Clinical study on the treatment of lumbar disc herniation with blood stasis type by modified Shentong Zhuyu Decoction combined with epidural shock

HUANG Xiao-tao; FANG Lue; ZHOU Jia-en; XIE Chang-fa; CHEN Yu-song; YAN Li-min

doi:10.16025/j.1674-1307.2020.09.024

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Clinical study on the treatment of lumbar disc herniation with blood stasis type by modified Shentong Zhuyu Decoction combined with epidural shock

更新时间：2023-04-11

- Clinical study on the treatment of lumbar disc herniation with blood stasis type by modified Shentong Zhuyu Decoction combined with epidural shock
- Beijing Journal of Traditional Chinese Medicine Vol. 39, Issue 9, Pages: 987-991(2020)
- 作者机构：
  
  1. 慈溪市中医医院骨伤科
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2020.09.024
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[1]黄晓涛,方略,周嘉恩,谢长发,陈玉松,严利民.身痛逐瘀汤加减联合硬膜外冲击治疗血瘀型腰椎间盘突出症临床观察[J].北京中医药,2020,39(09):987-991.

HUANG Xiao-tao, FANG Lue, ZHOU Jia-en, et al. Clinical study on the treatment of lumbar disc herniation with blood stasis type by modified Shentong Zhuyu Decoction combined with epidural shock. [J]. Beijing Journal of Traditional Chinese Medicine 39(9):987-991(2020)
[1]黄晓涛,方略,周嘉恩,谢长发,陈玉松,严利民.身痛逐瘀汤加减联合硬膜外冲击治疗血瘀型腰椎间盘突出症临床观察[J].北京中医药,2020,39(09):987-991. DOI： 10.16025/j.1674-1307.2020.09.024.

HUANG Xiao-tao, FANG Lue, ZHOU Jia-en, et al. Clinical study on the treatment of lumbar disc herniation with blood stasis type by modified Shentong Zhuyu Decoction combined with epidural shock. [J]. Beijing Journal of Traditional Chinese Medicine 39(9):987-991(2020) DOI： 10.16025/j.1674-1307.2020.09.024.

摘要

目的观察身痛逐瘀汤加减联合硬膜外冲击治疗血瘀型腰椎间盘突出症（LDH）的临床效果。方法选择2017年1—12月作者所在医院就诊的血瘀型LDH患者105例,根据随机数字表法将其分为对照1组、对照2组和观察组,每组各35例。对照1组给予硬膜外冲击治疗,对照2组口服中药身痛逐瘀汤加减治疗,观察组采用身痛逐瘀汤加减口服联合硬膜外冲击治疗,3组均治疗15 d。对比3组疗效及治疗前后中医证候积分、日本骨科协会评估治疗（JOA）评分与直观模拟评分表（VAS）评分、生活质量评价量表（SF-36）评分、血清炎症因子白细胞介素1（IL-1）、IL-6、IL-8及肿瘤坏死因子α（TNF-α）水平。结果治疗后,观察组总有效率（97.14%）高于对照1组（68.57%）、对照2组（71.43%）,差异有统计学意义（P<0.05）。观察组腰腿痛、腰部板硬、下肢麻木、腰膝沉重评分均低于对照1组、对照2组（P<0.05）,JOA评分、肢体功能、社会认知、躯体疼痛及精神健康评分均高于对照1组、对照2组（P<0.05）,VAS评分、IL-1、IL-6、IL-8、TNF-α低于对照1组（P<0.05）。结论身痛逐瘀汤加减联合硬膜外冲击治疗血瘀型LDH较单用身痛逐瘀汤加减或硬膜外冲击治疗的临床效果更好,恢复更快,疼痛减轻更明显,炎性因子降低更多,预后效果更好。

Abstract

关键词

腰椎间盘突出症血瘀型身痛逐瘀汤硬膜外冲击疗法

Keywords

腰椎间盘突出症血瘀型身痛逐瘀汤硬膜外冲击疗法

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