【摘要】 目的：探讨独活寄生汤加减联合中医推拿治疗腰椎间盘突出症的效果。方法：将2022年1月—2023年1月北京市鼓楼中医医院收治的腰椎间盘突出症患者100例随机分为对照组（n=50）和联合组（n=50）。对照组实施中医推拿治疗，联合组在对照组基础上给予独活寄生汤加减治疗。比较两组治疗效果。结果：相较于对照组，联合组治疗总有效率更高（P=0.025）。治疗后，两组Oswestry功能障碍指数评分降低，且联合组低于对照组（P<0.05）。治疗后，两组症状、体征、日常生活活动能力评分均升高，且联合组高于对照组（P<0.05）。治疗后，两组腰椎前屈、后伸活动度大于治疗前，且联合组大于对照组（P<0.05）。结论：独活寄生汤加减联合中医推拿治疗腰椎间盘突出症，可改善患者腰椎功能，提高腰椎活动度。更多还原

【Abstract】 Objective: To investigate the effect of modified Duhuo Jisheng decoction combined with traditional Chinese medicine massage in treatment of lumbar intervertebral disc herniation. Methods: A total of 100 patients with lumbar disc herniation admitted to Beijing Gulou Hospital of Traditional Chinese Medicine from January 2022 to January 2023 were randomly divided into a control group(n=50) and a combined therapy group(n=50). The control group was treated with traditional Chinese medicine massage, and the combined group was treated with modified Duhuo Jisheng decoction on the basis of the control group. The therapeutic effects were compared between the two groups. Results: Compared with the control group, the combined therapy group demonstrated a higher overall response rate(P=0.025). After treatment, both groups showed reduced Oswestry Disability Index scores, with the combined therapy group scoring lower than the control group(P<0.05). Following treatment, both groups demonstrated improved scores for symptoms, physical signs, and activities of daily living, with the combined therapy group scoring higher than the control group(P<0.05). Post-treatment lumbar flexion and extension range of motion increased in both groups compared to pre-treatment levels, with the combined therapy group exhibiting greater improvement than the control group(P<0.05).Conclusion: The modified Duhuo Jisheng decoction combined with traditional Chinese massage therapy for lumbar disc herniation can improve lumbar spine function and enhance spinal mobility in patients.更多还原