活血化瘀法结合针灸对气滞血瘀型椎间盘源性腰痛的临床研究

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1、活血化瘀法结合针灸对气滞血瘀型椎间盘源性腰痛的临床研究张继伟黄俊卿河南中医药大学河南省中医院R的:观察活血化瘀法结合针灸对气滞血瘀型椎间盘源性腰痛的临床疗效。方法：选取河南省中医院骨病二科&整脊科门诊诊断为椎间盘源性腰痛的的患者共48例，随机分为治疗组和对照组各24例；治疗组给予中药身痛逐瘀汤加减口服，同时结合针灸治疗，对照组给予迈之灵片、甲钴胺片（弥可保）、洛索洛芬钠片（乐松）U服。2组均配合腰背肌功能锻炼。疗程结束后，对其临床疗效、VAS评分、腰椎功能障碍问卷（Roland-Morris）评分进行比较。结果:治疗组总有效率91.67%，对照组总有效率75%，差笄具有明显统计

2、学意义;治疗后2组VAS评分较治疗前明显降低（P<0.05），且治疗组VAS评分低于对照组;治疗后2组Roland-Morris评分较、冶疗前均降低，.目.、冶疗组Roland-Morris评分低于对照组。2组均无不良反应发生。结论:活血化瘀法结合针灸治疗气滞血瘀型椎间盘源性腰痛临床疗效肯定、简便、经济、安全，值得临床推广。关键词：椎间盘源性腰痛;身痛逐瘀汤;针灸;研究方向：中医骨伤科学。。基金：国家中医药管理局全国名老中I关药专家传承工作室建设项HClinicalResearchofHuoxueHuayumethodcombinewithacupunctureandmoxib

3、ustionintreatingQistagnancyandBloodstasistypelumbardiscogenicpainZHANGJiweiHUANGJunqingHenanUniversityofChineseMedicine;HenanProvinceHospitalofTraditionalChineseMedicine;Abstract：Objective:ToobservetheeffectofHuoxueHuayumethodcombinewithacupunctureandmoxibustionintreatingQistagnancyandBloods

4、tasistypelumbardiscogenicpain.Methods:Atotalof48patientswithdiscogeniclowbackpainwererandomlydividedintotreatmentgroupandcontrolgroup(24cases).Thetreatmentgroupweretreatedwiththesamemethodofacupunctureandmoxibustion,andthecontrolgroupwasgiventheAescuvenforteatablets,themecobalamintablets,the

5、loxoprofensodiumtablets(LcSong)orally.2groupswerewiththebackmusclesexercise.Aftertheendofthecourseoftreatment,theclinicalefficacy,VASscore,lumbardysfunctionquestionnaire(Roland-Morris)scorewerecompared.Results:Thetotaleffectiveratewas91.67%inthetreatmentgroupand75%inthecontrolgroup.Thediffer

6、encewasstatisticallysignificant.TheVASscoreofthetwogroupswassignificantlylowerthanthatbeforetreatment(P<0.05),andtheVASscoreofthetreatmentgroupwaslowerthanthatofthecontrolgroup.ThescoresofRoland-Morriswerelowerthanthosebeforetreatment,andtheRoland-Morrisscoreofthetreatmentgroupwaslowerthanth

7、atofthecontrolgroup.Noadversereactionsoccurredinthetwogroups.Conclusion:HuoxueHuayucombinedwithacupunctureanclmoxibustiontreatmentofQistagnationandbloodstasistypeofdiscogeniclowbackpainclinicalefficacy,simple,economical,safe,worthyofclinicalpromoti