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独活寄生汤治疗寒湿痹阻型腰椎间盘突出症的临床疗效及预后观察

The clinical efficacy and prognosis of Duhuo Jisheng decoction in the treatment of cold dampness type lumbar intervertebral disc herniation

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【作者】 徐铭姜宏

【Author】 Xu Ming;Jiang Hong;Graduate School of Nanjing University of Chinese Medicine;

【机构】 南京中医药大学研究生院江苏省苏州市中医医院骨伤科

【摘要】 目的:探讨独活寄生汤对寒湿痹阻型腰椎间盘突出症临床疗效、JOA与ODI影响性。方法:选取114例寒湿痹阻型腰椎间盘突出症患者为研究对象,按入组先后顺序平均分成两组,每组为57例。对照组西乐葆0.2g,1次/d口服;研究组加用独活寄生汤化裁治疗,观察不同方法治疗后在疗效、JOA、ODI等指标情况变化。结果:两组经临床治疗研究组总有效率91.23%显著优于对照组(P<0.05);两组治疗前JOA指标主观症状、临床体征、日常生活受限度评分无统计学差异(P>0.05),研究组治疗后以上指标均显著高于对照组(P<0.05);另外治疗后研究组ODI指标均改善程度显著低于对照组(P<0.05)。结论:独活寄生汤能提高寒湿痹阻型腰椎间盘突出症临床疗效,改善生活质量。

【Abstract】 Objective:To investigate the effect on JOA of Duhuo Jisheng decoction and ODI cold dampness type lumbar disc herniation.Methods:114 cases of cold dampness type of lumbar disc herniation patients as the research object,according to the order into the group divided into 2 groups,each group of 57 cases.The control group celebrex 0.2 g orally,1/d oral;study group was treated with Duhuo Jisheng decoction treatment,observation of different treatment after curative effect,JOA,ODI and other indicators of changes.Results:The two groups after clinical treatment study group the total efficiency of 91.23% was significantly better than the control group(P<0.05);the two groups before treatment JOA index of subjective symptoms,clinical signs,daily life limitation score no difference(P >0.05),the study group after treatment,the above indexes were significantly higher than control group(P<0.05);other treatment research group ODI indexes were improved significantly lower than the control group(P<0.05).Conclusion:Duhuo Jisheng decoction can improve the cold dampness type of lumbar disc herniation clinical curative effect,improve the quality of life.

【基金】 国家自然科学基金资助项目(81473691)
  • 【文献出处】 陕西中医 ,Shaanxi Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2018年02期
  • 【分类号】R274.9
  • 【被引频次】60
  • 【下载频次】291
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