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[1]張英杰,唐樹杰.獨活寄生湯加減聯(lián)合手法治療腰椎間盤突出癥的臨床觀察[J].中醫(yī)正骨,2013,25(12):35-38.
　Zhang Yingjie*,Tang Shujie.*.Observation on the curative effect of oral application of DUHUO JISHENG decoction combined with manipulation in the treatment of lumbar disk herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(12):35-38.
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獨活寄生湯加減聯(lián)合手法治療腰椎間盤突出癥的臨床觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年12期
頁碼:
35-38
欄目:
臨床研究
出版日期:
2013-12-30

文章信息/Info

Title:
Observation on the curative effect of oral application of DUHUO JISHENG decoction combined with manipulation in the treatment of lumbar disk herniation
作者:
張英杰1; 唐樹杰2
1.山東省青州市中醫(yī)院,山東 青州 262500;
2.暨南大學醫(yī)學院,廣東 廣州 510632
Author(s):
Zhang Yingjie*; Tang Shujie.*
Qingzhou Hospital of Traditional Chinese Medicine,Qingzhou 262500, Shandong,China
關(guān)鍵詞:
椎間盤移位 腰椎 獨活寄生湯 手法; 捏脊 治療; 臨床研究性
Keywords:
Intervertebral disk displacement;  Lumbar vertebrae;  DUHUO JISHENG decoction;  Manipulation; chiropractic;  Therapies; investigational
摘要:
目的:觀察獨活寄生湯加減聯(lián)合手法治療腰椎間盤突出癥的臨床療效。方法:將符合要求的138例腰椎間盤突出癥患者隨機 分為2組,每組69例。治療組應(yīng)用獨活寄生湯加減聯(lián)合手法治療; 對照組采用牽引、理療及口服非甾體類抗炎藥和神經(jīng)營養(yǎng)藥物 進行治療。觀察比較2組患者治療前和治療21 d后的腰部疼痛情況和腰部功能,同時比較2組患者的總體療效及復發(fā)率。結(jié)果:① 腰部疼痛情況。治療前2組患者VAS評分比較,差異無統(tǒng)計學意義[(6.49±1.22)分,(6.33±1.41)分,t=0.713,P=0.886]; 治療后2組患者的VAS評分均降低,治療組降低更明顯[(4.75±0.46)分,(3.71±0.68)分,t=10.522,P=0.005]。②腰部功 能。治療前2組患者JOA評分比較,差異無統(tǒng)計學意義[(10.50±1.23)分,(10.46±1.38)分,t=0.180,P=0.895]; 治療后2 組患者的JOA評分均增加,治療組增加更明顯[(12.91±0.51)分,(8.77±0.64)分,t=42.023,P=0.005]。③總體療效。治 療組治愈36例,好轉(zhuǎn)21例,有效8例,無效4例; 對照組治愈19例,好轉(zhuǎn)14例,有效16例,無效20例。治療組總體療效優(yōu)于對照組[治療 組95%CI為(0.334,0.471),R^-=0.403; 對照組95%CI為(0.529,0.666),R^-=0.598]。④復發(fā)情況。治療后12個月內(nèi),治療組3例復 發(fā),對照組11例復發(fā),對照組復發(fā)率高于治療組(χ2=5.088,P=0.024)。結(jié)論:獨活寄生湯加減聯(lián)合手法可有效緩解腰 椎間盤突出癥患者的疼痛癥狀,改善患者腰部功能,且復發(fā)率低,是治療該病的有效方法。
Abstract:
Objective:To observe the clinical curative effect of oral application of DUHUO JISHENG decoction combined with manipulation on lumbar disk herniation(LDH).Methods:One hundred and thirty-eight patients with LDH met the requirements were randomly divided into 2 groups,69 cases in each group.Patients in the treatment group were treated with oral application of DUHUO JISHENG decoction combined with manipulation,while the others in the control group were treated with lumbar traction,physiotherapy and oral application of non-steroid anti- inflammatory drugs and neurotrophic drugs.The 2 groups were compared with each other in low back pain and lumbar performance before the treatment and after 21-day treatment,meanwhile the total effect and recurrence rate were compared between the 2 groups.Results:There was no statistical difference in visual analogue score (VAS)between the 2 groups before the treatment(6.49+/-1.22 vs 6.33+/-1.41 points,t=0.713,P=0.886),while the VAS decreased in both of the 2 groups after the treatment,and the VAS decreased more significantly in the treatment group(4.75+/-0.46 vs 3.71+/-0.68 points,t=10.522,P=0.005).There was no statistical difference in JOA score between the 2 groups before the treatment(10.50+/-1.23 vs 10.46+/-1.38 points,t=0.180,P=0.895),while the JOA score increased in both of the 2 groups after the treatment,and the JOA score increased more significantly in the treatment group(12.91+/-0.51 vs 8.77+/-0.64 points,t=42.023,P=0.005).Thirty-six patients obtained an excellent result,21 good,8 fair and 4 poor in the treatment group; while 19 patients obtained an excellent result,14 good,16 fair and 20 poor in the control group.The treatment group surpassed the control group in the total curative effect(treatment group:95%CI(0.334,0.471),R^-=0.403; control group:95%CI(0.529,0.666),R^- =0.598).Three patients with recrudescent symptoms of LDH were found in the treatment group,while 11 patients with recrudescent symptoms of LDH were found in the control group within 12 months after the treatment.The recurrence rate of the control group was higher than that of the treatment group (χ2=5.088,P=0.024).Conclusion:The method of oral application of DUHUO JISHENG decoction combined with manipulation can relief the pain obviously and improve the lumbar performance with low recurrence rate,so it is an effective method for LDH.

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備注/Memo

備注/Memo:
2012-10-07收稿 2012-11-23修回
更新日期/Last Update: 2013-12-30