世界中医药

目的：观察中药联合针刺对退变性腰椎管狭窄症的治疗效果。方法：将129例退变性腰椎管狭窄症患者作为研究对象，采用随机数字表法分为对照组和观察组，观察组又分为中药观察组、针刺观察组和联合观察组。对照组予消炎止痛和营养神经药物治疗，中药组使用中药辨证施治，针刺组采用普通针刺治疗。比较各组的临床疗效。结果：各观察组治疗有效率均高于对照组，差异有统计学意义，联合治疗优于单一治疗，单纯气虚血瘀型针刺效果好，伴有阴虚或阳虚者使用中药优于针刺。结论：中药和针刺治疗可以明显缓解退变性腰椎管狭窄患者的症状，联合治疗优于单一治疗，根据患者的具体情况选择相应的治疗方案可以提高疗效和减少不良反应。

English Summary:

To observe the clinical effects of traditional Chinese herbal medicine combined with acupuncture in treatment of patients with degenerative lumbar spinal stenosis. Methods:A total of 129 patients with degenerative lumbar spinal stenosis who were diagnosed in our hospital from September 2015 to August 2016 were randomly divided into control group and 3 treatment groups including TCM treatment group, acupuncture treatment group and combination therapy group. The control group was treated with anti-inflammatory and analgesic medicines, and the Chinese medicine group used the syndrome differentiation treatment of traditional Chinese medicine. The acupuncture group was treated with ordinary acupuncture, and the combination group accepted the both treatments above. Therapeutic effects of each group were compared. Results:The efficacy rates of all the 3 treatment groups were better than the control group, and the differences were statistically significant. Combined treatment group was superior to single therapy. The acupuncture was suitable to the qi deficiency and blood stasis. As for Yin deficiency or Yang deficiency people, traditional Chinese medicine is better than acupuncture. Conclusion:Traditional Chinese herbal Medicine and acupuncture can significantly alleviate the symptoms of patients with degenerative lumbar spinal stenosis, and combination therapy is superior to single therapy. According to the specific circumstances of patients, the appropriate treatment can be used to improve the efficacy, and reduce the side effects.

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