独活寄生汤加减对椎间盘突出症脊柱内镜术后残留腰痛的影响  

Effect of Duhuo Jisheng Decoction on residual low back pain after spinal endoscopic surgery for disc herniation

作　　者：韦金忠[1] 凌义龙[1] 沈兴潮 WEI Jin-zhong;LING Yi-long;SHEN Xing-chao(The Second Department of Spinal Joint,Shaoxing Hopital of Traitional Chinese Medicine,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市中医院脊柱关节二科,浙江绍兴312000

出　　处：《中华全科医学》2020年第11期1929-1932,共4页Chinese Journal of General Practice

基　　金：浙江省中医药科技计划项目(2018ZA125)。

摘　　要：目的探讨椎间盘突出术后腰痛患者应用早期康复训练联合独活寄生汤加减治疗的效果,分析对患者生活质量、疼痛评分的影响。方法选取2017年1月-2019年1月浙江省绍兴市中医院收治的椎间盘突出症脊柱内镜术后残留腰痛患者64例,并依据治疗方法不同分为2组。对照组进行早期康复训练,研究组早期康复联合独活寄生汤加减治疗。结果研究组治疗有效率100.00%高于对照组43.75%(χ^2=25.043,P<0.001);研究组患者物质生活状态、躯体功能、角色功能、社会功能的评分分别为(84.00±4.40)、(75.88±3.34)、(85.00±4.08)、(81.60±3.29)分,均高于对照组(75.83±5.06)、(52.42±3.15)、(76.00±3.19)、(74.28±2.85)分(均P<0.05);研究组VAS、ODI、ADL评分(0.83±0.64)、(3.00±0.64)、(3.00±0.58)分均低于对照组(1.60±0.81)、(3.83±0.69)、(4.00±0.63)分(均P<0.05)。结论应用独活寄生汤加减治疗脊柱内镜术后残留腰痛能够促进患者机体功能的临床恢复,提高其生活质量,具有理想的治疗效果,值得应用。Objective To investigate the effect of Duhuo Jisheng Decoction on postoperative lumbago of patients with intervertebral disc herniation. Methods From January 2017 to January 2019, 64 patients with residual lumbago after spinal endoscopic surgery for disc herniation were selected and divided into two groups according to different treatment methods. The control group received early rehabilitation training, and the research group received early rehabilitation combined with Duhuo Jisheng Decoction. Results The effective rate of 100.00% in the study group was higher than that in the control group(43.75%, χ^2=25.043,P=0.000). The scores of physical life status, physical function, role function and social work in the study group were(84.00±4.40, 75.88±3.34, 85.00±4.08, 81.60±3.29) points, respectively, higher than those in the control group(75.83±5.06, 52.42±3.15, 76.00±3.19, 74.28±2.85) points(all P<0.05 respectively). VAS, ODI and ADL scores(0.83±0.64, 3.00±0.64, 3.00±0.58) in the study group were all lower than those in the control group(1.60±0.81, 3.83±0.69, 4.00±0.63), all P<0.05. Conclusion The application of Duhuo Jisheng Decoction in the treatment of residual lumbago after spinal endoscopy can promote the clinical recovery of the body function of patients, improve their quality of life, has an ideal therapeutic effect, and is worthy of application.

关 键 词：独活寄生汤 椎间盘突出症 脊柱内镜术 残留腰痛 

分 类 号：R681.53[医药卫生—骨科学]