[1]石 琤.牛蒡子汤加减配合针刺治疗腰椎间盘突出症的临床研究[J].中医正骨,2014,26(12):16-18.
　Shi Cheng..Clinical study on oral application of Niubangzi Tang Jiajian(牛蒡子汤加减)combined with acupuncture for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2014,26(12):16-18.
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牛蒡子汤加减配合针刺治疗腰椎间盘突出症的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第26卷
期数:
2014年12期
页码:
16-18
栏目:
临床研究
出版日期:
2014-12-30

文章信息/Info

Title:
Clinical study on oral application of Niubangzi Tang Jiajian(牛蒡子汤加减)combined with acupuncture for treatment of lumbar disc herniation
作者:
石 琤
上海市黄浦区中心医院,上海 200001
Author(s):
Shi Cheng.
Huangpu District Central Hospital,Shanghai 200001,China
关键词:
椎间盘移位 腰椎 针刺疗法 牛蒡子汤加减 治疗; 临床研究性
Keywords:
Intervertebral disc displacement;  Lumbar vertebrae;  Acupuncture;  Niubangzi Tang Jiajian;  Therapies; investigational
摘要:
目的:观察牛蒡子汤加减配合针刺治疗腰椎间盘突出症的临床疗效和安全性。方法:将60例符合要求的腰椎间盘突出症患 者随机分为综合组和中药组,每组30例。综合组采用牛蒡子汤加减配合针刺治疗,中药组单纯采用牛蒡子汤加减治疗,共治疗4周 。分别于治疗前后从活动痛、静息痛、腰酸膝软及活动受限4个方面对患者进行疗效评定,同时比较2组患者治疗期间并发症的发 生情况。结果:治疗前2组患者的活动痛、静息痛、腰酸膝软及活动受限比较,组间差异均无统计学意义(Z=-0.640,P=0.522; Z=-1.665,P=0.096; Z=-1.446,P=0.148; Z=-0.238,P=0.812)。治疗4周后,综合组在这4个指标方面的疗效均优于中药组(R^- 综合组=27.62,R^-中药组=33.28,Z=-1.928,P=0.048; R^-综合组=27.50,R^-中药组 =33.50,Z=-2.560,P=0.010; R^-综合组=25.87,R^-中药组=35.13,Z=2.617,P=0.009; R^- 综合组=25.22,R^-中药组=35.78,Z=-2.993,P=0.003)。治疗期间,2组均无并发症发生。结论:牛蒡子汤加减 配合针刺治疗,可明显减轻腰椎间盘突出症患者的临床症状,恢复患者的腰椎功能,具有较高的安全性,其疗效优于单纯牛蒡子汤 加减治疗。
Abstract:
Objective:To observe the clinical curative effects and safety of oral application of Niubangzi Tang Jiajian(牛蒡子汤加减,NTJ)combined with acupuncture in the treatment of lumbar disc herniation (LDH).Methods:Sixty patients with LDH enrolled in the study were randomly divided into comprehensive group and traditional Chinese drugs(TCD)group,30 cases in each group.Patients in comprehensive group were treated with oral application of NTJ combined with acupuncture for 4 consecutive weeks,while the others in the TCD group were treated with oral application of NTJ merely for 4 consecutive weeks.The curative effects on activity pain,rest pain,lassitude in loin and knee and activity limitation were evaluated after the treatment,and complication incidence were compared between the 2 groups during the treatment.Results:There was no statistical difference in activity pain,rest pain, lassitude in loin and knee and activity limitation between the 2 groups before the treatment(Z=-0.640,P=0.522; Z=-1.665,P=0.096; Z=-1.446,P=0.148; Z=-0.238,P=0.812),while the comprehensive group surpassed the TCD group after 4-week treatment(R^-comprehensive group=27.62,R^- TCD group=33.28,Z=-1.928,P=0.048; R^-comprehensive group=27.50,R^-TCD group=33.50,Z=-2.560,P=0.010; R^-comprehensive group=25.87,R^-TCD group=35.13,Z=2.617,P=0.009; R^-comprehensive group=25.22,R^-TCD group=35.78,Z=- 2.993,P=0.003).No complications were found in both of the 2 groups during the treatment.Conclusion:For patients with LDH,oral application of Niubangzi Tang Jiajian combined with acupuncture can obviously relieve the clinical symptoms and restore the lumbar vertebrae function,meanwhile it has high safety,and its curative effect surpasses that of the monotherapy of oral application of Niubangzi Tang Jiajian.

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备注/Memo

备注/Memo:
基金项目:上海市黄浦区卫生系统优秀人才培养项目
更新日期/Last Update: 2014-12-30