中医熨治法治疗腰腿疼痛(寒湿痹阻)随机平行对照研究
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摘要
[目的]观察中医熨治法治疗腰腿疼痛(寒湿痹阻)疗效。[方法]使用随机平行对照方法,将120例病人按住院号抽签方法随机分为两组。对照组60例活血止痛软胶囊,2粒/次,3次/d;布洛芬,1粒/次,2次/d。治疗组60例中药外敷(麻黄、当归各30g,红花20g,姜~干、桂枝、牛膝、白芷、木瓜、羌活、独活各30g,威灵仙60g,细辛、川乌~制各30g,乳香、没药各20g),药物碾碎后放入布袋隔锅蒸,适宜温度敷疼痛位部,1次/d。连续治疗7d为1疗程。观测临床表现、VAS评分、不良反应。连续治疗3疗程(21d),判定疗效。[结果]治疗组临床痊愈41例,显效10例,有效6例,无效3例,总有效率95.00%;对照组临床痊愈28例,显效8例,有效7例,无效12例,总有效率80.00%;治疗组疗效优于对照组(P<0.05)。疼痛评分两组均有降低(P<0.01),治疗组降低多于对照组(P<0.01)。[结论]中医熨治法治疗腰腿疼痛(寒湿痹阻),疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of ironing therapy of TCM on lumbar and leg pain(cold-dampness obstruction). [Method] 120 patients were randomly divided into two groups by drawing lots according to the number of hospitalization. The control group consisted of 60 cases of Huoxue Zhitong Soft Capsules, 2 capsules per time, 3 times per day; ibuprofen, 1 capsule per time, 2 times per day. 60 cases in the treatment group were treated with external application of Chinese herbs(Mahuang, Danggui each30 g, Honghua 20 g, Ganjiang, Guizhi, Baizhi, Mugua, Qianghuo, Duhuo each 30 g, Weilingxian 60 g, Xixin,Zhichuanwu each 30 g, Ruxiang, Moyao each 20 g). After crushing, the medicines were steamed in a cloth bag and separated pot. The appropriate temperature was applied to the pain area once a day. Continuous treatment for 7 days is a course of treatment. Clinical manifestations, VAS scores and adverse reactions were observed.Continuous treatment for 3 courses(21 days) to determine the efficacy. [Result] In the treatment group, 41 cases were cured, 10 cases were markedly effective, 6 cases were effective, 3 cases were ineffective, and the total effective rate was 95.007%. In the control group, 28 cases were cured, 8 cases were markedly effective,7 cases were effective, 12 cases were ineffective, and the total effective rate was 80.00%. The curative effect of the treatment group was better than that of the control group(P<0.05). Pain scores were decreased in both groups(P<0.01), and the decrease in treatment group was more than that in control group(P<0.01).[Conclusion] The traditional Chinese medicine ironing therapy for lumbar and leg pain(cold-dampness obstruction) has satisfactory curative effect and no serious adverse reactions, which is worthy of promotion.
[Objective] To observe the curative effect of ironing therapy of TCM on lumbar and leg pain(cold-dampness obstruction). [Method] 120 patients were randomly divided into two groups by drawing lots according to the number of hospitalization. The control group consisted of 60 cases of Huoxue Zhitong Soft Capsules, 2 capsules per time, 3 times per day; ibuprofen, 1 capsule per time, 2 times per day. 60 cases in the treatment group were treated with external application of Chinese herbs(Mahuang, Danggui each30 g, Honghua 20 g, Ganjiang, Guizhi, Baizhi, Mugua, Qianghuo, Duhuo each 30 g, Weilingxian 60 g, Xixin,Zhichuanwu each 30 g, Ruxiang, Moyao each 20 g). After crushing, the medicines were steamed in a cloth bag and separated pot. The appropriate temperature was applied to the pain area once a day. Continuous treatment for 7 days is a course of treatment. Clinical manifestations, VAS scores and adverse reactions were observed.Continuous treatment for 3 courses(21 days) to determine the efficacy. [Result] In the treatment group, 41 cases were cured, 10 cases were markedly effective, 6 cases were effective, 3 cases were ineffective, and the total effective rate was 95.007%. In the control group, 28 cases were cured, 8 cases were markedly effective,7 cases were effective, 12 cases were ineffective, and the total effective rate was 80.00%. The curative effect of the treatment group was better than that of the control group(P<0.05). Pain scores were decreased in both groups(P<0.01), and the decrease in treatment group was more than that in control group(P<0.01).[Conclusion] The traditional Chinese medicine ironing therapy for lumbar and leg pain(cold-dampness obstruction) has satisfactory curative effect and no serious adverse reactions, which is worthy of promotion.
引文
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[2]中华人民共和国卫生部.涉及人的生物医学研究伦理审查办法(试行)[S].(2007-03-26)[2017-03-01].http://www.moh.gov.cn/qjjys/s3581/200804/b9f1bfee4ab344ec892e68097296e2a8.shtml.
[3]周仲瑛.中医内科学[M].7版.北京:中国中医药出版社,2207:512.
[4]国家中医药管理局.中药新药临床研究指导原则[M].北京:中国中医药科技出版社,2002.
[5]姜伟巍,李丽娜,徐立萍.老年人慢性腰腿痛病因分析及治疗[J].世界最新医学信息文摘,2015,15(15):127-128.
[6]孙权,兰杰,苗军.腰痹通胶囊缓解腰背部疼痛的Meta分析[J].临床合理用药杂志,2018,11(5):74-76.
[7]郝秀荣.布洛芬的临床应用[J].社区医学杂志,2008,6(22):18-19.
[8]严广斌.视觉模拟评分法[J].中华关节外科杂志(电子版),2014,8(2):34.
[9]黄帝内经素问[M].北京:人民卫生出版社,2012:67.
[10]张红星,黄国付,周利,等.浅谈经脉--脏腑相关[J].针灸临床杂志,2007,23(1):1-2.
[11]李连岁.中医熨治法治疗腰腿痛效果观察[J].护理学杂志,2006,21(9):14-15.
[12]高学敏.中药学[M].北京:中国中医药出版社,2007.