中医综合治疗腰椎间盘突出症术后综合征的临床研究  

Curative Effect Observation of Chinese Medicine Comprehensive Therapy on Postoperative Syndrome of Lumbar Disc Herniation

作　　者：王雷[1] 付晓芳[1] 李无阴 王孝辉 WANG Lei,FU Xiaofang,LI Wuyin, et al.(Hunan University of Traditional Chinese Medicine ,Hunan , Changsha 410000, Chin)

机构地区：[1]湖南中医药大学,湖南长沙410000 [2]河南省洛阳正骨医院,河南省骨科医院,河南洛阳471002

出　　处：《中国中医急症》2018年第3期449-451,468,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：河南省中医药科学研究专项课题(2015ZY01001;2016ZY1010)

摘　　要：目的观察中医综合疗法对腰椎间盘突出症术后综合征的治疗效果,并探讨其作用机制。方法将62例入组患者分为对照组30例与治疗组32例,两组患者术后均常规抗感染、脱水、护胃、伤口处理及功能锻炼等治疗。对照组在常规治疗基础上口服甲钴胺片和塞来昔布胶囊,治疗组在常规治疗基础上予以补阳还五汤加减口服、针灸及中药塌渍等治疗。疗程均为4周,并于治疗后3个月随访1次。比较两组治疗前、治疗后与治疗后3个月随访的VAS评分、ODI评分、JOA评分及治疗后的有效率。结果治疗组治疗后及治疗后3个月的VAS评分、ODI评分、JOA评分与本组治疗前及对照组同期比较,差异均有统计学意义(P<0.05);治疗组有效率为90.62%,明显高于对照组的70.00%(P<0.05)。结论中医综合疗法可有效缓解腰椎间盘突出症患者术后疼痛、麻木等残留症状,也可促进患者术后功能恢复,不良反应少,是一种可行的非手术疗法。Objective： To observe the effect of Chinese medicine comprehensive therapy on postoperative syndrome of lumbar disc herniation. Methods： 62 patients were randomly divided into the control group（30 cases）and the treatment group（32 cases）. The two groups were treated with routine anti-infection,dehydration,stomach treatment,wound treatment and functional exercise. The control group was treated with methylcobalamin tablets and celecoxib capsules besides the conventional treatment. The treatment group was treated with Buyang Huanwu Decoction,acupuncture and Chinese medicine collapse. The course of treatment was 4 weeks. 3 months after treatment,there was a follow-up. The VAS scores,ODI scores,JOA scores and the efficiency before treatment,after treatment and 3 months after treatment were compared between the two groups. Results： There was no significant difference in VAS score,ODI score and JOA score between the two groups before treatment,which was comparable（P〈0.05）. Compared with those before treatment and compared with those in the control group at the same time,the VAS score,ODI score and JOA score after treatment and 3 months after treatment in the treatment group had statistically significant difference（P〈0.05）. The effective rate was 90.62%（29/32） in the treatment group,70.00%（21/30） in the control group,and the difference was statistically significant（P〈0.05）. Conclusion：Traditional Chinese medicine therapy can relieve the residual symptoms such as pain and numbness of patients with lumbar disc herniation. It can also promote the recovery of postoperative function,with less adverse reaction.It is a feasible non-surgical therapy.

关 键 词：腰椎间盘突出症 术后综合征 补阳还五汤 针灸 中药塌渍 

分 类 号：R681.53[医药卫生—骨科学]