中医药治疗腰椎间盘突出症的社区方案研究  

Community Programs of Traditional Chinese Medicine for Treatment of Lumbar Disc Herniation

作　　者：赵继荣[1] 张海清[2] 陈文[1] 贾茂林[2] 杨德龙[2] 赵宁[2] 穆向前 

机构地区：[1]甘肃省中医院,兰州730050 [2]甘肃中医学院

出　　处：《中国中医骨伤科杂志》2014年第3期17-19,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：甘肃省科技厅科技支撑项目中医特色干预腰椎间盘突出症社区方案研究(1204KFCA166)

摘　　要：目的:观察两种不同中医特色社区方案治疗腰椎间盘突出症的临床疗效及机理探讨,并形成适合该病的社区治疗规范。方法:采用随机、平行的试验设计方法,将396例患者分为两组:治疗组(A组)203例,中医特色干预方案:脊柱调衡手法配合姿态调衡疗法、熥敷合剂、杜仲腰痛丸进行治疗;对照组(B组)193例,给予常规保守治疗方案:针灸、膏药贴敷加腰椎牵引治疗。经过3疗程治疗后观察各组JOA评分、VAS评分及SLR,结果采用SPSS 13.0进行分析。结果:治疗组有效率达到99.01,对照组有效率达到93.79%,两组比较,差异具有统计学意义(P<0.05),治疗组疗效优于对照组。结论:两种治疗方案对腰椎间盘突出症均有效果,但中医特色干预方案治疗LDH效果更加显著,安全,可以在临床推广,可在社区内形成规范化治疗。Objective：To detect the curative effect and mechanism by two treatment methods of TCM for lumbar disc herniation （LDH）, and to form the appropriate guidelines of the community disease. Methods：A randomized, parallel trial design method was used. All 396 cases were divided into treatment group （group A, n=203） and control group （group B, n= 93）. The patients of treatment group were treated with TCM features intervention programs, such as spine balanced manipulation, topical medications, and Duzhongyaotong pill. The patients of control group were treated with conventional conservative programs, such as acupuncture, sticking plaster, and lumbar traction therapy. The JOA score, VAS score and SLR were observed in each group after three treatment courses. The results were analyzed by SPSS 13.0. Results：The curative effect of treatment group were superior to control group （P〈0.05）, the efficiency rate were 99.01% and 93.79 in treatment group and control group respectively. Conclusion：Both of two programs are effective for LDH, but the TCM features intervention programs are more effect and safe, and can be applied as guidelines in the community.

关 键 词：腰椎间盘突出症 社区 中医特色干预方案 临床研究 

分 类 号：R681.53[医药卫生—骨科学]