自拟腰痹舒筋汤治疗腰椎间盘突出症气虚血瘀型临床观察及分析.docVIP

精品论文 参考文献 自拟腰痹舒筋汤治疗腰椎间盘突出症气虚血瘀型临床观察及分析 贵阳中医学院第一附属医院骨伤科 贵州 贵阳 550001； .贵阳中医学院 550001；3贵州省疾病预防控制中心职业病防治所 550001 基金项目：贵州省科学技术基金项目 黔科合J字[2010]2226 [摘要] 目的：通过腰痹舒筋汤对腰椎间盘突出症（气虚血瘀型）治疗效果，探析腰椎间盘突出症传统病机与现代病理机制的联系 方法：腰痹舒筋汤组与对照组各60例对腰椎间盘突出症的治疗，从中药药理、疗效来观察。结果：两组腰腿疼痛评估，治疗组明显高于对照组(Plt;0.01),腰椎间盘突出程度组内、组间比较,治疗组高于对照组（Plt;0.01），而疗效比较，无明显差别（Pgt;0.05）。结论：从方中现代药理与传统药理分析对照，试探该病传统病机与现代病理机制关联性，从而为中药现代化及治疗相关疾病提供一种思考方式。 关键词：腰痹舒筋汤 腰椎间盘突出症 气虚血瘀型 【中图分类号】R678.22【文献标识码】A【文章编号】1001-5213(2016)09-0342-01 Abstract: Objective To study the connection and relation between the traditional pathology and modern pathogenetic mechanism of lumbar intervertebral disc protrusion by studying the therapeutic effects of Yaobi Shujin Decoction in patients with lumbar intervertebral disc protrusion. Methods The patients were divided into two groups: the Yaobi Shujin decoction group and the control group. The therapeutic effects and the pharmacology of Chinese medicine of both groups were compared and observed. Results By comparison, the pain intensity of the Yaobi Shujin Decoction group was more relieved than the control group（P＜0.01）,while the protrusion level of the treatment group patientsrsquo; lumbar intervertebral disc was less herniated than that of the control group（Plt;0.01）. However, the therapeutic effects of both groups showed no significant difference.（P＞0.05）. Conclusion By comparing the Yaobi Shujin Decoctionrsquo;s modern pharmacology and traditional pharmacology and studying the relation between itsrsquo; traditional pathology and modern pathogenetic mechanism, a new way of thinking for the modernization of Chinese medicine and treatment for relative disease is provided. Key word: Yaobi Shujin Decoction;；Lumbar Intervertebral Disc Protrusion；blood stasis due to stagnated qi type 本研究结合相关文献[1]报道，提出该分型需选择不同方药才能更好体现中医药辩证论治的精髓，故本方大量使用于临床后，疗效显著，并在使用过程中从该病中西医机理及药理针对气虚血瘀型进行疗效观察，以便得到符合该病理变化的用药依据，本研究现将该方治疗用药及药理分析研究分述如下： 1、临床资料 1.1研究对象 1.1.1 一般资料 从