[1]尤星 金圣洁 黄琰 卢绪△.复元活血汤治疗气滞血瘀证急性腰扭伤的临床疗效观察[J].中国中医骨伤科杂志,2025,33(07):63-67.[doi:10.20085/j.cnki.issn1005-0205.250711 ]
　YOU Xing JIN Shengjie HUANG Yan LU Xu.Clinical Efficacy of Fuyuan Huoxue Decoction for Acute Lumbar Sprain with Qi Stagnation and Blood Stasis Syndrome[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(07):63-67.[doi:10.20085/j.cnki.issn1005-0205.250711 ]
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复元活血汤治疗气滞血瘀证急性腰扭伤的临床疗效观察()

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

卷:
第33卷
期数:
2025年07期
页码:
63-67
栏目:
临床研究
出版日期:
2025-07-15

文章信息/Info

Title:
Clinical Efficacy of Fuyuan Huoxue Decoction for Acute Lumbar Sprain with Qi Stagnation and Blood Stasis Syndrome
文章编号:
1005-0205(2025)07-0063-05
作者:
尤星1 金圣洁1 黄琰1 卢绪1△
1中国人民解放军联勤保障部队第九〇四医院(江苏 无锡,214000)
Author(s):
YOU Xing1 JIN Shengjie1 HUANG Yan1 LU Xu1△
1904 Hospital,Joint Logistic Support Force,PLA,Wuxi 214000,Jiangsu China.
关键词:
复元活血汤;  气滞血瘀证;  急性腰扭伤
Keywords:
Fuyuan Huoxue decoction;  Qi stagnation and blood stasis syndrome;  acute lumbar sprain
分类号:
R274.39
DOI:
10.20085/j.cnki.issn1005-0205.250711
文献标志码:
A
摘要:
目的:观察复元活血汤治疗气滞血瘀证急性腰扭伤的临床疗效。方法:将2021年4月至2024年1月收治的90例气滞血瘀证急性腰扭伤患者用随机数字表法分成对照组和观察组(各45例)。对照组患者给予常规治疗,观察组患者在此基础上加用复元活血汤,所有患者均接受为期7 d的治疗。比较两组患者临床疗效、治疗前和治疗结束后的中医证候评分、视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、日本骨科协会(JOA)评分、功能障碍调查表(RMDQ)评分、Barthel指数(BI)评分、腰椎活动度(ROM)、C反应蛋白(CRP)、肿瘤坏死因子α(TNF-α)、白细胞介素-6(IL-6)及复发率。结果:治疗后两组患者组间疗效比较差异有统计学意义(P<0.05)。治疗后,观察组患者中医证候评分、VAS评分、ODI评分、RMDQ评分、血清CRP、TNF-α、IL-6水平均低于对照组,差异有统计学意义(P<0.05); JOA评分和BI评分高于对照组,差异有统计学意义(P<0.05); 腰椎前屈、后伸、左旋、右旋、左侧屈、右侧屈的活动度均高于对照组,差异有统计学意义(P<0.05)。治疗后6个月观察组患者复发率低于对照组,差异有统计学意义(P<0.05)。结论:复元活血汤结合常规治疗在改善气滞血瘀证急性腰扭伤患者的症状和功能障碍方面好于单纯常规治疗,且可明显降低炎症因子水平和复发率。这些结果为复元活血汤在临床治疗中的应用提供了有力支持。
Abstract:
Objective:To observe the clinical efficacy of Fuyuan Huoxue decoction for acute lumbar sprain with Qi stagnation and blood stasis.Methods:90 patients with acute lumbar sprain with Qi stagnation and blood stasis syndrome,from April 2021 to January 2024,were randomly divided into control group and observation group,each with 45 patients.The control group received conventional therapy,while the observation group was treated with Fuyuan Huoxue decoction in addition to the treatment given to the control group.All patients received 7 d treatment.The clinical efficacy,traditional Chinese medicine(TCM)syndrome scores,visual analogue scale(VAS)scores,Oswestry disability index(ODI)scores,Japanese orthopaedic association(JOA)scores,Roland-Morris disability questionnaire(RMDQ)scores,Barthel index(BI)scores,range of motion(ROM)of the lumbar spine,serum C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)levels,and recurrence rates before and after treatment were compared between the two groups.Results:After treatment,the clinical efficacy of the two groups showed significant differences(P<0.05).After treatment,the TCM syndrome scores,VAS scores,ODI scores,RMDQ scores,serum CRP,TNF-α,and IL-6 levels in the observation group were lower than those in the control group(P<0.05),while the JOA scores and BI scores,as well as the ROM in forward flexion,backward extension,left rotation,right rotation,left lateral flexion,and right lateral flexion of the lumbar spine,were higher than control group(P<0.05).The recurrence rate in the observation group was lower than that in the control group at 6 months after treatment(P<0.05).Conclusion:Fuyuan Huoxue decoction combined with conventional therapy is superior to conventional therapy alone in improving symptoms and functional impairment in patients with acute lumbar sprain with Qi stagnation and blood stasis syndrome,and it can effectively reduce the levels of inflammatory factors and the recurrence rate.These results provide strong support for the clinical application of Fuyuan Huoxue decoction.

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备注/Memo

备注/Memo:
基金项目:江苏省中医药管理局科技项目(ZT202106)
△通信作者 E-mail:lx112un@163.com
更新日期/Last Update: 2025-07-15