[1]姜昊南,吕浩,曲宇豪,等.桃红四物汤加味对血瘀型腰椎间盘突出症髓核形态改变的影响[J].中国中医骨伤科杂志,2025,33(03):43-47.[doi:1005-0205(2025)03-0043-05]
　JIANG Haonan,L Hao,QU Yuhao,et al.Effect of Modified Taohong Siwu Decoction of Nucleus Pulposus in Blood Stasis Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(03):43-47.[doi:1005-0205(2025)03-0043-05]
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桃红四物汤加味对血瘀型腰椎间盘突出症髓核形态改变的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年03期
页码:
43-47
栏目:
临床研究
出版日期:
2025-03-15

文章信息/Info

Title:
Effect of Modified Taohong Siwu Decoction of Nucleus Pulposus in Blood Stasis Lumbar Disc Herniation
文章编号:
10.20085/j.cnki.issn1005-0205.250308
作者:
姜昊南1;  吕浩1;  曲宇豪1;  王岩1;  江渟2△;  张建华2
1安徽中医药大学第一临床医学院(合肥,230012)
2安徽中医药大学第一附属医院
Author(s):
JIANG Haonan1;  LÜ Hao1;  QU Yuhao1;  WANG Yan1;  JIANG Ting2△;  ZHANG Jianhua2
1The First Clinical Medical School of Anhui University of Chinese Medicine,Hefei 230012,China; 2The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China.
关键词:
腰椎间盘突出症;  桃红四物汤;  血瘀型;  髓核形态;  重吸收
Keywords:
lumbar disc herniation;  Taohong Siwu decoction;  blood stasis;  nucleus pulposus morphology;  reabsorption
分类号:
R681.5
DOI:
1005-0205(2025)03-0043-05
文献标志码:
A
摘要:
目的:探讨桃红四物汤加味对血瘀型腰椎间盘突出髓核形态的影响。方法:对2022年9月至2023年12月期间收治的30例接受保守治疗的腰椎间盘突出症患者的临床资料进行回顾性分析,保守治疗接受中药桃红四物汤加减口服,比较治疗前及6个月后随访的突出髓核体积大小、疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、髓核突出率、髓核突出物体积、重吸收率,评估临床疗效及转归预后。结果:30例患者中重吸收发生率为53.33%(16/30),初诊与末次随访VAS评分、腰椎ODI评分、髓核突出率、髓核突出物体积各项指标比较,差异均有统计学意义(P<0.05)。结论:桃红四物汤加味可以改善血瘀型腰椎间盘突出症患者的疼痛症状,促使突出的髓核体积减小,诱导突出的椎间盘重吸收。
Abstract:
Objective:4To investigate the effect of modified Taohong Siwu decoction on the morphology of nucleus pulposus herniated in the lumbar intervertebral disc with blood stasis.Methods:The clinical data of 30 patients with lumbar intervertebral disc herniation who were admitted to the hospital from September 2022 to December 2023 were retrospective analyzed,and the volume of the herniated nucleus pulposus,the pain visual analogue scale(VAS)score,and the Oswestry disability index(ODI)score were compared before treatment and 6 months after the follow-up.The nucleus pulposus herniation rate,nucleus pulposus protrusion volume,and reabsorption rate were evaluated for clinical efficacy and prognosis.Results:The incidence of reabsorption was 53.33%(16/30)in 30 patients,and there were statistically significant differences in VAS score,lumbar ODI score,nucleus pulposus herniation rate,and nucleus pulposus protrusion volume between the first diagnosis and the last follow-up(P<0.05).Conclusion:Taohong Siwu decoction can improve the pain symptoms of patients with blood stasis lumbar disc herniation,promote the reduction of the volume of herniated nucleus pulposus,and induce the reabsorption of herniated intervertebral discs.

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备注/Memo

备注/Memo:
基金项目:新安医学教育部重点实验室开放基金项目(2022XAYX12)
△通信作者 E-mail:jiangting70@163.com
更新日期/Last Update: 2025-03-10