[1]叶长青,张海林,张宝良.中药活血止痛酊中频导入联合推拿治疗腰椎间盘突出症血瘀证的临床研究[J].中医正骨,2016,28(09):27-29.
　YE Chang qing,ZHANG Hailin,ZHANG Baoliang.Clinical study on medium frequency iontophoresis of Huoxue Zhitong Ding(活血止痛酊)combined with manipulation for treatment of blood-stasis-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):27-29.
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中药活血止痛酊中频导入联合推拿治疗腰椎间盘突出症血瘀证的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年09期
页码:
27-29
栏目:
临床研究
出版日期:
2016-09-20

文章信息/Info

Title:
Clinical study on medium frequency iontophoresis of Huoxue Zhitong Ding(活血止痛酊)combined with manipulation for treatment of blood-stasis-type lumbar disc herniation
作者:
叶长青; 张海林; 张宝良
浙江省台州市黄岩区中医院,浙江 台州 318020
Author(s):
YE Chang qing; ZHANG Hailin; ZHANG Baoliang
Huangyan Hospital of Traditional Chinese Medicine,Taizhou 318020,Zhejiang,China
关键词:
腰腿痛;  腰椎;  椎间盘移位;  血瘀;  活血止痛酊;  中频电治疗仪;  推拿; 脊柱;  临床试验
Keywords:
lumbago-leg pain;  lumbar vertebrae;  intervertebral disc displacement;  blood stasis;  Huoxue Zhitong tinctures;  medium frequency electrotherapeutic apparatus;  manipulation; spinal;  clinical trial
摘要:
目的:观察中药活血止痛酊中频导入联合推拿治疗腰椎间盘突出症血瘀证的临床疗效和安全性。方法:将100例符合要求的腰椎间盘突出症血瘀证患者随机分为推拿组和联合治疗组,每组50例。推拿组仅进行推拿治疗,联合治疗组在推拿治疗的基础上进行中药活血止痛酊中频导入治疗。推拿和中药活血止痛酊中频导入治疗均每天1次,每周5次,共治疗12周。治疗前和治疗结束后评定2组患者的腰腿疼痛数字评价量表(numerical rating scale,NRS)评分、Oswestry功能障碍指数(Oswestry disability index,ODI)评分、简明健康状况调查表(short form 36 health survey questionnaire,SF-36)评分,同时观察患者治疗期间的并发症和不良反应发生情况。结果:治疗前2组患者的腰腿疼痛NRS评分、ODI评分、SF-36评分比较,组间差异均无统计学意义[(8.12±0.78)分,(8.14±0.81)分,t=1.161,P=0.272;(62.51±10.73)分,(61.92±9.83)分,t=3.262,P=0.354;(63.24±7.19)分,(64.12±5.97)分,t=3.519,P=0.427]。治疗结束后,2组患者的腰腿疼痛NRS评分和ODI评分均降低(t=1.397,P=0.033; t=2.453,P=0.022; t=2.745,P=0.002; t=3.621,P=0.001),联合治疗组的NRS评分和ODI评分均低于推拿组[(6.38±0.58)分,(5.08±0.76)分,t=2.031,P=0.020;(46.28±5.86)分,(29.73±3.25)分,t=4.274,P=0.000]; 联合治疗组的SF-36评分较治疗前增加(t=4.815,P=0.002),推拿组的SF-36评分与治疗前相比差异无统计学意义(t=3.720,P=0.248),联合治疗组的SF-36评分评分高于推拿组[(68.36±4.12)分,(88.75±9.85)分,t=6.238,P=0.000]。治疗期间2组均未发生严重并发症或不良反应。结论:中药活血止痛酊中频导入联合推拿可有效减轻腰椎间盘突出症血瘀证患者的腰腿痛症状,促进腰部功能恢复,提高生活质量,且疗效优于单纯推拿治疗。
Abstract:
Objective:To observe the clinical curative effects and safety of medium frequency iontophoresis of Huoxue Zhitong Ding(活血止痛酊,HXZTD)combined with manipulation for treatment of blood-stasis-type lumbar disc herniation(LDH).Methods:One hundred patients with blood-stasis-type LDH were enrolled in the study and were randomly divided into 2 groups,50 cases in each group.The patients were treated with monotherapy of manipulation(manipulation group)and combination therapy of medium frequency iontophoresis of HXZTD and manipulation(combination therapy group)respectively,once a day,5 times a week for consecutive 12 weeks.The lumbago-leg pain numerical rating scale(NRS)scores,Oswestry disability index(ODI)scores and short form 36 health survey questionnaire(SF-36)scores were evaluated and compared between the 2 groups before and after the treatment,and complication and adverse reactions were observed and compared between the 2 groups during the treatment period.Results:There was no statistical differences in the lumbago-leg pain NRS scores,ODI scores and SF-36 scores between the 2 groups before the treatment(8.12+/-0.78 vs 8.14+/-0.81 points,t=1.161,P=0.272; 62.51+/-10.73 vs 61.92+/-9.83 points,t=3.262,P=0.354; 63.24+/-7.19 vs 64.12+/-5.97 points,t=3.519,P=0.427).The lumbago-leg pain NRS scores and ODI scores decreased in both of the 2 groups after the end of the treatment(t=1.397,P=0.033; t=2.453,P=0.022; t=2.745,P=0.002; t=3.621,P=0.001),and the NRS scores and ODI scores were lower in combination therapy group compared to manipulation group(6.38+/-0.58 vs 5.08+/-0.76 points,t=2.031,P=0.020; 46.28+/-5.86 vs 29.73+/-3.25 points,t=4.274,P=0.000).The SF-36 scores increased in combination therapy group after the end of the treatment(t=4.815,P=0.002),and there was no statistical differences in the SF-36 scores between pre-treatment and post-treatment inmanipulation group(t=3.720,P=0.248),and the SF-36 scores were higher in combination therapy group compared to manipulation group(68.36+/-4.12 vs 88.75+/-9.85 points,t=6.238,P=0.000).No serious complications or adverse reactions were found in both of the 2 groups during the treatment period.Conclusion:The combination therapy of medium frequency iontophoresis of HXZTD and manipulation can effectively relieve the lumbago-leg pain and promote the waist functional recovery and improve the quality of life in patients with blood-stasis-type LDH,moreover,its curative effect is better than that of monotherapy of manipulation.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:叶长青 E-mail:523599496@qq.com
更新日期/Last Update: 1900-01-01