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[1]鄭曉靜,司曉一.應(yīng)用治未病理論治療腰椎間盤(pán)突出癥的臨床研究[J].中醫(yī)正骨,2012,24(06):23-25.
　ZHENG Xiao-jing*,SI Xiao-yi.*.Clinical study on the application of the theory of Treat before sick in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(06):23-25.
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應(yīng)用治未病理論治療腰椎間盤(pán)突出癥的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年06期
頁(yè)碼:
23-25
欄目:
腰椎間盤(pán)突出癥
出版日期:
2012-06-30

文章信息/Info

Title:
Clinical study on the application of the theory of Treat before sick in the treatment of lumbar disc herniation
作者:
鄭曉靜; 司曉一
廣東省深圳平樂(lè)骨傷科醫(yī)院，廣東深圳518010
Author(s):
ZHENG Xiao-jing*; SI Xiao-yi.*
Shenzhen Pingle Orthopaedic Hospital,Shenzhen 518010,Guangdong,China
關(guān)鍵詞:
椎間盤(pán)移位　腰椎　上工治未病　治療; 臨床研究性
Keywords:
Intervertebral disk displacement; Lumbar vertebrae; Superior treat before sick; Therapies;  investigational
摘要:
目的：觀察應(yīng)用治未病理論治療腰椎間盤(pán)突出癥的臨床療效。方法：回顧性分析2009年4月至2010年5月深圳平樂(lè)骨傷科醫(yī) 院門(mén)診治療的41例腰椎間盤(pán)突出癥患者的病例資料，其中對(duì)21例患者（治療組）在采用傳統(tǒng)中醫(yī)療法治療的同時(shí)，依照治未病 理論進(jìn)行干預(yù)；另外20例患者（對(duì)照組）單純采用傳統(tǒng)中醫(yī)療法治療。分別采用“癥狀自我評(píng)價(jià)表”和“患者生存質(zhì)量測(cè)定量 表簡(jiǎn)表”于治療前、治療后6個(gè)月以及末次隨訪時(shí)對(duì)2組患者進(jìn)行癥狀和生存質(zhì)量評(píng)分。結(jié)果：①癥狀評(píng)分。2組患者不同時(shí)點(diǎn)癥 狀評(píng)分不同（F=256 213.000，P=0.000）；2組間癥狀評(píng)分總體有差別（F=6 542.234，P=0.000），治療組治療后6個(gè) 月及末次隨訪時(shí)癥狀評(píng)分均大于對(duì)照組（F=118.568，P=0.000；F=86.525，P=0.000），治療前2組患者癥狀評(píng)分比較，差 異無(wú)統(tǒng)計(jì)學(xué)意義（F=2.004，P=0.165）；時(shí)間因素與分組因素存在交互作用（F=466.410，P=0.000）。②生存質(zhì)量評(píng) 分。2組患者不同時(shí)點(diǎn)生存質(zhì)量評(píng)分不同（F=2 736 312.000，P=0.000）；2組間生存質(zhì)量評(píng)分總體有差別（F=2 907.334 ，P=0.000），治療組治療后6個(gè)月及末次隨訪時(shí)生存質(zhì)量評(píng)分均大于對(duì)照組（F=7 018.962，P=0.000；F=6 202.932， P=0.000），治療前2組患者生存質(zhì)量評(píng)分比較，差異無(wú)統(tǒng)計(jì)學(xué)意義（F=1.939，P=0.000）；時(shí)間因素與分組因素存在交 互作用（F=93 193.313，P=0.000）。結(jié)論：應(yīng)用治未病理論治療腰椎間盤(pán)突出癥療效顯著，值得臨床推廣應(yīng)用。
Abstract:
Objective:To observe the clinical curative effect of applying the theory of Treat before sick in the treatment of lumbar disc herniation(LDH).Methods:The medical records of 41 LDH patients selected from the outpatient department of Pingle Orthopaedic Hospital from April 2009 to May 2010 were analyzed retrospectively.Twenty-one patients(treatment group)were administrated with traditional Chinese medicine(TCM) therapy and were intervened according to the theory of Treat before sick,while the others(control group) were administrated with TCM therapy only.The symptoms and life qualities of patients were scored in accordance with self-evaluation form of symptoms and Quality of Life-BREF of patients before treatment,6 months after treatment and at last follow-up respectively.Results:There was statistical difference in symptom scores among different time points(F=256 213.000,P=0.000);there was statistical difference in symptom scores between the 2 groups(F=6 542.234,P=0.000).The symptom scores of treatment group were larger than those of control group 6 months after treatment and at last follow-up(F=118.568,P=0.000;F=86.525,P=0.000).There was no statistical difference between the 2 groups before the treatment(F=2.004,P=0.165).There was interaction between time factors and grouping factors(F=466.410,P=0.000).There was statistical difference in scores of life qualities among different time points(F=2 736 312.000,P=0.000);there was statistical difference in scores of life qualities between the 2 groups(F=2 907.334,P=0.000).Scores of life qualities of treatment group were larger than those of control group 6 months after treatment and at last follow-up (F=7 018.962,P=0.000;F=6 202.932,P=0.000).There was no statistical difference between the 2 groups before the treatment(F=1.939,P=0.000).There was interaction between time factors and grouping factors(F=93 193.313,P =0.000).Conclusion:Application of the theory of Treat before sick performs well in the treatment of LDH,and it is worth popularizing in the clinic.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
2011-09-06收稿2012-02-06修回
基金項(xiàng)目：廣東省中醫(yī)藥局基金資助項(xiàng)目（20111031）
更新日期/Last Update: 2012-06-30