·14·山西中医2010年12月第26卷第12期SHANXIJOFTCMDec．2010Vo1．26No．12·临床报道·补肾强筋胶囊治疗老年退行性狭窄症临床观察谢国平魏凌锋许学猛刘文刚鲁海腰椎管摘要：目的：观察补肾活血中药治疗老年退行性腰椎管狭窄症的临床疗效。方法：选择60例退行性腰椎管狭窄症患者，按随机数字表法分两组，对照组30例采用痹痛膏外敷及腹肌锻炼；治疗组30例采用内服补肾活血中药(补肾强筋胶囊)和痹痛膏外敷，以及腹肌锻炼；均治疗2周。结果：两组分别治疗l周后、治疗2周后与治疗前比较，P<0．05，均有显著性差异，且治疗组止痛效果优于对照组。治疗组3O例，治愈17例，好转10例，无效3例，总有效率90．0％；对照组30例，治愈l0例，好转13例，无效7例，总有效率76．7％，治疗组疗效优于对照组。结论：内服补肾强筋胶囊、外敷痹痛膏和腹肌锻炼治疗退行性腰椎管狭窄症的止痛效果明显优于痹痛膏外敷和腹肌锻炼，痹痛膏外敷治疗短期内可以缓解腰痛症状，补肾强筋胶囊对退行性腰椎管狭窄症患者有较好的临床疗效和止痛效果，随用药时间延长，其止痛效果及临床疗效更好。关键词：退行性腰椎管狭窄症；补肾强筋胶囊：痹痛膏：中医药疗法中图分类号：R681．55文献标识码：B文章编号：1000—7156(2010)12—0014—03ClinicalCurativeEfectObservationofChineseMedicineofInvigoratingKidneytoMakeTendonStrongonSenileRetrogressingLumbarSpinalStenosisXIEGUO—ping，WEILing一ng，XUXue—meng，eta1．(TheSecondTCMHospitalinGuangdong，Guangzhou，510095，China)Abstract：Objective：ToobservethecurativeeffectofChinesemedicineofinvigoratingkidneytomaketen—donstrongonsenileretrogressinglumbarspinalstenosis．Method：60caseswithretrogressinglumbarspinalsteno．sisweredividedintotwogroupsrandomly．30casesincontrolgroupweretreatedwithOintmentforArthralgiaSpasmandPainandabdominalmuscleexercise，andtheother30onesintreatmentgroupweredonewithCapsuleforInvigoratingKidneytoMakeTendonStrong，OintmentforArthralgiaSpasmandPain，andabdominalmuscleexercise．Atreatmentcourseincluded2weeks．Result：Aftertreating1weekand2weeks，significantdifferenceshowedbetweenafterandbeforetreatment(P<0．05)．Intreatmentgroup，17caseswererecoveredand10oneseffective，andthetotaleffectiveratewas90．0％．Incontrolgroup10caseswererecoveredand13oneseffective．andthetotaleffectiveratewas76．7％．Thecurativeeffectoftreatmentgroupwasbetterthanthatincontrolgroup．Conclusion：TakingCapsuleforInvigoratingKidneytoMakeTendonStrongorally，applyingOintmentforArthralgiaSpasmandPainexternallyandabdominalmuscleexercisecanhealretrogressinglumbarspinalstenosis，goodeffectofrelievingpainwasbetterthanonlyOintmentforArthralgiaSpasmandPainandabdominalmuscleex—ercise．OintmentforArthralgiaSpasmandPaincanhelprelievelumbagoinshorttime，andCapsuleforInvigorat—ingKidneytoMakeTendonStrongcankillpainandshowgoodclinicalefficacy，longertimeandbettereffect．Keywords：retrogressinglumbarspinalstenosis，CapsuleforInvigoratingKidneytoMakeTendonStrong，OintmentforArthralgiaSpasmandPain，TCMtherapy退行性腰椎管狭窄症(degenerativelumbarspi—nalstenosis，DLSS)是中老年人腰腿痛的主要原因，在腰腿痛的发病原因中其发病率仅次于腰椎问盘作者简介：谢国平(1974一)，男，副主任医师，广东省第二中医院(广州510095)；魏凌锋、许学猛、刘文刚、鲁海，单位同第一作者。突出症。笔者自2008年1月至2010年2月采取口服补肾强筋胶囊和外敷痹痛膏结合腹肌锻炼治疗退行性腰椎管狭窄症患者取得了较好的临床疗效，现将临床观察结果报道如下。1临床资料1．1一般资料：所有观察对象均来自我院骨科门山西中医2010年12月第26卷第l2期SHANXIJOFTCMDec．2010Vo1．26No．12·15·诊，符合诊断标准和排除标准，共60例，按随机数字表法均分为治疗...
