| 通督舒筋汤加减配合理筋手法治疗退行性腰椎管狭窄 |
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投稿时间：2019-06-14
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| 作者 | Author | 单位 | Address | E-Mail |
| 郑剑南 |
ZHENG Jian-nan |
湖北中医药大学针灸骨伤学院, 湖北 武汉 430061
湖北省疾病预防控制中心, 湖北 武汉 430079 |
Hubei University of TCM, Wuhan 430061, Hubei, China |
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| 彭锐 |
PENG Rui |
湖北中医药大学针灸骨伤学院, 湖北 武汉 430061 |
Hubei University of TCM, Wuhan 430061, Hubei, China |
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| 周晓红 |
ZHOU Xiao-hong |
湖北中医药大学针灸骨伤学院, 湖北 武汉 430061 |
Hubei University of TCM, Wuhan 430061, Hubei, China |
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| 陈洪波 |
CHEN Hong-bo |
湖北中医药大学针灸骨伤学院, 湖北 武汉 430061 |
Hubei University of TCM, Wuhan 430061, Hubei, China |
chenhbhb@163.com |
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| 期刊信息：《中国骨伤》2020年，第33卷，第1期，第39-42页 |
| DOI：10.3969/j.issn.1003-0034.2020.01.007 |
| 基金项目:国家中医药管理局全国名老中医药专家传承工作室建设项目（编号：国中医药人教函［2018］134号） |
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中文摘要:
目的：探讨运用通督舒筋汤加减配合手法治疗腰椎管狭窄的临床疗效。
方法：对2015年10月至2017年10月确诊为腰椎管狭窄50例患者临床资料进行回顾性研究，分为治疗组和对照组，各25例。治疗组中男10例，女15例；年龄（53.43±5.26）岁；病程（6.9±2.3）年；给予通督舒筋汤加减配合手法治疗。对照组中男12例，女13例；年龄（56.37±4.61）岁；病程（7.1±3.4）年；予以口服腺苷钴胺片和洛索洛芬钠片治疗。两组均以4周为1个疗程。治疗后，采用腰痛疗效评价标准（JOA）和视觉模拟评分法（VAS）评定两组临床疗效。
结果：50例患者获得随访，随访时间2.2～3.2（2.62±0.47）个月。治疗后两组JOA评分和VAS评分较治疗前均有明显改善，差异有统计学意义（P<0.01），且治疗后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：通督舒筋汤加减配合手法治疗腰椎管狭窄症有较好疗效。 |
| 【关键词】通督舒筋汤 腰椎 椎管狭窄 正骨手法 |
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| Effect of Tongdu Shujin Decoction(通督舒筋汤) plus Lijin(理筋) manipulation on degenerative lumbar spinal stenosis |
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ABSTRACT
Obejective: To explore the clinical efficacy of Tongdu Shujin Decoction(通督舒筋汤,TSD) combined with manipulation for the treatment of lumbar spinal stenosis.
Methods: The clinical data of 50 patients with lumbar spinal stenosis diagnosed from October 2015 to October 2017 were retrospectively studied. Fifty patients were divided into a treatment group and a control group,25 cases in each group. In the treatment group,25 patients were treated by TSD plus combined manipulation,including 10 males and 15 females,with an average age of (53.43±5.26) years old,the course of disease was (6.9±2.3) years. In the control group,25 patients were treated by the adenosine cobalamin tablets and loxoprofen sodium tablets,including 12 males and 13 females,with an average age of (56.37±4.61) years old,the course of disease was(7.1±3.4) years. The two groups were treated for 4 weeks. After treatment,the clinical efficacy of the two groups were evaluated by the low back pain evaluation criteria (JOA) and visual analogue scale (VAS).
Results: Fifty patients were followed up for 2.2 to 3.2 (2.62±0.47) months. After treatment,JOA and VAS scores of the two groups were significantly improved compared with those before treatment,the difference was statistically significant(P<0.01),and the improvement degree of the treatment group was better than that of the control group,the difference was statistically significant(P<0.01).
Conclusion: TSD combined with manipulation for the treatment of lumbar spinal stenosis has a good effect. |
| KEY WORDS Tongdu Shujin Decoction Lumbar vertebrae Spinal stenosis Bone setting manipulation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郑剑南,彭锐,周晓红,陈洪波.通督舒筋汤加减配合理筋手法治疗退行性腰椎管狭窄[J].中国骨伤,2020,33(1):39~42 |
| 英文格式: | ZHENG Jian-nan,PENG Rui,ZHOU Xiao-hong,CHEN Hong-bo.Effect of Tongdu Shujin Decoction(通督舒筋汤) plus Lijin(理筋) manipulation on degenerative lumbar spinal stenosis[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(1):39~42 |
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