独活寄生汤治疗腰椎术后综合征的临床疗效观察

发布时间：2018-05-11 12:04

本文选题：腰椎术后综合征 + 独活寄生汤　；参考：《福建中医药大学》2017年硕士论文

【摘要】：目的:观察独活寄生汤结合腰背肌功能锻炼对腰椎术后综合征的疗效,为腰椎术后综合征的治疗提供参考。方法:自2015年3月至2016年6月门诊连续收集60例诊断明确的腰椎后综合征患者,根据顺序随机分A组(对照组)和B组(试验组)各30例,其中A组常规治疗联合腰背肌功能锻炼治疗,B组在此基础上口服独活寄生汤。4周一个疗程,共2个疗程,记录并分析两组患者治疗前、治疗后、治疗后3个月及治疗后6个月时的VAS评分、JOA评分变化情况。治疗前及治疗后6个Roland-Morrise评分的变化情况。结果:60例病例均获得随访7～15个月,平均随访11.2个月;所有符合标准患者术前病程、年龄、性别等基本资料无明显统计学差异,VAS评分结果示,B组在治疗后、治疗后3个月及治疗后6个月时的VAS评分(4.87 ± 1.63,3.60 ±1.33,2.07 ±1.05)均显著低于A组(5.87 ± 1.50,4.97±1.62,3.10±1.21),两组在治疗后、治疗后3个月及治疗后6个月时随访的VAS评分有统计学差异(P0.05);JOA评分结果示,B组在治疗后、治疗后3个月及治疗后6个月时的JOA评分(19.90± 1.42,24.77± 1.65,25.40± 1.25)均显著高于 A 组(19.00±1.66、22.23± 1.70、23.77± 1.25),两组在治疗后、治疗后3个月及治疗后6个月时随访的JOA评分有统计学差异(P0.05);Roland-Morrise评分结果示,B组在治疗后6个月时的Roland-Morrise评分均显著低于A组,两组在治疗后6个月时随访的Roland-Morrise评分有统计学差异(P0.05)。结论:1、独活寄生汤结合腰背肌功能锻炼治疗腰椎术后综合征可有效改善术后的腰痛症状;2、独活寄生汤结合腰背肌功能锻炼改善患者腰椎活动功能;3、独活寄生汤结合腰背肌功能锻炼能够提高患者术后生活质量。
[Abstract]:Objective: to observe the effect of Duhuzheng decoction combined with lumbar dorsalis muscle exercise on lumbar postoperative syndrome and provide reference for the treatment of lumbar postoperative syndrome. Methods: from March 2015 to June 2016, 60 consecutive patients with LRS were randomly divided into two groups: group A (control group) and group B (trial group). Group A was treated by routine therapy combined with psoas and dorsalis muscle function exercise. Group B took oral Duhuozhongtang for a course of 4 weeks for 2 courses on this basis, recorded and analyzed the two groups of patients before and after treatment. The changes of VAS scores were observed 3 months after treatment and 6 months after treatment. Changes of 6 Roland-Morrise scores before and after treatment. Results all the 60 cases were followed up for 7 ~ 15 months with an average of 11.2 months. There was no significant difference in the course of disease, age, sex and other basic data of all the patients who met the criteria before operation. The VAS scores showed that the patients in group B were treated with VAS. The VAS scores of 3 months after treatment and 6 months after treatment were significantly lower than those in group A (4.87 卤1.63 卤3.60 卤1.33 卤2.07 卤1.05), which were significantly lower than those in group A (5.87 卤1.50 卤1.62 卤3.10 卤1.21). There were significant differences in VAS scores between 3 months after treatment and 6 months after treatment. The JOA scores of 3 months after treatment and 6 months after treatment were significantly higher than those in group A (19.90 卤1.42n 24.77 卤1.65v 25.40 卤1.25), which were significantly higher than those in group A (19.00 卤1.66n 22.23 卤1.702.77 卤1.25g). There were significant differences in JOA scores between the two groups at 3 months after treatment and 6 months after treatment. The results showed that the Roland-Morrise scores of group B were significantly lower than those of group A at 6 months after treatment, and the Roland-Morrise scores of group B were significantly lower than those of group A at 6 months after treatment (P 0.05). ConclusionTwo one, Duhuzheng decoction combined with lumbar dorsal muscle function exercise can effectively improve the symptoms of lumbar pain after lumbar surgery, Duhuzheng decoction combined with lumbar dorsal muscle function exercise to improve the lumbar motor function of patients, Duhuzhongtang knot. The functional exercise of psoas dorsalis muscle can improve the quality of life after operation.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R274.9

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