益肾健腰汤加减治疗肝肾阴虚型腰椎间盘突出症临床研究
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R681.53

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Clinical Study on Curative Effect of Modified Yishen Jianyao Decoction on Lumbar Disc Herniation of Liver-Kidney Yin Deficiency Type
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    摘要:

    目的:观察益肾健腰汤加减治疗肝肾阴虚型腰椎间盘突出症的临床疗效。方法:采用随机数字表 法将77例肝肾阴虚型腰椎间盘突出症患者分为治疗组39例、对照组38例。对照组给予塞来昔布联合乙哌立松 治疗,治疗组给予益肾健腰汤加减治疗,2组连续治疗2周。比较2组治疗前后中医证候评分、日本骨科协会 评估治疗(JOA评分)、视觉模拟评分法(VAS) 评分,并评估2组临床疗效及不良反应发生情况。结果:治疗 期间,治疗组剔除2例,对照组剔除1例,最终对照组、观察组各纳入研究37例。治疗后,总有效率78.38%, 治疗组总有效率为94.59%,2组比较,差异有统计学意义(P<0.05)。2组治疗1周、2周后,中医证候评分、 VAS评分较治疗前降低(P<0.05),JOA主观症状、临床体征、日常活动受限度评分升高(P<0.05);观察组 治疗2周后中医证候评分低于对照组(P<0.05),JOA主观症状评分升高(P<0.05)。2组治疗1周、2周后 VAS评分及JOA临床体征、日常活动受限度评分比较,差异无统计学意义(P>0.05)。2组均无不良反应发生。 结论:益肾健腰汤治疗肝肾阴虚型腰椎间盘突出症疗效确切,能够缓解患者临床症状,减轻疼痛,改善腰椎 功能。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Yishen Jianyao Decoction on lumbar disc herniation of liver-kidney yin deficiency type. Methods:A total of 77 cases of patients with lumbar disc herniation of liver-kidney yin deficiency type were divided into the treatment group of 39 cases and the control group of 38 cases based on the random number table method. The control group was treated with Celecoxib combined with Eperisonet, and the treatment group was treated with modified Yishen Jianyao Decoction. Both groups were treated continuously for two weeks. Traditional Chinese Medicine (TCM) syndrome scores, Japan Orthopedic Association scores (JOA scores) , and Visual Analogue Scale (VAS) scores were compared between the two groups before and after treatment, and the clinical efficacy and adverse reactions were evaluated. Results: During the treatment, two cases were excluded from the treatment group and one from the control group,leaving 37 cases in each group for the final study. After treatment, the total effective rate was 78.38% in the control group and 94.59% in the treatment group, the difference being significant (P<0.05). One and two weeks after treatment,the TCM syndrome scores and VAS scores were lower than those before treatment (P<0.05), and the scores of subjective symptoms, clinical signs, and daily activity limitation in JOA were higher (P<0.05). The TCM syndrome score in the observation group was lower than that in the control group two weeks after treatment (P< 0.05),and the JOA subjective symptom score was increased (P<0.05). There was no significant difference in VAS scores and the scores of clinical signs and daily activity limitation in JOA between the two groups one and two weeks after treatment (P>0.05). No adverse reaction occurred in the two groups. Conclusion:The modified Yishen Jianyao Decoction has a definite curative effect on lumbar disc herniation of liver-kidney yin deficiency type,which can alleviate clinical symptoms,relieve pain,and improve lumbar function.

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罗洪生,王雅静,吴栓.益肾健腰汤加减治疗肝肾阴虚型腰椎间盘突出症临床研究[J].新中医,2024,56(22):80-84

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  • 在线发布日期: 2024-11-28
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