2次胶原酶溶盘加针刺综合治疗腰椎间盘突出症  

Therapeutic Effect of Acupuncture on Postoperative Recovery of Prolapse of Lumbar Intervertebral Disc

作　　者：尤小兵[1] 张向民[1] 李艳霞[2] 范勇民 

机构地区：[1]河北省邯郸市第二医院,邯郸056001 [2]邯郸市眼科医院,邯郸056002

出　　处：《中国医药导刊》2011年第10期1725-1726,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:评价针刺为主综合疗法治疗腰椎间盘突出症在胶原酶盘外2次注入溶解术后的疗效。方法:将77例患者随机分为治疗组40例和对照组37例;治疗组小剂量(600 U)间隔72 h,2次注入胶原酶行侧隐窝盘外溶解治疗,术后采用针灸和中药熏蒸治疗,针刺取肾俞、大肠俞、八醪、秩边等穴;对照组1次性注入胶原酶1200 U,仅服用西药扶他林25 mg,每日3次。两组均治疗2个月后进行疗效统计。结果:治疗组愈显率为95.0%,对照组愈显率为75.7%两组之间疗效差异有显著性意义(P<0.05)。治疗后,治疗组直观模拟标尺(VAS)评分(2.28±0.96),对照组VAS评分(3 49±11 45),两组间VAS评分比较差异有显著性意义(P<0.01)。结论:2次注入胶原酶盘外溶解治疗腰椎间盘突出症的近期疗效均优于1次性注入的方法,针刺为主的综合疗法能显著提高腰椎间盘突出症术后康复疗效。Objective：To evaluate therapeutic efect of comprehensive therapy of acupuncture as main in postoperative recovery of prolapse of lumbar intervertebral disc.Methods：Seventy-seven cases were randomly divided into an observation group（n=40）and a control group（n=37）.The observation group were treated with acupuncture at Shenshu（BL23）, Dachangshu（BL25）,Baliao（BL3I, BL32,BL33,BL34）,Zhibian（BL54）combined with polarized light.and the control group with western medicine dikeleke 75 rag,once daily. They were treated for 2 month,Results：The cure-markedly effective rate was 95.0% in the observation group and 75.7% in the control group with a significant diference between the two groups（P 〈 0.05）.The average VAS score was （2.28 ± 0.96） in the observation group and （3.49 ± 11.45） in the control group with a significant diference between the two groups（P 〈 0.01 ）.Conclusion：The comprehensive therapy of acupuncture as main can obviously increase the therapeutic effect in the postoperative recovery of prolapse of lumbar intervertebral disc.

关 键 词：胶原酶 腰椎间盘突出症 针刺 中药熏蒸 

分 类 号：R681.53[医药卫生—骨科学] R246[医药卫生—外科学]