临床疗效以及证候改善情况。方法:选取符合腰椎间盘突出、腰肌劳损诊断标准及中医辨证属“寒湿凝滞”病机的60例腰痛患者随机分为治疗组和对照组,各30例。治疗组采用口服独活寄生汤加正清风痛宁注射液中医定向透药疗法,对照组采用口服独活寄生汤加生理盐水离子导入。观察两组治疗前后简式疼痛问卷(SF-MPQ)评分、中医疗效及两组主要症状、体征变化。拟用统计软件SPSS22.0对所有实验数据进行统计学分析。结果:两组治疗前后简式疼痛问卷表(SF-MPQ)评分表明,治疗组在改善疼痛程度方面明显优于对照组,两组治疗前后分差有明显差异(P0.05),疗效观察指标由功能活动,直腿抬高,行走功能,下肢肌力,椎旁压痛5部分组成,两组治疗前后该指标均明显下降,说明两组药物均能有效改善相应症状。组间对比,两组治疗前后分差并无明显差异,说明治疗组未能明显优于对照组。中医证候量表评分的比较中,两组治疗前后组内对比P0.05,说明两组药物均能改善症状。两组治疗前P0.05,无明显差异,具有可比性。两组治疗后统计量,P0.05,有明显差异,治疗组优于对照组。两组治疗前后差值P0.05,有明显差异,治疗组优于对照组。中医证候疗效方面,两组总有效率两组未见明显差异(P0.05)。说明两组疗效相当。两组患者治疗期间均未见明显毒副作用和过敏现象。结论:采用正清风痛宁中医定向透药疗法疗效较好且无明显毒副作用,且对寒湿腰痛的伴随症状有明显的改善。中医定向透药疗法在寒湿腰痛的治疗中具有较好的临床疗效以及应用价值,值得进一步推广应用。
[Abstract]:Objective: to observe the clinical effect and syndromes improvement of Duhuzhongtang combined with Zhengqing Fengtongning ionization in the treatment of cold dampness and low back pain. Methods: 60 patients with low back pain were randomly divided into treatment group (n = 30) and control group (n = 30) according to the diagnostic criteria of lumbar disc herniation, lumbar muscle strain and TCM syndrome differentiation. The treatment group was treated with traditional Chinese medicine directional permeation therapy of Zhengqing Fengtongning injection, while the control group was treated with saline ion. The scores of SF-MPQs, the curative effect of TCM and the changes of main symptoms and signs of the two groups were observed before and after treatment. The statistical software SPSS22.0 is used to analyze all the experimental data. Results: the SF-MPQs of the two groups before and after treatment showed that the treatment group was superior to the control group in improving the pain degree, the difference between the two groups was significant (P 0.05). Walking function, lower extremity muscle strength and paravertebral tenderness were composed of 5 parts. The index decreased significantly before and after treatment in both groups, indicating that both drugs could effectively improve the corresponding symptoms. There was no significant difference between the two groups before and after treatment, indicating that the treatment group was not significantly better than the control group. In the comparison of TCM syndrome scale scores, the comparison between the two groups before and after treatment P 0.05, indicating that the two groups of drugs can improve symptoms. There was no significant difference (P 0.05) between the two groups before treatment. There was significant difference between the two groups after treatment, and the treatment group was superior to the control group. The difference between the two groups before and after treatment was significant (P 0.05), and the treatment group was superior to the control group. There was no significant difference in the total effective rate between the two groups in the treatment of TCM syndromes (P 0.05). The results showed that the two groups had the same curative effect. There were no obvious side effects and allergies during treatment in both groups. Conclusion: Zhengqing Fengtongning has good curative effect and has no obvious side effects, and it can obviously improve the accompanying symptoms of cold and dampness low back pain. The directional permeation therapy of traditional Chinese medicine has good clinical effect and application value in the treatment of cold dampness and low back pain, which is worth further popularizing.
【学位授予单位】：山西中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

【参考文献】