自拟中药方剂联合全杜仲胶囊治疗腰间盘突出症的临床效果分析

文章信息/Info

• Title:自拟中药方剂联合全杜仲胶囊治疗腰间盘突出症的临床效果分析

• 卷期:2025年23卷16期

• 作者:李东生 卢志芳

• 宁都县人民医院脊柱外科 江西赣州  342800

• Author(s):Li Dongsheng, Lu Zhifang

• Ningdu County People's Hospital Spinal Surgery Department Ganzhou City, Jiangxi Province 342800

• 关键词：腰间盘突出症;自拟中药方剂;全杜仲胶囊;针灸；疗效评估

• Keywords: All Eucommia ulmoides capsules; Acupuncture and moxibustion; Efficacy evaluation

• 摘要:目的：探究自拟中药方剂联合全杜仲胶囊治疗治疗腰间盘突出症的临床效果分析。方法：选择时间为2021年1月至2023年1月，腰间盘突出症患者60例，随机分为观察组（自拟中药方剂与全杜仲胶囊联合治疗）;对照组（传统针灸与全杜仲胶囊联合治疗），各30例。比较分析中医证候积分、疾病疼痛程度评分、疾病疗效等。结果：两组在干预前的中医证候积分无差异（P＞0.05），治疗后观察组低于对照组（P＜0.05）；两组干预前疼痛程度无差异（P＞0.05），治疗后观察组低于对照组（P＜0.05）；观察组总有效率29例（96.67%）高于对照组20例（66.67%）（P＜0.05）。结论：对于腰间盘突出症患者，通过采用自拟中药方剂与全杜仲胶囊联合治疗，将明显改善患者中医证候积分，改善疼痛程度，提升对腰间盘突出症的治疗效果，适合应用于临床推广。                                                                                                                                                                                

• AbstractObjective:To explore the clinical efficacy analysis of self-made traditional Chinese medicine formula combined with Quan Du Zhong capsule in the treatment of lumbar disc herniation. Method: Sixty patients with lumbar disc herniation from January 2021 to January 2023 were selected and randomly divided into an observation group (treated with a combination of self-made traditional Chinese medicine formula and whole Eucommia capsule); The control group (traditional acupuncture and moxibustion combined with Duzhong capsule), 30 cases each. Compare and analyze traditional Chinese medicine syndrome scores, disease pain scores, disease efficacy, etc. Result: There was no difference in the TCM syndrome scores between the two groups before intervention (P>0.05), and after treatment, the observation group was lower than the control group (P<0.05) and after treatment, the observation group was lower than the control group (P<0.05); The total effective rate of 29 cases (96.67%) in the observation group was higher than that of 20 cases (66.67%) in the control group (P<0.05). Conclusion: For patients with lumbar disc herniation, the combination of self-designed traditional Chinese medicine formulas and Quan Du Zhong capsules will significantly improve the patient's TCM syndrome score, improve pain level, and enhance the treatment effect of lumbar disc herniation. It is suitable for clinical promotion.

  在当前的临床上，腰椎间盘突出症是指因腰椎间盘外伤或纤维环退变，出现髓核、裂隙等椎间盘组织向后突出，造成神经根部水肿或充血，刺激压迫脊髓神经根，发生下肢放射痛或麻木、腰腿痛、坐骨神经痛等障碍疾病[1]。大多数患者因创伤、劳累、受凉等因素造成。如今腰间盘突出症发生率，随着人们生活方式和习惯的转变，呈现出逐渐上升的趋势，并愈加年轻化。此病症在中医学中，属于“腰腿痛”或“痹证”范围，较多患者归属于寒凝血瘀证型，每当过度劳累或寒凉，病症较重且发作较急[2]。中医治疗较为可靠，且接受度较佳。