腰椎间盘突出症保守治疗中的中医康复治疗临床效果评价
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摘要
目的观察中医康复在腰椎间盘突出症患者治疗中的疗效。方法按随机原则将160例符合纳入标准的腰椎间盘突出症患者分为观察组(80例)与对照组(80例)。对照组给予脱水、扩管、腰椎牵引治疗,观察组在对照组治疗的基础上应用中医康复治疗。分别对比两组患者治疗前后各症状的改善情况、治疗前后JOA的评分情况。结果通过2个疗程的治疗,观察组的治愈率和总有效率(83.75%、96.25%)明显高于对照组(48.75%、73.75%),观察组无效率3.75%明显低于对照组的26.25%(P<0.05);观察组腰腿痛VSA评分明显高于对照组(P<0.05);观察组JOA评分优于对照组(P<0.05);结论中医康复治疗在腰椎间盘突出症的治疗中疗效确切,值得推广。
Objective To observe the curative effect of traditional Chinese medicine(TCM) rehabilitation in treatment of patients with lumbar disc herniation. Methods 160 cases of patients with lumbar disc herniation were randomly divided into observation group(80 cases) and control group(80 cases). Control group was treated with dehydration, dilatation and lumbar traction, while observation group was treated with rehabilitation therapy of TCM on the basis of control group. The improvement of symptoms and JOA scores before and after treatment were compared between the two groups. Results After two courses of treatment, the cure rate and total effective rate(83.75%, 96.25%) of observation group were significantly higher than those of control group(48.75%, 73.75%). The inefficiency rate of observation group was 3.75%, significantly lower than that of control group(26.25%,P<0.05); the VSA score of observation group was significantly better than that of control group(P<0.05); the JOA score of observation group was better than that of control group(P<0.05). Conclusion TCM rehabilitation therapy is scientific and effective in treatment of lumbar intervertebral disc herniation. Its curative effect is definite and prominent, and it is worth popularizing.
Objective To observe the curative effect of traditional Chinese medicine(TCM) rehabilitation in treatment of patients with lumbar disc herniation. Methods 160 cases of patients with lumbar disc herniation were randomly divided into observation group(80 cases) and control group(80 cases). Control group was treated with dehydration, dilatation and lumbar traction, while observation group was treated with rehabilitation therapy of TCM on the basis of control group. The improvement of symptoms and JOA scores before and after treatment were compared between the two groups. Results After two courses of treatment, the cure rate and total effective rate(83.75%, 96.25%) of observation group were significantly higher than those of control group(48.75%, 73.75%). The inefficiency rate of observation group was 3.75%, significantly lower than that of control group(26.25%,P<0.05); the VSA score of observation group was significantly better than that of control group(P<0.05); the JOA score of observation group was better than that of control group(P<0.05). Conclusion TCM rehabilitation therapy is scientific and effective in treatment of lumbar intervertebral disc herniation. Its curative effect is definite and prominent, and it is worth popularizing.
引文
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[12]刘波,汲泓.中药熏蒸治疗类风湿关节炎的研究进展[J].风湿病与关节炎,2018,7(9):66-68.
[13]林晓红.中药熏蒸辅助治疗类风湿关节炎44例临床观察[J].甘肃中医药大学学报,2017,34(5):44-47.
[14]苗青. 86例中医针灸推拿加牵引治疗腰椎间盘突出症临床疗效分析[J].中外健康文摘,2014,12(8):149.
[15]武永飞.探讨通过针灸推拿结合康复训练治疗腰椎间盘突出症60例临床疗效观察[J].临床医药文献电子杂志,2017(33):6390-6390.
[16]单宝玉.手法推拿配合电针治疗腰椎间盘突出所致坐骨神经痛的应用效果研究[J].世界最新医学信息文摘,2018(61):149.
[2]季英霞,胡雅玲,傅秀珍,等.腰椎间盘突出症中医护理方案[J].中医药导报,2017,23(1)117-119.
[3] Vassilaki M,Hurwitz L. Perspectives on pain in the low backandneck:global burden,epidemiology,and management[J].Hawaii Jour-nal Med Public Health,2014,73(4):122-126.
[4]中华医学会.临床诊疗指南·疼痛学分册[M].北京:人民卫生出版社,2007:139-141.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:201-202.
[6]史海军,崔志强.椎间孔TESSYS技术治疗腰椎间盘突出症的临床研究[J].新疆医学,2017,47(2):150-153.
[7]何丽英,魏洁,刘俊英. JOA评分量化诊断系统在腰椎术后个性化护理方案制定中的意义[J].河北医药,2010,32(12):1640-1641.
[8] Ye Y,Liu B.Analgesic effects of balanced acupuncture versusbody acupuncture in low-back and leg pain patients with lum-bar disc herniation, as assessed by resting-state functionalmagnetic resonance imaging[J]. Neural Regen Res,2012(21):1624-1629.
[9] Eguchi Y,Oikawa Y,Suzuki M,et al.Diffusion tensor ima-ging of radiculopathy in patients with lumbar disc herniation:preliminary results[J]. Bone&Joint Journal,2016,98(3):387.
[10]龙海波,刘莉.牵引配合推拿技术治疗腰椎间盘突出症临床观察[J].中国中医急症,2015,24(6):1045-1047.
[11]王少山,张世华,邱红明,等.骨病中西医诊疗学[M].北京:中国中医药出版社,2001:507.
[12]刘波,汲泓.中药熏蒸治疗类风湿关节炎的研究进展[J].风湿病与关节炎,2018,7(9):66-68.
[13]林晓红.中药熏蒸辅助治疗类风湿关节炎44例临床观察[J].甘肃中医药大学学报,2017,34(5):44-47.
[14]苗青. 86例中医针灸推拿加牵引治疗腰椎间盘突出症临床疗效分析[J].中外健康文摘,2014,12(8):149.
[15]武永飞.探讨通过针灸推拿结合康复训练治疗腰椎间盘突出症60例临床疗效观察[J].临床医药文献电子杂志,2017(33):6390-6390.
[16]单宝玉.手法推拿配合电针治疗腰椎间盘突出所致坐骨神经痛的应用效果研究[J].世界最新医学信息文摘,2018(61):149.