[1]徐天人 高锋 刘静 孟祥奇 李宇卫△ 黄桂成△.温经通络汤治疗寒湿型腰背肌筋膜炎的临床观察[J].中国中医骨伤科杂志,2021,29(07):39-42.
　XU Tianren GAO Feng LIU Jing MENG Xiangqi LI Yuwei HUANG Guicheng.Clinical Observation on the Efficacy of Warming and Activating MeridianDecoction on Treatment of Myofascitis of the Back Region[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(07):39-42.
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温经通络汤治疗寒湿型腰背肌筋膜炎的临床观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年07期
页码:
39-42
栏目:
临床研究
出版日期:
2021-07-15

文章信息/Info

Title:
Clinical Observation on the Efficacy of Warming and Activating MeridianDecoction on Treatment of Myofascitis of the Back Region
文章编号:
1005-0205(2021)07-0039-04
作者:
徐天人1 高锋1 刘静1 孟祥奇1 李宇卫1△ 黄桂成2△
1南京中医药大学附属苏州市中医医院(江苏 苏州,215009)2南京中医药大学
Author(s):
XU Tianren1 GAO Feng1 LIU Jing1 MENG Xiangqi1 LI Yuwei1△ HUANG Guicheng2△
1Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Suzhou 215009, Jiangsu China; 2Nanjing University of Traditional Chinses Medicine, Nanjing 210023,China.
关键词:
温经通络汤;  腰背肌筋膜炎;  临床观察
Keywords:
warming and activating meridian decoction;  myofascitis of the back region;  clinical observation
分类号:
R686.1
文献标志码:
A
摘要:
目的:观察温经通络汤治疗腰背肌筋膜炎的疗效。方法:选取66例寒湿型腰背肌筋膜炎患者,按照随机数字表法及入组顺序随机分入治疗组和对照组。对照组选取美洛昔康片口服,7.5 mg/次,2次/d,2周为1个疗程; 治疗组选用温经通络汤(附子8 g,桂枝6 g,蜈蚣3 g,全蝎3 g,醋延胡索15 g,土茯苓15 g,熟地15 g,胆南星10 g,陈皮10 g,泽泻10 g,牛膝10 g,鸡血藤12 g,广地龙12 g,甘草8 g)治疗,1剂/d,2周为1个疗程。观察治疗组与对照组治疗前后的ODI(Oswestry Disability Index)评分、VAS评分变化,比较两组的临床疗效。结果:2周临床观察后发现治疗组的临床疗效优于对照组,腰部功能评分及疼痛评分在治疗前差异无统计学意义(P>0.05),治疗后腰部功能评分及疼痛评分治疗组低于对照组,差异有统计学意义(P<0.01),且无过敏等不良事件。结论:温经通络汤治疗寒湿型腰背肌筋膜炎安全有效,有助于改善患者的腰背痛,提高生活质量。
Abstract:
To observe the curative efficacy of warming and activating meridian decoction on patients with myofascitis of the back region.Methods: 66 patients with cold-dampness type myofascitis of the back region were randomly divided into treatment group and control group according to random number table method and inclusion order.In the control group, meloxicam tablets were taken orally, 7.5 mg at a time, twice a day, and two weeks as a course of treatment.The treatment group was treated with warming and activating meridian decoction(Aconitum carmichaeli 8 g, Ramulus Cinnamomi 6 g, Scolopendra 3 g, Scorpio 3 g, vinegar Rhizoma Corydalis 15 g, Rhizoma Smilacis Glabrae 15 g, Radix Rehmanniae Preparata 15 g, Arisaema cum bile 10 g, Pericarpium Citri Tangerinae 10 g, Alismatis Rhizoma 10 g, Achyranthis Radix 10 g, Caulis Spatholobi 12 g, Pheretima 12 g and Glycyrrhrizae Radix 8 g), with one dose per day and two weeks as a course of treatment.The changes of ODI(Oswestry disability index)score and VAS score before and after treatment were observed to compare the clinical efficacy between the two groups.Results: After two weeks’ clinical observation, it was found that the clinical efficacy of the treatment group was better than that of the control group, while the ODI and VAS scores were lower than those of the control group after treatment(P<0.01), and there were no adverse events such as allergy.Conclusion: Warming and activating meridian decoction is safe and effective to treat cold-dampness type myofascitis of the back region, which is helpful to improve patients’ low back pain and quality of life.

参考文献/References:

[1] 张富城,马勇,郭杨,等.黄桂成教授从络病论治膝骨关节炎的辨证与用药经验拾萃[J].浙江中医药大学学报,2020,44(3):262-264.
[2] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:212.
[3] 吴大江,徐锡明,魏显招,等.简体中文版功能评分指数在下腰痛患者中的应用及信度效度测量[J].中国骨科临床与基础研究杂志,2014,6(1):13-20.
[4] FARRAR J T,YONG J P JR, LAMOREAUX L,et al.Clinical importance of changes in chronic pain intensty measuerd on an 11 point numerical pain rating scale[J].Pain,2001,94(2):149-158.
[5] 国家中医药管理局.中药新药临床研究指导原则(第三辑)[M].北京:人民卫生出版社,1997:134-135.
[6] 陈云鹏,杨利学,李智彬,等.补益肝肾法干预椎间盘退变的基础研究进展[J].河北中医,2020,42(5):796-800.
[7] 肖碧跃,郭艳幸,何清湖,等.平乐正骨筋骨并重理论探讨[J].湖南中医药大学学报,2016,36(3):40-42.
[8] 吕建兰,傅瑞阳.针灸结合刺络放血治疗腰背肌筋膜炎39例疗效观察[J].浙江中医杂志,2016,51(2):135-136.
[9] KRENN C,HORVATH K,JEITLER K,et al.Management of non-specific low back pain in primary care-A systematic overview of recommendations from international evidence-based guidelines[J].Primary Health Care Research & Development,2020,21:64-71.
[10] 田照,庞宇舟,袁德培,等.小活络丹治疗类风湿关节炎的网络药理学及实验机制研究[J].时珍国医国药,2020,31(4):800-805.
[11] 江共涛,程毅,胡和军,等.桂枝附子汤治疗寒湿痹阻型骨性关节炎临床研究[J].中国中医药现代远程教育,2020,18(22):76-78.
[12] 陈晨,马勇,黄桂成,等.黄桂成运用温经通络汤治疗膝骨关节炎经验[J].中国民间疗法,2019,27(23):8-10.
[13] 张攀科,王芳,张国胜.小活络丹合桂枝芍药知母汤加减治疗风湿性关节炎寒湿痹阻证的临床观察[J].中国实验方剂学杂志,2017,23(3):181-186.
[14] 黄少敏,龙仕杰,李卫伟.核心肌群稳定训练与传统腰背肌锻炼治疗腰椎间盘突出症的疗效对比研究[J].中国实用医药,2019,14(35):197-198.
[15] 胡零三,元唯安,陈威烨,等.强筋功法训练对腰骶部多裂肌影响的超声分析[J].中国骨伤,2017,30(11):1034-1038.
[16] 王斌,刘新晖.斜板手法结合盘龙七片治疗非特异性下腰痛的临床观察[J].现代医学,2016,44(5):724-726.
[17] 黄法森,王海洋,刘广伟,等.弯腰挺立手法治疗腰骶关节紊乱的规范化研究[J].中国中医骨伤科杂志,2018,26(7):29-32.
[18] 田强,钟侨霖,赵家友,等.提拉旋转斜扳法操作时腰椎椎间盘应力及应变的有限元研究[J].中国临床解剖学杂志,2019,37(1):83-86.

备注/Memo

备注/Memo:
基金项目:苏州市科技发展计划项目(SYSD2019220)
△通信作者 E-mail:hgc@njutcm.edu.cn(黄桂成)lyw97538@126.com(李宇卫)
更新日期/Last Update: 2021-07-15