【摘要】 目的 探讨备化汤在非丑、未之年治疗寒湿痹阻型腰椎间盘突出症（Lumbar disc herniation,LDH）的效果。方法 将2019年9月—2023年4月收治的60例寒湿痹阻型LDH患者随机分为治疗组和对照组，各30例。治疗组给予备化汤治疗，对照组给予独活寄生汤治疗，3周后比较两组临床效果。结果 治疗组总有效率83.33%(25/30)与对照组86.67%(26/30)比较，差异无统计学意义（P>0.05）。治疗后，两组视觉模拟量表（VAS）评分均较治疗前下降、日本骨科协会评估治疗分数（JOA评分）均较治疗前升高，差异均有统计学意义（P<0.05）；两组组间比较，差异无统计学意义（P>0.05）。两组治疗期间均未发生明显不良反应。结论 备化汤在非丑、未之年治疗寒湿痹阻型LDH有效，效果与独活寄生汤相当，安全性高。更多还原

【Abstract】 Objective To explore the effect of Beihua decoction in the treatment of lumbar intervertebral disc herniation(LDH) of the cold-dampness obstruction type in years other than the Chou year and the Wei year. Methods From September 2019 to April 2023, 60 cases of LDH of cold-dampness obstruction type patients were randomly divided into a treatment group and a control group, with 30 patients in each group. The treatment group and the control group were treated with Beihua decoction and Duhuo Jisheng decoction, respectively. After three weeks, the therapeutic effect between the two groups was compared. Results There was no statistically significant difference in the total effective rate between the treatment group with a rate of 83.33%(25/30) and the control group with a rate of P86.67%(26/30)(>0.05). After treatment, the scores of visual analogue scale(VAS) in both groups decreased compared with those P before treatment, and the differences were statistically significant(<0.05), while there was no statistically significant difference between the two groups(P>0.05). After treatment, the scores of the Japanese orthopaedic association evaluation treatment score(JOA score) in both groups increased compared with those before treatment, and the differences were statistically significant(P<0.05), while P there was no statistically significant difference between the two groups(>0.05). There were no obvious adverse reactions in both groups. Conclusion Beihua decoction is as effective and safe as Duhuo Jisheng decoction in the treatment of LDH of cold-dampness obstruction type in years other than the Chou year and the Wei year.更多还原