本文關(guān)鍵詞： 腰椎間盤突出癥 開(kāi)窗術(shù)后綜合征 活血通絡(luò)湯 身痛逐瘀湯 臨床療效　出處：《湖南中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探討活血通絡(luò)湯治療腰椎間盤突出癥開(kāi)窗術(shù)后綜合征(氣滯血瘀證)的臨床療效。方法:將60例氣滯血瘀型腰椎間盤突出癥開(kāi)窗術(shù)后綜合征患者隨機(jī)分為兩組,A組30例為治療組,B組30例為對(duì)照組。兩組在口服甲鈷胺膠囊、腰背功能鍛煉的基礎(chǔ)上,A組予以活血通絡(luò)湯口服,B組予以身痛逐瘀湯口服,療程均為4周;采用中醫(yī)癥狀療效評(píng)分、VAS評(píng)分、ODI評(píng)分對(duì)兩組治療前后進(jìn)行評(píng)定,觀察兩組治療前后癥狀、體征的改善情況。結(jié)果:研究結(jié)果表明,治療前兩組患者中醫(yī)癥狀評(píng)分、VAS評(píng)分、ODI評(píng)分比較無(wú)差異性,組間具有可比性(P0.05);治療2周后、治療4周后,兩組患者VAS評(píng)分較治療前均明顯下降(P0.01),差異有統(tǒng)計(jì)學(xué)意義,而治療組下降更明顯,優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);治療4周后治療組中醫(yī)癥狀總分及中醫(yī)癥狀療效高于對(duì)照組(P0.05),差異有統(tǒng)計(jì)學(xué)意義;兩組ODI評(píng)分比較,治療2周后治療組與對(duì)照組兩組改善相當(dāng),差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),治療4周后,治療組較對(duì)照組改善更明顯,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:活血通絡(luò)湯治療血瘀型腰椎間盤突出癥開(kāi)窗術(shù)后綜合征能有效的改善患者的臨床癥狀及體征,在改善中醫(yī)癥狀評(píng)分及療效、VAS評(píng)分、ODI評(píng)分療效評(píng)價(jià)等方面明顯優(yōu)于身痛逐瘀湯。因此,活血通絡(luò)湯值得進(jìn)一步開(kāi)發(fā)研究和推廣應(yīng)用。
[Abstract]:Objective: to investigate the clinical effect of Huoxue Tongluo decoction (Huoxue Tongluo decoction) in the treatment of syndrome of lumbar intervertebral disc herniation after fenestration (Qi stagnation and blood stasis syndrome). Methods: 60 patients with syndrome of lumbar intervertebral disc herniation with Qi stagnation and blood stasis after fenestration were randomly divided into two groups. There were 30 cases in group A and 30 cases in group B as control group. On the basis of waist and back function exercise, group A was treated with Shentong Zhuyu decoction for 4 weeks, group A was treated with Huoxue Tongluo decoction for 4 weeks, and the two groups were evaluated before and after treatment with traditional Chinese medicine symptom score and VAS score and ODI score. Observe the improvement of symptoms and signs before and after treatment in the two groups. Results: the results showed that there was no difference between the two groups in TCM symptom score and VAS score and ODI score before treatment, and there was comparability between the two groups (P 0.05); after 2 weeks of treatment, 4 weeks after treatment, there was no significant difference between the two groups. The VAS score of the two groups was significantly lower than that of the control group (P 0.01), but the decrease of the treatment group was more obvious than that of the control group. After 4 weeks of treatment, the total score of TCM symptoms and the curative effect of TCM symptoms in the treatment group were higher than those in the control group (P 0.05), and the difference was statistically significant. The ODI score of the two groups was similar to that of the control group after 2 weeks of treatment. The difference was not statistically significant (P 0.05). After 4 weeks of treatment, the improvement of the treatment group was more obvious than that of the control group. Conclusion: Huoxue Tongluo decoction can effectively improve the clinical symptoms and signs of patients with syndrome after fenestration of blood stasis type lumbar intervertebral disc herniation. It is superior to Shentong Zhuyu decoction in improving TCM symptom score and VAS score and ODI evaluation. Therefore, Huoxue Tongluo decoction is worth further development and application.
【學(xué)位授予單位】：湖南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R274.9

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