[1]赵继荣,刘俊豪,李玮农,等.陇中脊柱调衡手法联合杜仲腰痛丸及熥敷颈腰痛砂治疗腰椎间盘突出症临床研究[J].陕西中医,2026,(2):202-206.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.010]
　ZHAO Jirong,LIU Junhao,LI Weinong,et al.Clinical study on treatment of protrusion of intervertebral disc with Longzhong spine regulating balance manipulation combined with Duzhong Yaotong pill and hot compress with sand for neck and low back pain[J].,2026,(2):202-206.[doi:DOI:10.3969/j.issn.1000-7369.2026.02.010]
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陇中脊柱调衡手法联合杜仲腰痛丸及熥敷颈腰痛砂治疗腰椎间盘突出症临床研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年2期
页码:
202-206
栏目:
临床研究
出版日期:
2026-02-05

文章信息/Info

Title:
Clinical study on treatment of protrusion of intervertebral disc with Longzhong spine regulating balance manipulation combined with Duzhong Yaotong pill and hot compress with sand for neck and low back pain
作者:
赵继荣1; 刘俊豪1; 李玮农2; 湛洋1; 殷红年1; 马伯骞1; 郭楷杰1; 裴亮2; 冯文渊1
（1.甘肃中医药大学，甘肃 兰州 730101；2.甘肃中医药大学附属医院，甘肃 兰州 730000）
Author(s):
ZHAO Jirong1; LIU Junhao1; LI Weinong2; ZHAN Yang1; YIN Hongnian1; MA Boqian1; GUO Kaijie1; PEI Liang2; FENG Wenyuan1
（1.Gansu University of Chinese Medicine，Lanzhou 730101，China；2.Hospital Affiliated with Gansu University of Chinese Medicine，Lanzhou 730000，China）
关键词:
腰椎间盘突出症; 陇中; 脊柱调衡手法; 杜仲腰痛丸; 熥敷颈腰痛砂
Keywords:
Lumbar disc herniation; Longzhong; Spinal balance manipulation; Duzhong Yaotong pills; Hot compress with sand for neck and low back pain
分类号:
R 274
DOI:
DOI:10.3969/j.issn.1000-7369.2026.02.010
文献标志码:
A
摘要:
目的：探究陇中特色中医方案治疗腰椎间盘突出症的临床疗效及安全性。方法：纳入100例腰椎间盘突出症患者随机分为观察组和对照组，各50例。观察组采用陇中脊柱调衡手法联合杜仲腰痛丸及熥敷颈腰痛砂方案治疗，对照组采用传统保守方案治疗。分别在接受治疗后第10天、1个月以及治疗结束后3个月、6个月评价两组Oswestry腰痛评分(ODI)、SF-MPQ评分。于治疗15 d评价两组患者的ODI评分、腰椎屈伸活动度及SF-MPQ评分。于治疗后30 d评价两组临床疗效及不良反应，并于治疗结束后6个月观察腰痛及下肢症状的复发情况。结果：观察组近期疗效愈显率为84%，对照组为66%，观察组优于对照组(P＜0.05)。治疗后观察组疼痛分级指数(PRI)、视觉疼痛评分(VAS)和现在疼痛状况(PPI)及SF-MPQ总分均低于对照组(P＜0.01)。治疗后观察组的疼痛、个人综合能力、单项功能和ODI量表总分均低于对照组(P＜0.01)。治疗后观察组腰椎前屈与后伸活动度均优于对照组(P＜0.01)。治疗后10 d、1、3、6个月，观察组SF-MPQ总分、ODI评分均低于同期对照组(P＜0.01)。结论：陇中特色非手术疗法方案治疗腰椎间盘突出症可提高临床疗效、降低复发率，优于传统保守方案，安全性较好，有着较好的近期和远期疗效。
Abstract:
Objective:To explore clinical efficacy and safety of characteristic traditional Chinese medicine (TCM) therapy in Longzhong for the treatment of lumbar disc herniation.Methods:100 patients with lumbar disc herniation were randomly divided into observation group and control group,with 50 cases in each group.The observation group were treated with Longzhong spinal balance manipulation combined with Duzhong Yaotong pills and hot compress with sand for neck and low back pain,while the control group were treated with traditional conservative therapy.The oswestry disability index (ODI) and SF-MPQ scores of both groups were evaluated at 10 days,1 month,3 months and 6 months after treatment.The ODI score,lumbar flexion and extension range of motion and SF-MPQ score of both groups were evaluated at 15 days after treatment.The clinical efficacy and adverse reactions of both groups were evaluated at 30 days after treatment,and the recurrence of low back pain and lower extremity symptoms was observed at 6 months after treatment.Results:The short-term curative effect of the observation group was 84%,and that of the control group was 66%.The observation group was superior to the control group (P＜0.05).After treatment,the pain rating index (PRI),visual pain score (VAS),present pain intensity (PPI) and total score of SF-MPQ in the observation group were lower than those in the control group (P＜0.01).After treatment,the pain,personal comprehensive ability,single function and total score of ODI scale in the observation group were lower than those in the control group (P＜0.01).After treatment,the lumbar flexion and extension range of motion in the observation group were better than those in the control group (P＜0.01).At 10 days,1 month,3 months and 6 months after treatment,the total score of SF-MPQ and ODI score of the observation group were lower than those of the control group at the same period (P＜0.01).Conclusion:The characteristic non-surgical therapy in Longzhong for the treatment of lumbar disc herniation can improve the clinical efficacy,reduce the recurrence rate,and was superior to the traditional conservative therapy.It has good short-term and long-term efficacy and good safety.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（82460940）;甘肃省科技计划项目（21ZD4FA009）
更新日期/Last Update: 2026-02-09