盘龙七片联合物理牵引治疗腰椎间盘突出症患者的效果  

Effects of Panlongqi tablets combined with physical traction in treatment of patients with lumbar disc herniation

作　　者：陈德才 CHEN Decai(3^(rd)Department of Orthopedics of Tongxu First Hospital,Kaifeng 475400 Henan,China)

机构地区：[1]通许县通许第一医院骨三科,河南开封475400

出　　处：《中国民康医学》2025年第9期124-126,130,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察盘龙七片联合物理牵引治疗腰椎间盘突出症(LDH)患者的效果。方法:选取2021年1月至2023年3月该院收治的80例LDH患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各40例。对照组给予物理牵引治疗,研究组在对照组基础上联合盘龙七片治疗。比较两组临床疗效,治疗前后腰椎功能[日本骨科协会评估量表(JOA)]评分、腰椎前屈度、疼痛程度[视觉模拟评分法(VAS)]评分、炎性指标[前列腺素E2(PGE2)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)]水平,以及不良反应发生率。结果:研究组治疗总有效率为90.00%(36/40),高于对照组的72.50%(29/40),差异有统计学意义(P<0.05);治疗后,两组JOA评分均高于治疗前,且研究组高于对照组,两组腰椎前屈度均大于治疗前,且研究组大于对照组,差异有统计学意义(P<0.05);两组VAS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组PGE2、IL-6和TNF-α水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组均未发生明显不良反应。结论:盘龙七片联合物理牵引治疗LDH患者可提高治疗总有效率、腰椎功能评分和腰椎前屈度水平,以及降低疼痛程度评分和炎性指标水平的效果优于单纯物理牵引治疗。Objective:To observe effects of Panlongqi tablets combined with physical traction in treatment of patients with lumbar disc herniation(LDH).Methods:A prospective study was conducted on 80 patients with LDH admitted to the hospital from January 2021 to March 2023.According to the random number table method,they were divided into control group and study group,40 cases in each group.The control group was treated with physical traction,while the study group was treated with Panlongqi tablets on the basis of that of the control group.The clinical efficacies,the lumbar function[Japanese Orthopaedic Association assessment scale(JOA)]scores and the lumbar flexion,the pain degree[visual analogue scale(VAS)]scores,the inflammatory factor index[prostaglandin E2(PGE2),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)]levels,and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 90.00%(36/40),which was higher than 72.50%(29/40)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the JOA scores of the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;the lumbar flexion levels of the two groups were greater than those before the treatment,and that in the study group was greater than that in the control group;and the differences were statistically significant(P<0.05).After the treatment,the VAS scores of the two groups were lower than those before the treatment,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of PGE2,IL-6 and TNF-αin the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no obvious adverse reactions occurred in the two groups.Conclusions:Panl

关 键 词：盘龙七片 物理牵引 腰椎间盘突出症 腰椎功能 疼痛 炎性指标 不良反应 

分 类 号：R681.5[医药卫生—骨科学]