通络止痛酊配合中药湿敷疗法治疗腰痛病(瘀血腰痛)的临床观察

Clinical Observation on the Treatment of Lumbago (Blood Stasis Type Lumbago) with Tongluo Zhitong Tincture Combined with Traditional Chinese Medicine Wet Compress Therapy

摘要: 目的：观察通络止痛酊配合中药湿敷疗法治疗腰痛病(瘀血腰痛)的临床疗效与安全性，为瘀血腰痛提供安全、有效、便捷的中医外治方案。方法：选取2024年6月~2025年6月黑龙江中医药大学附属第三医院及齐齐哈尔市中医医院骨科收治的120例瘀血腰痛患者，采用随机分组法分为治疗组、对照组，各60例。对照组予以氟比洛芬凝胶贴膏外用，治疗组予以自拟通络止痛酊配合中药湿敷治疗。以视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、日本骨科学会(JOA)腰椎评分为观察指标，参照《中医病证诊断疗效标准》评定疗效，记录不良事件评估安全性。结果：治疗后，两组VAS、ODI均较治疗前显著降低(P < 0.05)，JOA显著升高(P < 0.05)；治疗组改善优于对照组(P < 0.05)。治疗组总有效率96.67%，对照组86.67%，差异有统计学意义(P < 0.05)。两组均无严重不良事件。结论：通络止痛酊配合中药湿敷在缓解瘀血腰痛疼痛、改善腰椎功能方面更显著。

Abstract: Objective: To observe the clinical efficacy and safety of Tongluo Zhitong Tincture combined with traditional Chinese medicine wet compress therapy in the treatment of lumbago of blood stasis type, so as to provide a safe, effective and convenient external therapy of traditional Chinese medicine for blood stasis lumbago. Methods: A total of 120 patients with blood stasis lumbago admitted to the Department of Orthopedics of the Third Affiliated Hospital of Heilongjiang University of Chinese Medicine and Qiqihar Hospital of Traditional Chinese Medicine from June 2024 to June 2025 were selected and randomly divided into a treatment group and a control group, with 60 cases in each group. The control group was treated with external Flurbiprofen Cataplasms, while the treatment group received self-formulated Tongluo Zhitong Tincture combined with traditional Chinese medicine wet compress therapy. The observation indicators included Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) and Japanese Orthopaedic Association (JOA) lumbar score. The therapeutic effect was evaluated in accordance with the Criteria for Diagnosis and Therapeutic Effect of Traditional Chinese Medicine Diseases and Syndromes, and adverse events were recorded to assess safety. Results: After treatment, the VAS and ODI scores of both groups were significantly lower than those before treatment (P < 0.05), while the JOA scores were significantly higher (P < 0.05); the improvement degree in the treatment group was superior to that in the control group (P < 0.05). The total effective rate was 96.67% in the treatment group and 86.67% in the control group, with statistically significant difference (P < 0.05). No severe adverse events occurred in either group. Conclusion: Tongluo Zhitong Tincture combined with traditional Chinese medicine wet compress yields more remarkable effects in alleviating pain and improving lumbar function in patients with blood stasis lumbago.