行气活血、散结止痛法治疗腰椎管狭窄症的临床观察及疗效评价

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1、提要目的：本课题通过观察行气活血、散结止痛法在治疗腰椎管狭窄症中所起到的作用及临床意义，对行气活血、散结止痛法治疗腰椎管狭窄症的疗效作出客观的评价，以期更好地指导临床。方法：将60例腰椎管狭窄症患者随机分为治疗组和对照组各30例，治疗组应用行气活血、散结止痛法（方用腰痛1号方，由董建文教授经长期临床实践及经验总结所拟）配合口服消炎止痛药乐松治疗腰椎管狭窄症，对照组口服消炎止痛药乐松治疗腰椎管狭窄症。2周后随访，观察药物疗效。结果：治疗组30例，治愈9例，好转16例，未愈5例，总有效率83.3%；对照组30例，治愈7例，好转

2、13例，未愈10例，总有效率66.7%。结论：经统计学分析，治疗组与对照组在疗效上存在显著差异，应用行气活血、散结止痛法配合口服消炎止痛药乐松治疗腰椎管狭窄症比单纯应用消炎止痛药乐松治疗腰椎管狭窄症临床效果好，尤其在短期症状改善方面。故应用行气活血、散结止痛法配合口服消炎止痛药乐松治疗腰椎管狭窄症具有确切疗效，值得在临床上广泛推广应用。关键词腰椎管狭窄症；行气活血；散结止痛；临床观察ClinicalobservationandevaluationoftherapeuticefficiencyontreatingLumbar

3、SpinalStenosisusingmethodsofactivatingQiandbloodcirculation,eliminatingstasisandassuagingpainSpeciality:ThestudyofspinalcolumnandarthrosisdiseaseAuthor:SongHonggangTutor:ProfessorDongJianwenAbstractObjective:Byobservingtheclinicalsignificanceandtheeffectofmethodso

4、factivatingQiandbloodcirculation,eliminatingstasisandassuagingpainontreatingLumbarSpinalStenosis,makeanobjectiveevaluationoftheefficacyofmethodsofactivatingQiandbloodcirculation,eliminatingstasisandassuagingpainontreatingLumbarSpinalStenosisandbetterguideclinicalw

5、ork.Methods:60patientswithLSSwererandomlydividedintotreatmentgroupandcontrolgroupwith30each.ThetreatmentgroupwastreatedbymethodsofactivatingQiandbloodcirculation,eliminatingstasisandassuagingpainandtakingoralanti-inflammatoryanalgesicdrugsLoxoprofenSodiumTabletsto

6、treatLss.Thecontrolgroupwastreatedbytakingoralanti-inflammatoryanalgesicdrugsLoxoprofenSodiumTabletstotreatLss.After2weeksfollow-up,observetheefficacy.Results:Intreatmentgroup,9werefullyrecovered,16wereimprovedwith5invalid.Thetotaleffectiveratewas83.3%.Incontrolgr

7、oup,7werefullyrecovered,13wereimprovedwith10invalid.Thetotaleffectiveratewas66.7%.Conclusion:ByStatisticalanalysis,thereweresignificantdifferencesbetweenthetreatmentgroupandcontrolgroupontreatingLSS.ThetreatmentofactivatingQiandbloodcirculation,eliminatingstasisan

8、dassuagingpainandtakingoralanti-inflammatoryanalgesicdrugsLoxoprofenSodiumTabletsisbetterthanThetreatmentofexclusivelytakingoralanti-inflammatoryanalges