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Observation on the early clinical effect of Danggui Sini Decoction plus or minus in the treatment of postmenopausal low back pain |
ZENG Su-ping ZHANG Si-qing LI Qing-jiao ZHU Chun-xia HU Zhu-lian YANG Jia-lin XU Hui |
Department of Obstetrics and Gynecology, Maternal and Child Health Care Hospital of Xingguo County, Jiangxi Province, Xingguo 342400, China |
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Abstract Objective To study the effect of early treatment with Danggui Sini Decoction plus or minus in postmenopausal patients with low back pain. Methods A total of 60 patients with postmenopausal low back pain admitted to the Department of Gynecology and Obstetrics, Maternal and Child Health Care Hospital of Xingguo County from November 2018 to November 2020 were selected as the research subjects and divided into control group and treatment group by random number table method, with 30 patients in each group. The control group was treated with conventional anti-osteoporosis regimen. The treatment group was treated with Danggui Sini Decoction plus or minus scheme. The total effective rate of drug therapy was compared between the two groups. The total incidence of adverse reactions between the two groups was compared and recorded. The time of pain symptoms to disappear, the time when lumbar and back mobility returned to normal, and the total time of hospitalization were compared between the two groups. The pain degree, quality of life and Oswestry disability index (ODI) scores were compared between the two groups before and after treatment. Bone mineral density before and after treatment was compared between the two groups. Results The total effective rate of drug therapy in treatment group was higher than that in the control group, the difference was statistically significant (P<0.05). The total incidence of adverse drug reactions in the treatment group was lower than that in the control group, and the difference was statistically significant (P<0.05). The time of pain disappearance, the time of low back activity returning to normal and the total time of hospitalization in the treatment group were shorter than those in the control group, and the differences were statistically significant (P<0.05). After treatment, ODI score and visual analogue scale (VAS) score in the treatment group were lower than those in the control group, and the MOS item short from health survey (SF-36) score in the treatment group was higher than that in the control group, the differences were statistically significant (P<0.05). After treatment, there was no significant difference in T value of bone mineral density between the two groups (P>0.05). Conclusion Early treatment of postmenopausal low back pain patients with Danggui Sini Decoction plus or minus scheme can reduce the total incidence of adverse reactions, relieve pain in a short time, restore the activity of the back and back, shorten the total time of disease control and treatment, and significantly improve the total effective rate.
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[1] |
何铭晟.颈肩腰腿痛患者经针灸结合中药除痹汤熏洗治疗的疼痛及功能改善分析[J].世界最新医学信息文摘,2018,18(59):132,134.
|
[2] |
中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松症诊疗指南(2017)[J].中国骨质疏松杂志,2019,25(3):281-309.
|
[3] |
李凌冰,陈礼平,蒋嘉浩.中药熏洗联合针灸理疗在颈肩腰腿痛治疗中的应用效果[J].当代医学,2018,24(13):108-109.
|
[4] |
中华中医药学会.绝经后骨质疏松症(骨痿)中医药诊疗指南(2019年版)[J].中医正骨,2020,32(2):1-12.
|
[5] |
韩四勋,张平.中药熏蒸联合神经阻滞治疗腰椎间盘突出症临床疗效观察[J].环球中医药,2016,12(2):222-224.
|
[6] |
沙磊磊.关于中药熏洗与针灸理疗、运动手法的结合对颈肩腰腿痛治疗的研究[J].临床医药文献电子杂志,2018,5(70):36,38.
|
[7] |
徐军娟,裘雅芬,冯燕等.坤泰胶囊治疗围绝经期综合征疗效及对早期症状的改善观察[J].中国药师,2016,19(1):130-132.
|
[8] |
李菲,李志红,郭淑芹,等.围绝经期及绝经后女性2 型糖尿病患者非酒精性脂肪性肝病与亚临床甲状腺功能减退的关系[J].实用医学杂志,2015,31(4):547-549.
|
[9] |
赵宁,雷勇,刘忠杰,等.低频小剂量雌激素联合坤泰胶囊治疗围绝经期综合征临床疗效观察[J].河北医药,2016,38(19):2989-2991.
|
[10] |
李建国,谢兴文,李宁,等.绝经后骨质疏松症的中医脏腑认识及治疗现状[J].中国中医基础医学杂志,2019,25(3):410-412.
|
[11] |
仇宋明,尹恒,王建伟.基于“脾肾相关”论治疗骨质疏松症的研究进展[J].中国骨质疏松杂志,2019,25(12):1809-1811.
|
[12] |
李延红,龚福太,石耀武,等.原发性骨质疏松症中西医结合治疗现状及研究进展[J].中国骨质疏松杂志,2017,23(5):690-694.
|
[13] |
程秋平,刘晓瑜,谢慰.温针灸结合体位调整护理法治疗椎间盘源性下腰痛临床观察[J].中国中医急症,2016,25(9):1749-1752.
|
[14] |
胡萌萌,蔡慧慧,卜德云,等.女性围绝经期综合征相关影响因素及健康管理干预效果分析[J].中国医学创新,2020,17(16):26-27.
|
[15] |
曾文泓,王丽华,梅鸥.二至丸治疗绝经后肝肾阴虚型骨质疏松症的临床效果及对骨生化标志物的影响[J].中国医学创新,2020,17(11):78-79.
|
|
|
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