独活寄生汤加减防治腰椎减压术术后腰痛的临床研究

发布时间：2018-06-15 17:38

本文选题：腰椎术后 + 腰痛　；参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:通过观察独活寄生汤加减联合腰背肌功能锻炼对腰椎减压术术后腰痛在VAS、ODI方面与对照组之间的差异性,探讨独活寄生汤加减对腰椎减压术术后腰痛的防治作用。研究方法:临床资料来源于2013年5月至2016年1月在我院骨一科住院并行腰椎间盘突出症开窗式髓核摘除术或腰椎管狭窄症椎板切除(或合并髓核摘除)椎管扩大成形术的患者。纳入研究患者分为观察组和对照组,采用视觉模拟评分系统评分和腰痛自我功能障碍评分系统进行评分,并分析两组在性别、年龄、位置(单侧或双侧)、节段、术式(是否行椎管扩大成形术)、术前VAS及ODI的均衡性,同时评价所有患者手术治疗的有效性。最终确定可比性,比较两组术后各观察时间在VAS及ODI方面的组间差异。结果:在影响因素均衡性方面,两组间均无统计学差异,两组具有可比性;所有患者术前VAS及术后2周VAS之间有显著性差异,说明本研究手术方案对患者腰腿疼痛的治疗有确切疗效;两组在拆线后1个月及拆线后3个月两次观察时间的VAS及ODI方面均有明显统计学意义,观察组(?)±s明显优于对照组可以看出在术后拆线后1个月及3个月患者腰痛症状明显改善及提高。结论:通过临床研究我们观察到手术对腰椎疾病所导致的腰腿痛的治疗疗效确切,而独活寄生汤加减能明显改善腰椎减压术术后患者残留或继发腰痛症状,且显著提高腰椎手术的疗效。
[Abstract]:Objective: to investigate the effect of Duhuzheng decoction (DWJD) combined with lumbar dorsalis muscle function exercise on the prevention and treatment of low back pain after lumbar decompression in patients with low back pain after lumbar decompression. Methods: from May 2013 to January 2016, patients with lumbar disc herniation underwent fenestration of nucleus pulposus or laminectomy of lumbar spinal stenosis (or combined with excision of nucleus pulposus) in our hospital from May 2013 to January 2016. The subjects were divided into two groups: the observation group and the control group. The patients were assessed by visual analogue scoring system and low back pain self-dysfunction score system, and the gender, age, location (unilateral or bilateral, segmental) of the two groups were analyzed. Surgical procedures (whether or not to perform enlarged laminoplasty, preoperative VAS and ODI balance, and evaluate the effectiveness of surgical treatment in all patients. The comparison was made between the two groups in VAS and ODI. Results: there was no statistical difference between the two groups in the balance of influencing factors, and there was significant difference between the two groups in VAS before operation and 2 weeks after operation. The results showed that the treatment of lumbar and leg pain was effective and the VAS and ODI of the two groups were significantly higher than that of the control group in 1 month and 3 months after the removal of thread, and there was a significant difference in VAS and ODI between the two groups. ) 卤s in the observation group was significantly better than that in the control group. It was found that the symptoms of low back pain in the observation group were significantly improved at 1 month and 3 months after the removal of the thread. Conclusion: through clinical study, we observed that the operation is effective in the treatment of lumbago and leg pain caused by lumbar vertebrae disease, but Duhuzhongtang can obviously improve the residual or secondary low back pain symptoms after lumbar decompression. The curative effect of lumbar vertebra operation was improved significantly.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

【相似文献】