补阳还五汤治疗腰椎间盘突出症椎间孔镜术后残留症状的临床疗效  

Clinical Efficacy of Buyang Huanwu Decoction on the Treatment of Residual Symptoms after Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation

作　　者：董洪伟 吴小辉 卢水生 DONG Hongwei;WU Xiaohui;LU Shuisheng(Jingdezhen Hospital of Traditional Chinese Medicine,Jingdezhen 333000,Jiangxi China)

机构地区：[1]景德镇市中医医院,江西景德镇333000

出　　处：《中国中医骨伤科杂志》2025年第1期48-51,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：江西省中医药管理局科技计划项目(2023B0327)。

摘　　要：目的:观察补阳还五汤治疗腰椎间盘突出症椎间孔镜术后残留症状的临床疗效。方法:选取腰椎间盘突出症行经皮椎间孔镜手术、术后出现残留症状的60例患者,根据随机数字分组法分成观察组和对照组。于术前、术后1 d、术后1个月及3个月进行视觉模拟量表(VAS)评分及Oswestry功能障碍指数(ODI)评分评估,术后1个月和3个月行改良MacNab疗效评定标准评判。结果:经为期28 d的补阳还五汤治疗,观察组患者VAS评分及ODI评分明显改善,改良MacNab疗效评定标准疗效明显提高。结论:补阳还五汤可以缓解腰椎间盘突出症椎间孔镜术后残留症状。Objective:To observe the clinical efficacy of Buyang Huanwu decoction on the treatment of residual symptoms after transforaminal endoscopic discectomy for lumbar disc herniation.Methods:A total of 60 patients with lumbar disc herniation who had residual symptoms after percutaneous transforaminal endoscopic surgery were selected and divided into observation group and control group according to random number table method.Visual analogue scale(VAS)and Oswestry disability index(ODI)scores were evaluated before operation,1 d after operation,1 month and 3 months after operation,and modified MacNab was used to evaluate the efficacy 1 month and 3 months after operation.Results:After 28 d of Buyang Huanwu decoction treatment,VAS score,ODI score and modified MacNab efficacy in observation group patients were significantly improved.Conclusion:Buyang Huanwu decoction can relieve the residual symptoms of lumbar disc herniation after transforaminal endoscopic discectomy.

关 键 词：补阳还五汤 腰椎间盘突出症 经皮椎间孔镜 术后残留症状 

分 类 号：R681.5[医药卫生—骨科学]