八珍汤对腰椎间盘突出症微创孔镜下椎间盘髓核摘除患者的疼痛及生活质量的影响  

Effect of Bazhen Decoction on Pain and Quality of Life in Patients with Lumbar Disc Herniation after Intervertebral Disc Nucleus Pulposus Removal under Minimally Invasive Perforation

作　　者：梁科勇[1] 尚立勇[1] 游新茂[1] 姜宏伟[1] 凌伟峰 顾华杰[1] LIANG Ke-yong;SHANG Li-yong;YOU Xin-mao(Department of Spinal Surgery,Yuyao People’s Hospital,Yuyao(315400),China)

机构地区：[1]余姚市人民医院脊柱外科,浙江余姚315400

出　　处：《中国中西医结合外科杂志》2021年第5期754-757,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探究八珍汤对腰椎间盘突出症微创孔镜下椎间盘髓核摘除患者的疼痛及生活质量的影响。方法:选取余姚市人民医院脊柱外科2019年2月—2020年2月选取腰椎间盘突出症微创孔镜下椎间盘髓核摘除患者,将患者随机分成两组,每组65例,对照组行常规治疗,观察组在对照组的基础上加用八珍汤治疗。观察比较治疗1个月后两组患者的疼痛情况、脊柱功能障碍情况,以及生活质量。结果:治疗前,患者视觉模拟(VAS)评分比较差异无统计学意义;治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,患者脊柱功能障碍(ODI)评分比较差异无统计学意义;治疗后,两组VAS评分均低于治疗前,但两组差异无统计学意义(P>0.05)。治疗后,观察组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论:腰椎间盘突出症微创孔镜下椎间盘髓核摘除患者加用八珍汤治疗,能够有效缓解疼痛,提升生活质量。Objective To explore the effect of Bazhen Decoction on pain and quality of life in patients with lumbar disc herniation after minimally invasive thoracoscopic intervertebral disc nucleus pulposus removal.Methods Patients with lumbar intervertebral disc herniation removed by minimally invasive thoracoscopic intervertebral disc nucleus pulposus were selected from our hospital from February 2019 to February 2020.The patients were randomly divided into two groups,which 65 cases in each group.One group was the control group for routine treatment.The other group was the observation group,which based on the control group,plus the treatment with Bazhen Decoction.The pain,spinal dysfunction and quality of life were observed and compared between the two groups after one month of treatment.Results The pain score(VAS)of the observation group was significantly lower than that of the control group after treatment,There was a significant difference between the two groups(P<0.05),which was statistically significant.There was no significant difference in spinal dysfunction score(ODI)between the observation group and the control group after treatment(P>0.05).After treatment,the quality of life score(SF-36)in the observation group,including mental health,social function et al.,was significantly higher than that of the control group.There was a significant difference between the two groups(P<0.05),which was statistically significant.Conclusion Bazhen Decoction can effectively relieve pain and improve patients'quality of life with lumbar disc herniation after intervertebral disc nucleus pulposus removal under minimally invasive thoracoscopic treatment.

关 键 词：八珍汤 腰椎间盘突出症 微创孔镜下椎间盘髓核摘除 疼痛 生活质量 

分 类 号：R[医药卫生]