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通督舒筋汤加减配合理筋手法治疗退行性腰椎管狭窄
Hits: 2918   Download times: 1090   Received:June 14, 2019    
作者Author单位UnitE-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  
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  
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  
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 
期刊信息:《中国骨伤》2020年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)


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
 
Effect of Tongdu Shujin Decoction(通督舒筋汤) plus Lijin(理筋) manipulation on degenerative lumbar spinal stenosis
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.
KEYWORDS:Tongdu Shujin Decoction  Lumbar vertebrae  Spinal stenosis  Bone setting manipulation
 
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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