世界中医药

目的：探讨腰椎手法推拿结合血府逐瘀汤加减治疗急性腰扭伤的临床疗效。方法：将126例急性腰扭伤患者随机分为对照组和治疗组各63例，对照组给予腰椎手法推拿治疗，治疗组在对照组治疗基础上加用血府逐瘀汤加减治疗。结果：治疗组总有效率98.41%明显优于对照组的85.71%，差异有统计学意义(P<0.05)；治疗第4天、第10天，2组视角模拟评分法(Visual Analogue Scale/Score，VAS)评分均较治疗前明显降低，但治疗组均改变更为显著，差异均有统计学意义(P<0.05)，治疗组治疗第4天与对照组治疗第10dVAS评分差异无统计学意义(P>0.05)；2组治疗期间均未出现明显不良反应。结论：腰椎手法推拿结合血府逐瘀汤加减治疗急性腰扭伤，调和气血，活血化瘀，舒筋止痛，可迅速缓解腰部疼痛，综合疗效优异，安全高效，值得临床进一步研究推广。

English Summary:

To investigate the clinical effect of lumbar manipulation of tuina combined with modified Xuefu Zhuyu Decoction in treating acute lumbar sprain clinical. Methods:One hundred and twenty six patients of acute lumbar sprain were randomly divided into control group and treatment group. The 63 patients in control group were given lumbar manipulation of tuina， while the patients in treatment group received modified Xuefu Zhuyu decoction apart from lumbar manipulation of tuina. Results:The total effective rate in treatment group and control group were respectively 98.41% and 85.71%， which showed significant differences (P<0.05); compared with the baseline data， the VAS score on the 4th day and 10th day of the treatment in both of the groups showed significant decrease， while better improvement was showed in the treatment group (P<0.05); there were no significant differences when comparing the VAS score on the 4th day of the treatment group with VAS score on the 10th day of the control group (P>0.05). There were no adverse reactions occurred in both groups during the treatment. Conclusion: Lumbar manipulation of tuina combined with modified Xuefu Zhuyu Decoction in treating acute lumbar sprain could reconcile blood， promote blood circulation， remove blood stasis， relieve muscle pain， rapidly relieve lumbar pain with satisfactory curative effect and safety which is worth generalizing.

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