中医定向透药联合超短波及骨盆牵引治疗腰椎间盘突出症的效果及对CT影像学变化影响  

The Effect of Traditional Chinese Medicine Directional Penetration Combined with Ultrashort Wave and Pelvic Traction in the Treatment of Lumbar Disc Herniation and Its Influence on CT Imaging Changes

作　　者：劳健勇 LAO Jian-yong(Panyu Sixth People's Hospital of Guangzhou,Guangzhou 511442,Guangdong Province,China)

机构地区：[1]广州市番禺区第六人民医院,广东广州511442

出　　处：《罕少疾病杂志》2024年第5期89-91,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨中医定向透药联合超短波及骨盆牵引治疗腰椎间盘突出症(LDH)的临床效果及CT影像学变化。方法选取2020年12月至2022年7月广州市番禺区第六人民医院中医骨科收治的LDH患者86例,随机分为对照组和联合组,43例/组。2组先行超短波及骨盆牵引治疗后,对照组和联合组分别采用常规西药和中医定向透药。治疗2周后,比较2组的临床疗效、疼痛程度、CT影像学指标及生活质量变化。结果联合组疗效总有效率偏高(P<0.05)。与治疗前比较,治疗后2组疼痛程度评分降低,联合组分值低于对照组(P<0.05)。治疗后,2组椎间盘突出物CT值下降,椎管前后径则变宽(P<0.05);与对照组比较,联合组椎间盘突出物CT值较低,椎管前后径更宽(P<0.05)。与治疗前相比,2组治疗后7 d及14 d生活质量分值偏高,且14 d评分高于治疗后7 d(P<0.05);联合组生活质量分值均高于对照组(P<0.05)。结论对LDH患者实施中医定向透药联合超短波及骨盆牵引治疗有助于提高疗效,改善腰椎功能。Objective To investigate the clinical effect and CT imaging changes of the treatment of lumbar intervertebral disc herniation(LDH)by traditional Chinese medicine combined with ultrashort wave and pelvic traction.Methods:86 patients with LDH admitted to the Department of Orthopedics of Traditional Chinese Medicine in Panyu District,Guangzhou from December 2020 to July 2022 were selected and randomly divided into control group and combination group,with 43 cases/group.After ultrashort wave and pelvic traction treatment,the control group and the combination group received conventional western medicine and traditional Chinese medicine directional penetration,respectively.After 2 weeks of treatment,the clinical efficacy,pain degree,CT imaging indexes and changes in quality of life of the two groups were compared.Results The total effective rate of the combined group was higher(P<0.05).Compared with before treatment,the score of pain degree in the two groups was lower after treatment,and the score in the combination group was lower than that in the control group (P<0.05).After treatment,CT value of herniated disc in 2 groups decreased,and anterior and posterior vertebral canal diameter widened(P<0.05).Compared with control group,CT value of intervertebral disc herniation in combination group was lower,and anterior and posterior vertebral canal diameter was wider(P<0.05).Compared with before treatment,the quality of life scores at 7 and 14 days after treatment were higher in the 2 groups,and the score at 14 days was higher than that at 7 days after treatment(P<0.05).Quality of life scores in combination group were higher than those in control group(P<0.05).Conclusion It is helpful to improve the curative effect and lumbar function of LDH patients to implement directional penetration of traditional Chinese medicine combined with ultrashort wave and pelvic traction.

关 键 词：腰椎间盘突出症 中医定向透药 超短波 骨盆牵引 CT 

分 类 号：R681.53[医药卫生—骨科学]