肾着汤结合手法、小针刀、腰椎牵引治疗腰椎间盘突出症的疗效分析
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摘要
目的分析肾着汤结合手法、小针刀、腰椎牵引治疗腰椎间盘突出症的临床疗效。方法选取2015年1月—2018年12月的住院腰椎间盘突出症患者495例,随机分两组,对照组236例,给予常规手法、小针刀、腰椎牵引治疗;试验组259例,在对照组的基础上联合口服肾着汤,治疗2周后进行疗效分析。结果试验组在显效率、日本骨科学会(JOA)评分方面明显优于对照组,差异显著(P<0.05)。结论肾着汤治疗腰椎间盘突出症疗效确切,结合手法、小针刀、腰椎牵引治疗具有疗效快、疗程短等优点,可以在临床上作为保守治疗腰椎间盘突出症的方案推广使用。
Objective To analyze the clinical effects of Shenzhuo Decoction combined with massage manipulation, acupotomy and lumbar traction in treatment of lumbar disc herniation. Methods A total of 495 cases of lumbar disc herniation from January 2015 to December 2018 were divided into the observation group and control group, with 259 and 236 cases respectively in observation and control groups. The patients in control group were only given regular massage manipulation, acupotomy and lumbar traction, and the patients in observation group were given Shenzhuo Decoction based on the treatment of control group. The clinical effects of the two groups was analyzed after 2 weeks of treatment. Results The total effective rate and JOA Score of observation group were significantly better than that in the control group(P < 0.05). Conclusion Shenzhuo Decoction in the treatment of lumbar disc herniation has good curative effect. It has the advantages of quick curative effect and short courses of treatment with the regular massage manipulation,acupotomy and lumbar traction, which can be promoted in clinical practice as a conservative treatment for lumbar disc herniation.
Objective To analyze the clinical effects of Shenzhuo Decoction combined with massage manipulation, acupotomy and lumbar traction in treatment of lumbar disc herniation. Methods A total of 495 cases of lumbar disc herniation from January 2015 to December 2018 were divided into the observation group and control group, with 259 and 236 cases respectively in observation and control groups. The patients in control group were only given regular massage manipulation, acupotomy and lumbar traction, and the patients in observation group were given Shenzhuo Decoction based on the treatment of control group. The clinical effects of the two groups was analyzed after 2 weeks of treatment. Results The total effective rate and JOA Score of observation group were significantly better than that in the control group(P < 0.05). Conclusion Shenzhuo Decoction in the treatment of lumbar disc herniation has good curative effect. It has the advantages of quick curative effect and short courses of treatment with the regular massage manipulation,acupotomy and lumbar traction, which can be promoted in clinical practice as a conservative treatment for lumbar disc herniation.
引文
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[6]黄承军,梁冬波,刘保新.针刀对不同证型腰椎间盘突出症疗效的对比分析[J].中华中医药杂志,2011,26(11):2752-2754.
[7]王奕力,李雅竹,杨国彦,等.补充替代医学治疗腰椎间盘突出症的系统评价[J].中华中医药杂志,2017,32(8):3804-3808.
[8]杨少锋,郭彦涛,罗振华,等.长沙市腰椎间盘突出症中医证候研究[J].中医正骨,2016,28(2):33-35.
[9]闵文,成舟,谭峰,等.加味肾着汤治疗寒湿型腰椎间盘突出症的临床观察[J].中华中医药杂志,2018,33(11):5239-5242.
[2]陈孝平,汪建平.外科学[M].第8版.北京:人民卫生出版社,2013.
[3]国家中医药管理局医政司.24个专业105个病种中医诊疗方案[S].2011.
[4]范振华,胡永善.骨科康复学[M].上海:上海科技大学出版社,1999.
[5]王灵君.腰椎间盘突出症非手术治疗新进展[J].现代中西医结合杂志,2010,19(33):4365-4367.
[6]黄承军,梁冬波,刘保新.针刀对不同证型腰椎间盘突出症疗效的对比分析[J].中华中医药杂志,2011,26(11):2752-2754.
[7]王奕力,李雅竹,杨国彦,等.补充替代医学治疗腰椎间盘突出症的系统评价[J].中华中医药杂志,2017,32(8):3804-3808.
[8]杨少锋,郭彦涛,罗振华,等.长沙市腰椎间盘突出症中医证候研究[J].中医正骨,2016,28(2):33-35.
[9]闵文,成舟,谭峰,等.加味肾着汤治疗寒湿型腰椎间盘突出症的临床观察[J].中华中医药杂志,2018,33(11):5239-5242.