【目的】 观察黄芪当归复方汤剂联合石氏针刺疗法治疗气血亏虚型产后腰痛的临床疗效。【方法】 选取 2021 年 3 月至 2024年2月河北中医学院第二附属医院门诊及病房收治的138例明确诊断为产后腰痛的患者作为研究对象。按照随机数字表 将患者随机分为观察组和对照组，每组各69例。对照组给予布洛芬缓释胶囊联合石氏针刺疗法治疗，观察组在对照组治疗 的基础上，给予黄芪当归复方汤剂治疗，2组均治疗4周。治疗后，评价2组临床疗效。观察2组患者治疗前后Oswestry功能 障碍指数（ODI）和疼痛视觉模拟量表（VAS）评分的变化情况，以及SF-36生活质量量表评分的情况。比较2组患者治疗前后 促卵泡生成素（FSH）、黄体生成素（LH）、雌二醇（E2）水平的变化情况，并评价2组的安全性及不良反应的发生情况。【结果】 （1）观察组总有效率为92.75%（64/69），对照组为79.71%（55/69）。观察组疗效优于对照组，差异有统计学意义（P＜0.05）。（2）治 疗后，2组患者的 ODI和 VAS评分均明显改善（P＜0.05），且观察组在改善 ODI和 VAS评分方面明显优于对照组，差异有统 计学意义（P＜0.05）。（3）治疗后，2组患者 SF-36生活质量量表评分明显改善（P＜0.05），且观察组在改善 SF-36生活质量量 表评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（4）治疗后，观察组FSH、LH和E2水平明显改善（P＜0.05），且 观察组在改善FSH、LH和E2水平方面明显优于对照组，差异有统计学意义（P＜0.05）。治疗后，对照组FSH、LH和E2水平 稍有改善，但与治疗前比较，差异无统计学意义（P＞0.05）。（5）观察组与对照组的不良反应发生率比较，差异无统计学意义 （P＞0.05）。【结论】 黄芪当归复方汤剂联合石氏针刺疗法治疗气血亏虚型产后腰痛，能明显减轻患者的疼痛症状，改善患者 的腰椎功能，调节性激素水平，提高患者的生活质量，疗效显著，安全性好。

Objective To observe the clinical efficacy of Huangqi Danggui Compound Decoction （mainly composed of Astragali Radix，Angelicae Sinensis Radix，etc.） combined with Shi’s Acupuncture Therapy in the treatment of postpartum low back pain due of qi and blood depletion type. Methods A total of 138 patients diagnosed with postpartum low back pain from March 2021 to February 2024 in the outpatient and inpatient departments of the Second Affiliated Hospital of Hebei University of Chinese Medicine were selected as the study subjects. The patients were randomly divided into an observation group and a control group using a random number table， with 69 cases in each group. The control group was treated with Ibuprofen Sustained-Release Capsules combined with Shi’s Acupuncture Therapy，while the observation group was additionally treated with Astragalus and Angelica Compound Decoction on the basis of the control group’s treatment. Both groups were treated for 4 weeks. After treatment，the clinical efficacy of the two groups was evaluated. The changes in Oswestry Disability Index （ODI） and Visual Analogue Scale （VAS） scores before and after treatment，as well as the SF-36 Quality of Life Scale scores，were observed. The changes in follicle-stimulating hormone（FSH），luteinizing hormone（LH）， and estradiol（E2） levels were compared before and after treatment， and the safety and incidence of adverse reactions in the two groups were evaluated. Results （1） The total effective rate in the observation group was 92.75%（64/69）， while it was 79.71%（55/69） in the control group. The efficacy of the observation group was superior to that of the control group，with a statistically significant difference （P＜0.05）.（2） After treatment，the ODI and VAS scores of both groups were significantly improved（P＜0.05）， and the observation group showed significantly better improvement in ODI and VAS scores compared to the control group， with a statistically significant difference（P＜0.05）.（3）After treatment， the SF-36 Quality of Life Scale scores of both groups improved significantly （P＜0.05），and the observation group showed significantly better improvement in SF-36 scores compared to the control group，with a statistically significant difference（P＜0.05）.（4）After treatment，the FSH，LH，and E2 levels in the observation group were significantly improved（P＜0.05），and the observation group showed significantly better improvement in FSH，LH，and E2 levels compared to the control group，with a statistically significant difference（P＜0.05）. In the control group， the FSH， LH， and E2 levels improved slightly，but there was no statistically significant difference compared to before treatment（P＞0.05）.（5） There was no statistically significant difference in the incidence of adverse reactions between the observation group and the control group（P＞0.05）. Conclusion Huangqi Danggui Compound Decoction combined with Shi’s Acupuncture Therapy in the treatment of postpartum low back pain due to qi and blood depletion can significantly alleviate pain symptoms，improve lumbar function，regulate sex hormone levels，and enhance the quality of life of patients， with significant efficacy and good safety.

R246.9

河北省中医药管理局科研计划资助项目（编号：2022406）