骨痹汤治疗寒凝经脉型腰腿痛的临床研究(1)
摘要：目的 探讨骨痹汤治疗寒凝经脉型腰腿痛患者的临床疗效。方法 选取2018年8月—2019年11月于本院接受诊治的80例寒凝经脉型腰腿痛患者作为研究对象，按随机数字表法分成观察组40例和对照组40例，对照组采用双氯芬酸钠缓释胶囊治疗，观察组则使用骨痹汤进行治疗，比较2组患者治疗前、后的Oswestry腰痛指數、视觉模拟评分(VAS)以及临床疗效。结果 2组治疗后的Oswestry腰痛指数和VAS评分均低于对照组，差异具有统计学意义(P<0.05)。组间比较，差异显著(P<0.05);观察组患者治疗总有效率为95%，明显高于对照组的80%，2组数据差异显著，具有统计学意义(P<0.05)。结论 采用骨痹汤治疗寒凝经脉型腰腿痛，疗效确切，能明显改善患者疼痛症状，值得在临床上应用。
关键词：寒凝经脉型;腰腿痛;临床研究
中图分类号：R255.6 文献标志码：B 文章编号：1007-2349(2020)08-0023-03
【Abstract】Objective： To explore the clinical effect of Heumatism Decoction on the treatment of patients with pain in waist and lower extremities of cold setting meridians type. Methods： 80 patients with pain in waist and lower extremities of cold setting meridians type， who were diagnosed and treated in our hospital from August 2018 to November 2019， were selected as the research objects and divided into an observation group and a treatment group according to the random number table method， 40 cases per group. The control group was treated with Diclofenac sodium sustained-release capsules and the observation group was treated with Heumatism Decoction. The Oswestry lumbago index， visual analog scale (VAS) and clinical efficacy of the two groups were compared before and after treatment. Results： After treatment， the Oswestry lumbago index and VAS score of the observation group were lower than those of the control group， and the difference was statistically significant (P<0.05). The difference between the groups was significant (P<0.05). The total effective rate of treatment in the observation group was 95%， significantly higher than 80% in the control group. The differences in data of the two groups were significant and were statistically significant (P<0.05). Conclusion： Heumatism Decoction has a definite effect in the treatment of the patients with pain in waist and lower extremities of cold setting meridians type and can significantly improve their pain symptoms， worthy of clinical application.
【Key words】Heumatism Decoction， cold setting meridian type， pain in waist and lower extremities， clinical study
腰腿痛作为骨科最为常见的疾病类型之一，是一组以一侧或双侧腰腿部疼痛、腰腿局部功能受限为主的临床症候群[1]。该病不仅造成患者极大生理痛苦，同时还直接影响了患者的腰腿部正常的活动功能，严重降低了患者生活和工作质量[2]。现代医学治疗通常以非甾体消炎药、功能训练等非手术治疗为主，但治疗效果并不理想[3]。传统中医将腰腿痛隶属于“腰痛”、“痹证”等范畴，疾病的发生以风、寒、湿等邪气多见，后期可兼见痰瘀等表现[4]。蒋小敏教授结合其三十多年的临床经验，发现临床以腰腿痛为主要症状的患者多属于寒凝经脉型，以寒湿内阻、经脉瘀滞为其基本病机，并自创骨痹汤治疗此类腰腿痛，取得较好疗效，现将报道如下。
1 资料与方法, 百拇医药(杨阳 张锐洋 张丽妍)
关键词：寒凝经脉型;腰腿痛;临床研究
中图分类号：R255.6 文献标志码：B 文章编号：1007-2349(2020)08-0023-03
【Abstract】Objective： To explore the clinical effect of Heumatism Decoction on the treatment of patients with pain in waist and lower extremities of cold setting meridians type. Methods： 80 patients with pain in waist and lower extremities of cold setting meridians type， who were diagnosed and treated in our hospital from August 2018 to November 2019， were selected as the research objects and divided into an observation group and a treatment group according to the random number table method， 40 cases per group. The control group was treated with Diclofenac sodium sustained-release capsules and the observation group was treated with Heumatism Decoction. The Oswestry lumbago index， visual analog scale (VAS) and clinical efficacy of the two groups were compared before and after treatment. Results： After treatment， the Oswestry lumbago index and VAS score of the observation group were lower than those of the control group， and the difference was statistically significant (P<0.05). The difference between the groups was significant (P<0.05). The total effective rate of treatment in the observation group was 95%， significantly higher than 80% in the control group. The differences in data of the two groups were significant and were statistically significant (P<0.05). Conclusion： Heumatism Decoction has a definite effect in the treatment of the patients with pain in waist and lower extremities of cold setting meridians type and can significantly improve their pain symptoms， worthy of clinical application.
【Key words】Heumatism Decoction， cold setting meridian type， pain in waist and lower extremities， clinical study
腰腿痛作为骨科最为常见的疾病类型之一，是一组以一侧或双侧腰腿部疼痛、腰腿局部功能受限为主的临床症候群[1]。该病不仅造成患者极大生理痛苦，同时还直接影响了患者的腰腿部正常的活动功能，严重降低了患者生活和工作质量[2]。现代医学治疗通常以非甾体消炎药、功能训练等非手术治疗为主，但治疗效果并不理想[3]。传统中医将腰腿痛隶属于“腰痛”、“痹证”等范畴，疾病的发生以风、寒、湿等邪气多见，后期可兼见痰瘀等表现[4]。蒋小敏教授结合其三十多年的临床经验，发现临床以腰腿痛为主要症状的患者多属于寒凝经脉型，以寒湿内阻、经脉瘀滞为其基本病机，并自创骨痹汤治疗此类腰腿痛，取得较好疗效，现将报道如下。
1 资料与方法, 百拇医药(杨阳 张锐洋 张丽妍)