[1]张旭 李文雄 李小群 杨锋 董博 王晓玲.盘龙七片配合中药外敷治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2018,26(07):54-57.
　ZHANG Xu LI Wenxiong LI Xiaoqun YANG Feng DONG Bo WANG Xiaoling.Clinical Study on the Treatment of Lumbar Disc Herniation with Panlongqi Tablet and Hot Compress of Chinese Herbal Medicine[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(07):54-57.
点击复制

盘龙七片配合中药外敷治疗腰椎间盘突出症的临床研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年07期
页码:
54-57
栏目:
临床论著
出版日期:
2018-07-02

文章信息/Info

Title:
Clinical Study on the Treatment of Lumbar Disc Herniation with Panlongqi Tablet and Hot Compress of Chinese Herbal Medicine
文章编号:
1005-0205(2018)07-0054-04
作者:
张旭1 李文雄2 李小群1 杨锋2 董博1 王晓玲1
1陕西中医药大学附属医院(陕西 咸阳,712000) 2陕西中医药大学
Author(s):
ZHANG Xu1 LI Wenxiong2 LI Xiaoqun1 YANG Feng2 DONG Bo1 WANG Xiaoling1
1Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000,Shaanxi China; 2Shaanxi University of Chinese Medicine, Xianyang 712000,Shaanxi China.
关键词:
盘龙七片;  中药热敷;  寒湿血瘀;  腰椎间盘突出症;  临床疗效;  安全性
Keywords:
Keywords: panlongqi tablet;  hot compress of Chinese herbal medicine;  cold-dampness and blood-stasis;  lumbar disc herniation;  clinical effect;  safety
分类号:
R681.5
文献标志码:
A
摘要:
目的:评价盘龙七片配合中药热敷治疗寒湿血瘀型腰椎间盘突出症(LDH)的临床疗效和安全性。方法:选取132例LDH分为治疗组68例,对照组64例,治疗组口服盘龙七片配合中药热敷,对照组口服塞来昔布胶囊配合腰椎牵引。记录并统计分析患者治疗后的VAS评分、JOA评分和Oswestry功能障碍指数问卷评价临床疗效; 同时观察并记录患者的不良反应,评价综合治疗的安全性。结果:1)治疗前,治疗组和对照组基线资料差异无统计学意义(P>0.05),具有可比性。2)与治疗前相比,治疗1个疗程后,两组组患者的VAS 评分、ODI 评分均明显降低,JOA评分明显升高,差异有统计学意义(P<0.05)。3)治疗后,治疗组VAS评分和ODI评分明显低于对照组,JOA评分明显高于对照组,差异有统计学意义(P<0.05)。4)治疗组有1例手术,1例失访,4 例出现轻度不良反应; 对照组有1 例失访,3例出现轻度不良反应,两组患者脱落率差异无统计学意义(P>0.05)。结论:盘龙七片配合中药热敷在一定程度上能有效减轻腰椎间盘突出症患者的疼痛程度,改善患者的腰椎功能,提高患者的日常生活和社会活动能力。
Abstract:
Abstract Objective:This study was aimed to evaluate the clinical effect and safety of Chinese medicine treatment for lumbar disc herniation(LDH)of Cold-dampness and Blood-stasis type with Panlongqi tablet and hot compress of Chinese herbal medicine. Methods:A total of 132 LDH patients were divided into the treatment group(n=68)and the control group(n=64). Panlongqi tablet and hot compress of Chinese herbal medicine was applied in thetreatment group. And Celecoxib and lumbar traction were administered in the control group. Then, the VAS scores, JOA scores and Oswestry disability index(ODI)were recorded and analyzed pre-treatment and post-treatment in order to evaluate the clinical effect. Adverse reactions were also observed and recorded at the same time to give a comprehensive evaluation on its safety. Results:The results showed that there were no significant differences between the treatment group and control group in the baseline data before treatment. Hence, data from two groups were comparable. Compared with pre-treatment, the VAS scores and ODI scores were obviously reduced in both groups after one course of treatment. The JOA scores were increased obviously(P<0.05).There were statistical differences on VAS scores, ODI scores and JOA scores between two groups. The VAS scores and ODI scores of the treatment group were obviously lower than those of the control group and the JOA scores were higher(P<0.05).In the treatment group, one patient received surgery, one case lost to follow-up, and four cases with mild adverse event. In the control group, one patient lost to follow-up, and three cases with mild adverse event. Conclusion:The Chinese medicine treatment can effectively relieve pain degree of LDH, improve function of the lumbar vertebrae and improve the daily life and social activity ability of patients.

参考文献/References:

[1] 王智耀,胡悦,鲁超,等.穴位注射中医综合疗法改善腰椎间盘突出患者生活质量的临床观察[J].世界中西医结合杂志,2017,12(10):1333-1336.
[2] 杨敏,蒋立,徐桂华.中医药治疗腰椎间盘突出症的系统评价/Meta分析的再评价[J].中华中医药学刊,2016,34(12):2897-2901.
[3] 国家中医药管理局.中医病证诊断疗效标准版[M].北京:中国医药科技出版社,2017:214-215.
[4] 尚涛.针灸推拿结合康复训练治疗腰椎间盘突出症的疗效观察[J].中国药物经济学,2014,12(S2):90-91.
[5] 徐丽哲,王廷荣.小针刀联合手法复位、中药热敷对腰椎间盘突出症的治疗效果观察[J].中医临床研究,2016,16(87):275-276.
[6] 高春鹏,姜宏,俞鹏飞.中医药保守疗法促进腰椎间盘突出重吸收作用机制的研究进展[J].辽宁中医杂志,2016,43(6):1331-1334.
[7] 谭锡海,吴前程,朱洪,等.充气式牵引腰围治疗腰椎间盘突出症的疗效分析[J].吉林医学,2015,36(12):2461-2462.
[8] 李玲慧,王志飞,谢雁鸣.基于社会网络分析的中医药治疗腰椎间盘突出症学术现状[J].中国矫形外科杂志,2016,24(5):432-435.
[9] 王盛.盘龙七片联合牵引治疗腰椎间盘突出症致腰痛的临床疗效[J].临床合理用药,2017,10(12C):150-151.
[10] 李瑞龙,张强,杨刘柱,等.盘龙七片治疗急性腰背部软组织损伤31例[J].中国中医骨伤科杂志,2017,25(4):75-76.
[11] 王晓明.活血化瘀散热敷配合牵引治疗腰椎间盘突出临床研究[J].中医学报,2017,32(12):2505-2508.
[12] 杨鸫祥,王禹,姚啸生,等.中医熨法治疗腰椎间盘突出症Meta分析[J].辽宁中医药大学季报,2016,18(11):5-7.
[13] 郭龙恩,苏楠,祝远瑞.中药热敷辨治腰椎间盘突出症随机平行对照研究[J].实用中医内科杂志,2017,31(7):60-63.
[14] 宦玮,叶敏.温阳通络针灸法结合中药热敷治疗腰椎间盘突出症临床观察[J].新中医,2015,47(12):209-210.
[15] 吕水炳,刘志远.中药热敷结合针灸治疗中度腰椎间盘突出的可行性分析[J].中医临床研究,2017,9(20):89-90.

更新日期/Last Update: 2018-07-02