身痛逐瘀汤联合中医定向透药治疗腰椎间盘突出症的临床观察

发布时间：2018-01-23 01:27

本文关键词： 中医定向透药治疗腰椎间盘突出 SF-MPQ评分 BI评分　出处：《云南中医中药杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨研究身痛逐瘀汤联合中医定向透药治疗腰椎间盘突出症的临床疗效。方法选择广东省开平市中心医院医院2016年2月—2016年12月中医骨科门诊及住院的腰椎间盘突出症患者90例为研究对象,按照随机数字表法随机分为2组,对照组给予中医骨科常规治疗+身痛逐瘀汤内服;试验组在对照组基础上+中医定向透药治疗;疗程均为2周。记录治疗前后的SF-MPQ评分(包括目测类比疼痛评分、疼痛情绪评分和疼痛感觉评分)和BI评分(生活自理能力评分),并比较2组的临床疗效。结果疗程结果后,2组患者的SF-MPQ各项评分均有所下降,BI评分升高,且以试验组变化的更加明显(P0.05);试验组的总有效率为88.37%,对照组的总有效率为67.4%,2组比较有统计学意义(P0.05)。结论身痛逐瘀汤联合中医定向透药可有效改善腰椎间盘突出患者的症状,恢复其生活自理能力,值得推广。
[Abstract]:Objective to study the clinical effect of Shentong Zhuyu decoction combined with directional permeation of traditional Chinese medicine in the treatment of lumbar disc herniation. Methods from February 2016 to December 2016, the Department of Orthopedics of traditional Chinese Medicine was selected from the Central Hospital of Kaiping City, Guangdong Province. Ninety patients with lumbar disc herniation were studied. According to the method of random number table, the control group was randomly divided into two groups. The control group was given traditional Chinese medicine orthopedic treatment of Shentong Zhuyu decoction; Experimental group on the basis of the control group on the basis of traditional Chinese medicine directional permeation treatment; The course of treatment was 2 weeks. SF-MPQ scores (including visual analogue pain score, pain emotion score and pain sensation score) and BI score (self-care ability score) were recorded before and after treatment. Results after the course of treatment, the scores of SF-MPQ in both groups were decreased and BI scores were increased, especially in the experimental group (P 0.05). The total effective rate was 88.37 in the experimental group and 67.4% in the control group. Conclusion Shentong Zhuyu decoction combined with traditional Chinese medicine can effectively improve the symptoms of patients with lumbar disc herniation and restore their self-care ability, which is worth popularizing.
【作者单位】：广东省开平市中心医院;
【基金】：广东省江门市科技计划项目(NO:20160201)
【分类号】：R274.9
【正文快照】： 腰椎间盘突出症是骨科临床常见的疾病,20~40岁的青壮年患病较多,是下腰痛和腰腿痛患者的常见病因,严重时可影响患者的生活自理能力,造成心情抑郁等,给自身及家人均造成负担。其发病的病理机制主要是因为神经根因腰椎间盘纤维环变性破裂或者髓核突出而受到刺激和压迫[1]。大多

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