[1]童海珊 孙海凤 唐树杰△.加味补阳还五汤联合核心稳定性训练治疗腰椎管狭窄症的临床观察[J].中国中医骨伤科杂志,2020,28(07):21-23.
　TONG Haishan SUN Haifeng TANG Shujie.Clinical Observation of Treating Lumbar Spinal Stenosis Using Modified Buyan huanwu Decoction Combined with Core Stability Exercises[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(07):21-23.
点击复制

加味补阳还五汤联合核心稳定性训练治疗腰椎管狭窄症的临床观察()
分享到：

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

卷:
第28卷
期数:
2020年07期
页码:
21-23
栏目:
临床研究
出版日期:
2020-07-10

文章信息/Info

Title:
Clinical Observation of Treating Lumbar Spinal Stenosis Using Modified Buyan huanwu Decoction Combined with Core Stability Exercises
文章编号:
1005-0205(2020)07-0021-03
作者:
童海珊1 孙海凤1 唐树杰2△
1山东省青州市中医院(山东 青州,262500) 2暨南大学中医学院
Author(s):
TONG Haishan1 SUN Haifeng1 TANG Shujie2△
1Qinghzou Hospital of Chinese Medicine,Qingzhou 262500,Shandong China; 2School of Chinese Medicine,Jinan University,Guangzhou 510632,China.
关键词:
加味补阳还五汤;  核心稳定性训练;  腰椎管狭窄症
Keywords:
modified Buyanghuanwu decoction;  core stability exercises;  lumbar spinal stenosis
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察加味补阳还五汤联合核心稳定性训练治疗腰椎管狭窄症的临床疗效。方法:将2016年10月至2019年4月收治的腰椎管狭窄症患者116例,采用随机数字表法分为治疗组和对照组,每组58例。对照组患者进行核心稳定性训练,治疗组同时口服加味补阳还五汤。治疗前及治疗12周时,采用目测类比评分法(VAS)评估患者腰腿痛程度,采用ODI问卷评估患者腰椎功能,采用中文版SF-36量表评估患者生活质量,记录患者无痛行走距离。结果:经12周治疗后两组患者VAS,ODI,SF-36评分和无痛行走距离皆较治疗前改善,差异有统计学意义(P<0.01); 其中治疗组改善程度优于对照组,差异有统计学意义(P<0.01)。结论:核心稳定性训练可缓解腰椎管狭窄症患者疼痛,改善腰椎功能,增加无痛行走距离,提高生活质量; 联合口服加味补阳还五汤使治疗机制更完备,能进一步提高疗效。
Abstract:
Objective:To observe the effectiveness of modified Buyanghuanwu decoction combined with core stability exercises in treating lumbar spinal stenosis. Methods:From October 2016 to June 2019,116 patients with lumbar spinal stenosis were randomly divided into treatment and control group,58 patients in each. The patients in the control group were treated using core stability exercises,and using modified Buyanghuanwu decoction combined with core stability exercises in the treatment group. Before treatment and at 12 weeks after treatment,Visual analogue scale(VAS)was used to evaluate the intensity of low back pain,Oswestry disability index(ODI)to evaluate lumbar function,and 36-item Short Form Health Survey(36-SF)to evaluate the quality of life. In addition,walking distance without pain was recorded. Results:The VAS,ODI,SF-36 and walking distance without pain were improved significantly in both groups 12 weeks after treatment(P<0.01),and these items improved more significant in treatment group than those in control group(P<0.01). Conclusion:Core stability exercises alone can reduce pain,improve lumbar function,and increase walking distance without pain and quality of life for patients with lumbar spinal stenosis. The effectiveness of core stability exercises,combined with modified Buyanghuanwu decoction,can be better.

参考文献/References:

[1] 张英杰.中西医结合治疗退行性腰椎管狭窄症的疗效观察[J].中华物理医学与康复杂志,2013,35(6):481-483.
[2] 高华,冯宏伟,杨宏涛.椎管狭窄程度对腰椎管狭窄症行保守治疗的影响分析[J].颈腰痛杂志,2018,39(6):765-767.
[3] 高景华,王宝剑,孟州令,等.基于“阳化气”理论探讨转腰汤治疗腰椎管狭窄症48例[J].中国中医骨伤科杂志,2019,27(11):55-61.
[4] 唐向盛,谭明生,移平,等.补阳还五汤结合手术治疗腰椎管狭窄症的临床观察[J].中国中医骨伤科杂志,2018,26(2):28-32.
[5] 陈阳,连福明,孙金琼.手术结合补阳还五汤治疗退行性腰椎管狭窄症98例[J].中国中医骨伤科杂志,2019,27(2):49-51.
[6] 张英杰.核心稳定性训练治疗退行性腰椎管狭窄症的疗效观察[J].中华物理医学与康复杂志,2014,36(11):867-869.
[7] 中华中医药学会.腰椎管狭窄症[J].风湿病与关节炎,2013,2(2):75-77.
[8] 蒋协远,王大伟.2010年最新骨科临床疗效评价标准[M].北京:人民卫生出版社,2010:118-124.
[9] 郑光新,赵晓鸥,刘广林,等.Oswestry功能障碍指数评定腰痛患者的可信性[J].中国脊柱脊髓杂志,2002,12(1):13-15.
[10] 周慧玲,陈冰,曾嘉彦,等.中文版SF-36量表在广东职业康复患者中信效度研究[J].康复学报,2018,28(3):12-15.
[11] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出社,2012:2066-2073.
[12] 毕华焱,张德宏,王兴盛,等.核心肌群功能与退行性腰椎管狭窄症的关系浅析[J].中国中医骨伤科杂志,2018,26(4):83-85.
[13] 韦益毅,谢琳,张芷,等.10 000米耐力跑对腰椎稳定肌预期与补偿姿势调节的影响[J].中国运动医学杂志,2018,37(2):121-126.
[14] 顾新.对腰痛循证康复的思考[J].中华物理医学与康复杂志,2018,40(8):561-563.
[15] 王雪强,戴敏辉,冯颜,等.核心稳定性训练用于慢性腰椎间盘突出症的疗效观察[J].中国康复医学杂志,2010,25(8):756-759.
[16] 张文韫,冯艳,殷宝媚,等.手法联合核心稳定性训练治疗退变性腰椎失稳症的疗效观察[J].中华物理医学与康复杂志,2018,40(2):137-139.

备注/Memo

备注/Memo:
(收稿日期:2020-01-09)基金项目:广东省科技计划项目(2017A020215102); 潍坊市中医药科技计划项目(2018-2-009) △通信作者 E-mail:gushang2019@163.com
更新日期/Last Update: 2020-07-10