健腰通络丸联合揿针治疗肝肾亏虚型腰痛临床研究

Clinical Research on Jianyao Tongluo Wan Combined with Pressing Needles in the Treatment of Low Back Pain Caused by Deficiency of Liver and Kidney

摘要: 目的：探究健腰通络丸联合揿针治疗肝肾亏虚型腰痛的临床疗效。方法：选取2018年10月至2024年12月在十堰市中医医院诊治的肝肾亏虚型腰痛患者200例，随机分为对照组和治疗组，每组各100例，对照组给予常规治疗，治疗组除常规治疗外，加用健腰通络丸口服及揿针治疗。对比两组的临床疗效、中医症候积分、VAS评分、JOA评分及生活质量评分。结果：治疗组总有效率显著高于对照组(P < 0.05)；治疗组中医症候积分、VAS评分显著低于对照组，JOA评分及生活质量评分显著高于对照组(P < 0.05)。结论：健腰通络丸联合揿针治疗肝肾亏虚型腰痛疗效确切，能有效改善临床症状，提高患者生活质量。

Abstract: Objective: To investigate the clinical efficacy of Jianyao Tongluo Wan combined with press needle in the treatment of low back pain due to liver and kidney deficiency. Methods: A total of 200 patients with low back pain of liver and kidney deficiency type, diagnosed and treated at Shiyan Traditional Chinese Medicine Hospital from October 2018 to December 2024, were selected. They were randomly divided into a control group and a treatment group, with 100 cases in each group. The control group received conventional treatment. In addition to conventional treatment, the treatment group was given oral Jianyao Tongluo Wan and treated with press needles. The clinical efficacy, Traditional Chinese Medicine (TCM) syndrome scores, Visual Analog Scale (VAS) scores, Japanese Orthopaedic Association (JOA) scores, and quality of life scores were compared between the two groups. Results: The total effective rate in the treatment group was significantly higher than that in the control group (P < 0.05). The TCM syndrome scores and VAS scores in the treatment group were significantly lower than those in the control group, while the JOA scores and quality of life scores were significantly higher than those in the control group (P < 0.05). Conclusion: The combination of Jianyao Tongluo Wan and press needle has a definite therapeutic effect in the treatment of low back pain due to liver and kidney deficiency. It can effectively improve clinical symptoms and enhance the quality of life for patients.