腰痛宁胶囊治疗第三腰椎横突综合征临床研究

摘要

Objective :To investigate the clinical efficacy of Yaotongning capsule in treating third lumbar trans-verse process syndrome .Methods :68 cases of third lumbar transverse process syndrome treated in our department of orthopedics were selected as the research subjects .They were divided into control group and observation group by random number table grouping method ,34 cases in each group .The control group was given oral aspirin plus local blocking treatment ,while the observation group was treated with Yaotongning capsule on the basis of the control group.The improvement of pain degree (VAS score ,PD value) and clinical efficacy were compared between the two groups before and after treatment .Results :After treatment 5 ,7 ,14 d ,two groups of patients with TCM symptom scores were significantly decreased ,and the observation group decreased more significantly than the control group (P＜0 .05).There was no significant difference in VAS scores and PD values before treatment in the two groups (P＞0 .05) ;the VAS scores and PD values in the two groups were significantly lower (P＜0 .05) ;the VAS scores and PD values in the observation group were significantly lower than those in the control group (P＜0 .05) ;the ODI of the two groups decreased significantly and the JOA was significantly increased (P＜0 .05) ;the observation group was treated .After treatment ,the effect was significantly better than that of the control group (P＜0 .05) ,the quali-ty of life scores of the two groups increased significantly after treatment ,and the observation group was significantly better than the control group (P＜0 .05).The effective rate of the observation group was 61 .76%(21/34) and the total effective rate was 94 .11%(32/34) ,which were significantly higher than that of the control group .The differ-ence was statistically significant (P＜0 .05).Conclusion :Yaotongning capsule can improve the clinical symptoms of the third lumbar transverse process syndrome and reduce the degree of lumbar pain in the patients .%目的:探讨腰痛宁胶囊治疗第三腰椎横突综合征的临床疗效.方法:选取第三腰椎横突综合征患者68例,随机数字表法分为对照组和观察组各34例.对照组给予口服阿司匹林加局部封闭治疗,观察组在对照组基础上给予腰痛宁胶囊治疗.比较两组治疗前后疼痛程度改善情况(VAS评分、PD值)及临床疗效.结果:治疗后5 、7 、14 d ,两组患者中医症状积分均明显下降,且观察组比对照组下降更明显(P＜0 .05).治疗前两组VAS评分、PD值无明显差异(P＞0 .05) ;治疗后两组VAS评分及PD值降低,且观察组明显优于对照组(P＜0 .05) ;两组治疗后ODI均显著降低,JOA评分明显上升(P＜0 .05) ;观察组治疗后明显优于对照组(P＜0 .05) ;治疗后两组生活质量评分升高,且观察组优于对照组( P＜0 .05) .观察组显效率61 .76%(21/34 ) 、总有效率94 .11%(32/34) ,均明显高于对照组,差异均具有统计学意义(P＜0 .05).结论:腰痛宁胶囊可显著改善第三腰椎横突综合征临床症状,减轻患者腰椎疼痛程度.