| 引用本文:石雷1，柳根哲2.身痛逐瘀汤联合磁振热治疗腰椎间盘突出症（血瘀气滞型）的临床观察[J].世界中医药,2016,(09):. |
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| 身痛逐瘀汤联合磁振热治疗腰椎间盘突出症（血瘀气滞型）的临床观察 |
| Clinical Study of General Pain Stasis-Expelling Decoction Combining Magneto-caloric Therapeutic Apparatus in Treatment of Lumbar Disc Herniation of Blood Stasis and Qi Stagnation Syndrome |
| 投稿时间：2016-03-16 |
| DOI：10.3969/j.issn.1673-7202.2016.09.021 |
| 中文关键词: 腰椎间盘突出症（血瘀气滞型） 身痛逐瘀汤 磁振热 |
| English Keywords:Lumbar disc herniation of blood stasis and qi stagnation syndrome General Pain Stasis-Expelling Decoction Magneto caloric therapeutic apparatus |
| 基金项目:北京市顺义区科技三项费项目（编号：SY-201501）；北京市顺义区科委课题（编号：SY-201501） |
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| 中文摘要: |
| 目的：以中药汤剂内服（身痛逐瘀汤）配合物理疗法治疗血瘀气滞型LDH（腰椎间盘突出症），观察其疗效。方法：将64例2015年1月至2016年2月于我院住院的血瘀气滞型LDH患者随机分为治疗组和对照组2组，每组32例。对照组采用磁振热治疗，治疗组于对照组基础上口服中药身痛逐瘀汤，随症加减。根据日本JOA下腰痛评分标准分别计算治疗前后患者的JOA积分，组间比较治疗优良率和总有效率。结果：1个疗程（14 d）治疗结束，2组总有效率：治疗组96.875%、对照组81.25%，P<0.05，2组差异有统计学意义；治疗组优良率是90.625%，对照组优良率是53.125%，P<0.05，差异具有统计学意义。结论：应用内外兼治法（口服身痛逐瘀汤联合局部磁振热治疗）治疗血瘀气滞型LDH临床疗效显著，值得广泛应用及临床推广。 |
| English Summary: |
| To study the effect of General Pain Stasis-Expelling Decoction combining magneto-caloric therapeutic apparatus(MTA)in the treatment of lumbar disc herniation of blood stasis and qi stagnation syndrome.Methods:During 2015 January to February in Beijing Traditional Chinese Medicine Hospital Shunyi Branch，64 inpatients diagnosed as lumbar disc herniation of blood stasis and qi stagnation syndrome were randomly divided into treatment group and control group，32 patients in each group.Patients in control group were treated by MTA.Others were given General Pain Stasis-Expelling Decoction in addition to MTA in treatment group.The decoction was modified in accordance with syndromes.In order to make comparison on treatment excellent rate and overall response rate between two groups，JOA scores before and after treatment were calculated according to Japanese JOA low back pain scoring matrix.Results:After one course of treatment，the overall response rate was 96.875% in treatment group and 81.25% in control group，which was statistically significant asP<0.05.The excellent rate was 90.625% in treatment group and 51.125% in control group，which was statistically significant asP<0.05.Conclusion:General Pain Stasis-Expelling Decoction combining MTA should be promoted in front line for it’s significant clinical effect in the treatment of blood stasis and qi stagnation syndrome lumbar disc herniation. |
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