中医正骨
中醫正骨
중의정골
THE JOURNAL OF TRADITIONAL CHINESE ORTHOPEDICS AND TRAUMATOLOGY
2014年
12期
16-18,24
,共4页
椎间盘移位%腰椎%针刺疗法%牛蒡子汤加减%治疗,临床研究性
椎間盤移位%腰椎%針刺療法%牛蒡子湯加減%治療,臨床研究性
추간반이위%요추%침자요법%우방자탕가감%치료,림상연구성
Intervertebral disc displacement%Lumbar vertebrae%Acupuncture%Niubangzi Tang Jiajian%Therapies,investigational
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。
目的：觀察牛蒡子湯加減配閤針刺治療腰椎間盤突齣癥的臨床療效和安全性。方法：將60例符閤要求的腰椎間盤突齣癥患者隨機分為綜閤組和中藥組，每組30例。綜閤組採用牛蒡子湯加減配閤針刺治療，中藥組單純採用牛蒡子湯加減治療，共治療4週。分彆于治療前後從活動痛、靜息痛、腰痠膝軟及活動受限4箇方麵對患者進行療效評定，同時比較2組患者治療期間併髮癥的髮生情況。結果：治療前2組患者的活動痛、靜息痛、腰痠膝軟及活動受限比較，組間差異均無統計學意義（Z＝－0．640， P＝0．522；Z＝－1．665，P＝0．096；Z＝－1．446，P＝0．148；Z＝－0．238，P＝0．812）。治療4週後，綜閤組在這4箇指標方麵的療效均優于中藥組（R綜閤組＝27．62，R中藥組＝33．28，Z＝－1．928，P＝0．048；R綜閤組＝27．50，R中藥組＝33．50，Z＝－2．560，P＝0．010；R綜閤組＝25．87，R中藥組＝35．13，Z＝2．617，P＝0．009；R綜閤組＝25．22，R中藥組＝35．78，Z＝－2．993，P＝0．003）。治療期間，2組均無併髮癥髮生。結論：牛蒡子湯加減配閤針刺治療，可明顯減輕腰椎間盤突齣癥患者的臨床癥狀，恢複患者的腰椎功能，具有較高的安全性，其療效優于單純牛蒡子湯加減治療。
목적：관찰우방자탕가감배합침자치료요추간반돌출증적림상료효화안전성。방법：장60례부합요구적요추간반돌출증환자수궤분위종합조화중약조，매조30례。종합조채용우방자탕가감배합침자치료，중약조단순채용우방자탕가감치료，공치료4주。분별우치료전후종활동통、정식통、요산슬연급활동수한4개방면대환자진행료효평정，동시비교2조환자치료기간병발증적발생정황。결과：치료전2조환자적활동통、정식통、요산슬연급활동수한비교，조간차이균무통계학의의（Z＝－0．640， P＝0．522；Z＝－1．665，P＝0．096；Z＝－1．446，P＝0．148；Z＝－0．238，P＝0．812）。치료4주후，종합조재저4개지표방면적료효균우우중약조（R종합조＝27．62，R중약조＝33．28，Z＝－1．928，P＝0．048；R종합조＝27．50，R중약조＝33．50，Z＝－2．560，P＝0．010；R종합조＝25．87，R중약조＝35．13，Z＝2．617，P＝0．009；R종합조＝25．22，R중약조＝35．78，Z＝－2．993，P＝0．003）。치료기간，2조균무병발증발생。결론：우방자탕가감배합침자치료，가명현감경요추간반돌출증환자적림상증상，회복환자적요추공능，구유교고적안전성，기료효우우단순우방자탕가감치료。
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 comprehen-sive 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(Rcomprehensive group =27.62,RTCD group =33.28,Z=-1.928, P=0.048;Rcomprehensive group =27.50,RTCD group =33.50,Z=-2.560,P=0.010;Rcomprehensive group =25.87,RTCD group =35.13,Z=2.617,P=0.009;Rcomprehensive group =25.22,RTCD 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.
