何天佐传统中医药正骨疗法临床路径治疗腰椎间盘突出症  

He Tianzuo traditional Chinese medicine bone setting therapy clinical pathway in the treatment of lumbar disc herniation

作　　者：袁海升[1] 王勇[1] 李国帅[1] 薛勇 时刚 张华勇 李高峰 屈平[1] 何年东 周加海[1] 毛飞 郑磊[1] 李武[1] YUAN Haisheng;WANG Yong;LI Guoshuai;XUE Yong;SHI Gang;ZHANG Huayong;LI Gaofeng;QU Ping;HE Niandong;ZHOU Jiahai;MAO Fei;ZHENG Lei;LI Wu(Chengdu Military District 81 Orthopaedic Hospital,Chengdu 610031,China)

机构地区：[1]成都军区八一骨科医院,四川成都610031

出　　处：《西部医学》2020年第9期1381-1384,1390,共5页Medical Journal of West China

基　　金：四川省中医药管理局科技研究项目(2018by007)。

摘　　要：目的探讨何天佐传统中医药正骨疗法临床路径治疗腰椎间盘突出症的临床疗效。方法选取我院收治的腰椎间盘突出症患者518例,按照是否实施何天佐传统中医药正骨疗法临床路径治疗分为观察组和对照组,其中观察组为2018年10月~2019年12月患者256例,对照组为2016年1月~2018年9月患者262例。两组均辨证分为肝肾亏虚证、血瘀气滞证、寒湿痹阻证。比较两组的治愈率、疗效、住院时间、治疗费用、VAS和JOA评分。结果观察组疗效优于对照组(P<0.05);观察组平均住院时间、平均治疗费用均低于对照组(P均<0.05);两组治疗后VAS及JOA评分均降低(P均<0.05),治疗后,观察组VAS及JOA评分均低于对照组(P均<0.05)。结论何天佐传统中医药正骨疗法临床路径治疗腰椎间盘突出症,能提高治愈率,缩短治疗天数,减少住院费用,改善生活质量,为非手术治疗腰椎间盘突出症提供了一定的循证医学支持,同时为传承应用何天佐传统中医药正骨疗法的医院提供了规范统一的治疗腰椎间盘突出症的临床路径。Objective To observe the clinical effect of HeTianzuo traditional Chinese medicine orthopedic therapy on treating lumbar disc herniation.Methods 518 patients with lumbar disc herniation in our hospital were selected and divided into observation group and control group according to whether or not He Tianzuo traditional Chinese medicine bone setting therapy was implemented.Among them,256 patients were in the observation group from October 2018 to December 2019,and 262 cases in the control group from January 2016 to September 2018.The two groups were divided into liver and kidney deficiency syndrome,blood stasis and qi stagnation syndrome,cold dampness obstruction syndrome.JOA and VAS scores,cure rate,effective rate,length of stay and treatment cost were compared between the two groups.Results OA and VAS scores,cure rate,effective rate,length of stay and treatment cost of the observation group were significantly better than those of the control group(all P<0.05).Conclusion He Tianzuo traditional Chinese medicine bone setting therapy in the treatment of lumbar disc herniation clinical pathway,can improve the cure rate,shorten the treatment days,reduce hospitalization costs,improve the quality of life,provide a standardized and unified clinical path for the hospital which inherits and applies the traditional Chinese medicine bone setting therapy of he Tianzuo,and provides a standard and unified clinical path for the treatment of lumbar intervertebral disc herniation for non-surgical treatment of lumbar disc herniation Conclusion:the support of evidence-based medicine can be applied in clinical practice.

关 键 词：中医临床路径 腰椎间盘突出症 何天佐传统中医药正骨疗法 JOA评分 VAS评分 

分 类 号：R274.29[医药卫生—中医骨伤科学] R681.53[医药卫生—中医学]