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[1]賈瓊,柴旭斌,鐘煒鈺.口服獨活寄生湯治療腰椎間盤突出癥椎間孔鏡術后感覺異常[J].中醫(yī)正骨,2016,28(02):11-14.
　JIA Qiong,CHAI Xubin,ZHONG Weiyu.Oral application of Duhuo Jisheng Tang(獨活寄生湯)for treatment of paresthesia after transforaminal endoscopic discectomy in patients with lumbar disk herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(02):11-14.
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口服獨活寄生湯治療腰椎間盤突出癥椎間孔鏡術后感覺異常()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年02期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2016-02-20

文章信息/Info

Title:
Oral application of Duhuo Jisheng Tang(獨活寄生湯)for treatment of paresthesia after transforaminal endoscopic discectomy in patients with lumbar disk herniation
作者:
賈瓊1; 柴旭斌2; 鐘煒鈺1
1.湖南中醫(yī)藥高等專科學校附屬第一醫(yī)院,湖南 株洲 412000;
2.河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002
Author(s):
JIA Qiong1; CHAI Xubin2; ZHONG Weiyu1
1.The First Affiliated Hospital of Hunan college of traditional Chinese medicine,Zhuzhou 412000,Hunan,China 2.Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China
關鍵詞:
椎間盤移位;  腰椎;  手術后期間;  感覺異常;  椎間孔鏡;  獨活寄生湯
Keywords:
intervertebral disk displacement;  lumbar vertebrae;  postoperative period;  paresthesia;  transforaminal endoscope;  Duhuo Jisheng Tang
摘要:
目的:觀察口服獨活寄生湯治療腰椎間盤突出癥椎間孔鏡術后感覺異常的臨床療效。方法:將60例腰椎間盤突出癥椎間孔 鏡術后感覺異常的患者隨機分為2組,分別采用口服獨活寄生湯及甲鈷胺膠囊治療。治療4周后,采用疼痛視覺模擬量表(visual analogue scale,VAS)評定下肢疼痛情況,采用尼龍繩實驗評定下肢麻木情況,采用Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)問卷表評定腰椎功能恢復情況,采用改良MacNab標準評定臨床療效。結果:治療前2組患者的VAS評分、 ODI評分及尼龍繩實驗評分比較,組間差異均無統(tǒng)計學意義[(6.36±1.52)分,(6.03±1.48)分,t=0.080,P=0.936; (28.33±5.20)分,(28.03±5.42)分,t=0.219,P=0.828;(0.85±0.33)分,(0.88±0.23) 分,t=0.395,P=0.694]; 治療4周后獨活寄生湯組的VAS評分和ODI評分均低于甲鈷胺膠囊組[(2.74±1.63)分, (4.69±0.92)分,t=-3.299,P=0.002;(11.67±9.14)分,(18.80±4.87)分,t=-4.369,P=0.001],尼龍繩實驗評分高 于甲鈷胺膠囊組[(1.65±0.33)分,(0.95±0.35)分,t=3.472,P=0.008]。獨活寄生湯組優(yōu)10例、良9例、可8例、差3例 ,甲鈷胺膠囊組優(yōu)5例、良14例、可7例、差4例,獨活寄生湯組的臨床療效優(yōu)于甲鈷胺膠囊組(Z=-1.996,P=0.046)。結論:口服獨 活寄生湯可以有效治療腰椎間盤突出癥椎間孔鏡術后感覺異常,提高患者生活質量,療效優(yōu)于口服甲鈷胺膠囊,值得臨床推廣應 用。
Abstract:
Objective:To observe the clinical curative effect of oral application of Duhuo Jisheng Tang(獨活寄生 湯,DHJST)for the treatment of paresthesia after transforaminal endoscopic discectomy in patients with lumbar disk herniation(LDH).Methods:Sixty patients with paresthesia after transforaminal endoscopic discectomy were randomly divided into 2 groups and were treated with oral application of DHJST(DHJST group)and mecobalamine capsule(mecobalamine capsule group)respectively.After 4-week treatment,the lower limb pain were evaluated by using pain visual analogue scale(VAS),and the lower limb numbness were evaluated by using Nylon rope experiment,and the lumbar function were evaluated by using Oswestry disability index(ODI)questionnaires,and the clinical curative effects were evaluated by using improved MacNab standard.Results:There was no statistical difference in the VAS scores,ODI scores and Nylon rope experiment scores between the 2 groups before the treatment(6.36+/-1.52 vs 6.03+/-1.48 points,t=0.080,P=0.936; 28.33+/-5.20 vs 28.03+/-5.42 points,t=0.219,P=0.828; 0.85+/-0.33 vs 0.88+/-0.23 points,t=0.395,P=0.694).After 4-week treatment,the VAS scores and ODI scores were lower in DHJST group compared to mecobalamine capsule group(2.74+/-1.63 vs 4.69+/- 0.92 points,t=-3.299,P=0.002; 11.67+/-9.14 vs 18.80+/-4.87 points,t=-4.369,P=0.001),and the Nylon rope experiment scores were higher in DHJST group compared to mecobalamine capsule group(1.65+/-0.33 vs 0.95+/-0.35 points,t=3.472,P=0.008).Ten patients obtained an excellent result,9 good,8 fair and 3 poor in DHJST group; while 5 patients obtained an excellent result,14 good,7 fair and 4 poor in mecobalamine capsule group.The DHJST group surpassed the mecobalamine capsule group in the total curative effect(Z=- 1.996,P=0.046).Conclusion:Oral application of DHJST can effectively relieve the paresthesia after transforaminal endoscopic discectomy in patients with LDH and improve the life quality of the patients,and it surpasses the mecobalamine capsule in the curative effect,so it is worthy of popularizing in clinic.

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備注/Memo

備注/Memo:
通訊作者:柴旭斌 E-mail:[email protected]
更新日期/Last Update: 2016-04-30