摘要 目的：观察中药联合针刺对退变性腰椎管狭窄症的治疗效果。方法：将129例退变性腰椎管狭窄症患者作为研究对象，采用随机数字表法分为对照组和观察组，观察组又分为中药观察组、针刺观察组和联合观察组。对照组予消炎止痛和营养神经药物治疗，中药组使用中药辨证施治，针刺组采用普通针刺治疗。比较各组的临床疗效。结果：各观察组治疗有效率均高于對照组，差异有统计学意义，联合治疗优于单一治疗，单纯气虚血瘀型针刺效果好，伴有阴虚或阳虚者使用中药优于针刺。结论：中药和针刺治疗可以明显缓解退变性腰椎管狭窄患者的症状，联合治疗优于单一治疗，根据患者的具体情况选择相应的治疗方案可以提高疗效和减少不良反应。

    关键词 退变性腰椎管狭窄症；中医药疗法；针刺

    Abstract Objective：To observe the clinical effects of traditional Chinese herbal medicine combined with acupuncture in treatment of patients with degenerative lumbar spinal stenosis. Methods：A total of 129 patients with degenerative lumbar spinal stenosis who were diagnosed in our hospital from September 2015 to August 2016 were randomly divided into control group and 3 treatment groups including TCM treatment group ......