身痛逐瘀汤联合常规疗法治疗腰椎间盘突出症术后临床研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R681.5+3

基金项目:


Clinical Study on Shentong Zhuyu Tang Combined with Routine Therapy Patients After Surgery of Lumbar Disc Herniation
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察身痛逐瘀汤联合常规疗法治疗腰椎间盘突出症(LDH) 术后的临床效果。方法:将120 例LDH 患者随机分为对照组和观察组各60 例。2 组均采用经皮椎间孔镜下腰椎髓核摘除术(PTED) 治疗,术后给予预防感染、消肿、止痛和功能锻炼等综合措施,观察组加予身痛逐瘀汤加减内服,2 组疗程均为4 周。术后4 周利用疼痛视觉模拟评分法(VAS) 评定患者的残余疼痛情况,统计疼痛程度及残余疼痛率。分别于术前、术后10 d 和术后28 d 应用日本骨科协会(JOA) 下腰痛评分表和Oswestry 功能障碍指数问卷表(ODI) 评价术后恢复情况。结果:术后4 周,观察组临床疗效优于对照组(P<0.05)。观察组残余疼痛率为5.00%,低于对照组的23.33%(P<0.01),残余疼痛VAS 评分低于对照组(P<0.01)。术后10 d 和28 d,2 组JOA下腰痛评分均较术前升高(P<0.01),ODI 评分均较术前下降(P<0.01)。观察组术后10 d 和28 d 的JOA 下腰痛评分均高于对照组(P<0.01),ODI 评分均低于对照组(P<0.01)。结论:将身痛逐瘀汤联合常规疗法用于PTED 术后,可进一步减轻患者的腰部疼痛,促进腰椎功能的恢复,减轻术后残余症状和残余疼痛程度,促进患者的康复。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Shentong Zhuyu tang combined with routine therapy patients after surgery of lumbar disc herniation(LDH). Methods:A total of 120 cases of LDH patients were randomly divided into the control group and the observation group, 60 cases in each group. After operation of percutaneous transforaminal endoscopic discectomy(PTED), both groups were given comprehensive measures including prevention of infection, detumescence, analgesia and functional exercise,and the observation group was additionally given oral administration of modified Shentong Zhuyu tang. Both groups were treated for four weeks. Four weeks after operation,the situations of residual pain including pain degree and rates of residual pain were assessed by Visual Analogue Scale(VAS). Before operation,10 days and 28 days after operation respectively, the recovery conditions after operation were evaluated by Japanese Orthopaedic Association (JOA) score on low back pain and Oswestry Disability Index(ODI). Results:On the four weeks after operation,the clinical effect in the observation group was better than that in the control group(P<0.05). The rate of residual pain was 5.00% in the observation group,lower than that of 23.33% in the control group(P<0.01),and the VAS score on residual pain was lower than that in the control group(P<0.01). On the 10th and 28th day after operation respectively,the JOA scores on low back pain in the two groups were increased when compared with those before operation, and the ODI scores were decreased(P< 0.01). On the 10th and 28th day after operation respectively,the JOA scores on low back pain in the observation group were higher than those in the control group(P<0.01), and the ODI scores were lower(P<0.01). Conclusion: Based on routine postoperative therapy,the additional application of modified Shentong Zhuyu tang in treating patients after operation of PTED can further relieve their low back pain, residual symptoms and residual pain after operation and promote the recovery of lumbar function and rehabilitation.

    参考文献
    相似文献
    引证文献
引用本文

李浩.身痛逐瘀汤联合常规疗法治疗腰椎间盘突出症术后临床研究[J].新中医,2020,52(15):39-41

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-08-08
  • 出版日期: