84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]楊少鋒,郭彥濤,羅振華,等.長沙市腰椎間盤突出癥中醫(yī)證候研究[J].中醫(yī)正骨,2016,28(02):33-35.
　YANG Shaofeng,GUO Yantao,LUO Zhenhua,et al.Investigation of SYMPTOM COMPLEX(TCM)of lumbar disc herniation in Changsha city[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(02):33-35.
點(diǎn)擊復(fù)制

長沙市腰椎間盤突出癥中醫(yī)證候研究()
分享到：

《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:
33-35
欄目:
調(diào)查研究
出版日期:
2016-02-20

文章信息/Info

Title:
Investigation of SYMPTOM COMPLEX(TCM)of lumbar disc herniation in Changsha city
作者:
楊少鋒1; 郭彥濤1; 羅振華1; 聶穎1; 鄧博1; 張超1; 向 劍鋒2
1.湖南中醫(yī)藥大學(xué)第一附屬醫(yī)院,湖南 長沙 410007;
2.湖南省張家界市中醫(yī)院,湖南 張家界 427000
Author(s):
YANG Shaofeng1; GUO Yantao1; LUO Zhenhua1; NIE Ying1; DENG Bo1; ZAHNG Chao1; XIANG Jianfeng2
1.The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,Hunan,China 2.Zhangjiajie Hospital of Traditional Chinese Medicine,Zhangjiajie 427000,Hunan,China
關(guān)鍵詞:
椎間盤移位;  腰椎;  證候;  問卷調(diào)查
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  symptom complex;  questionnaires
摘要:
目的:探討長沙市腰椎間盤突出癥的中醫(yī)證候。方法:2011年12月至2012年12月,在長沙市3家醫(yī)院中隨機(jī)抽取623例腰椎 間盤突出癥患者進(jìn)行調(diào)查,將調(diào)查結(jié)果錄入“文鋒中醫(yī)診療軟件”,建立SPSS數(shù)據(jù)庫,對患者的中醫(yī)證候進(jìn)行分析。結(jié)果:623例 患者中男428例,占68.7%; 女195例,占31.3%; 男性患者是女性患者的2.19倍。男性患者年齡小于女性患者[(53.00±9.82) 歲,(57.00±6.18)歲,t=4.620,P=0.035]。623例患者中以長期彎腰活動者及體力勞動者多見。均出現(xiàn)腰部疼痛和雙下肢疼 痛,下肢疼痛性質(zhì)以脹痛、隱痛等為主。623例患者中出現(xiàn)肝陰虛、腎陽虛、脾虛、血瘀、寒濕、濕熱、氣滯、風(fēng)、腎陰虛9種 辨證要素,其中肝陰虛、寒濕、腎陽虛出現(xiàn)的頻率最高,濕熱、脾虛出現(xiàn)的頻率最低。肝腎陰虛證176例,占28.3%; 風(fēng)證50例,占 8.0%; 脾腎陽虛、寒濕證231例,占37.1%; 氣滯血瘀、濕熱證166例,占26.6%。結(jié)論:長沙市腰椎間盤突出癥患者以男性居多,其 患病年齡較女性小; 患者以長期彎腰活動者及體力勞動者多見; 基本證型為肝腎陰虛證、風(fēng)邪入絡(luò)證、脾腎虧虛寒凝證和氣滯 血瘀濕熱證,肝陰虛、腎陰虛、血瘀、寒濕、氣滯、風(fēng)是導(dǎo)致該病的主要因素。
Abstract:
Objective:To investigate the SYMPTOM COMPLEX(TCM)of lumbar disc herniation(LDH)in Changsha city.Methods:Six hundred and twenty-three patients with LDH were randomly selected from three hospitals in Changsha city and were investigated from December 2011 to December 2012.The investigation results were inputed into Wenfeng TCM diagnosis and treatment software to build SPSS database,and the SYMPTOM COMPLEX(TCM)of the patients were analyzed.Results:The patients consisted of 428 males(68.7%)and 195 females(31.3%),and the male patients were 2.19 times of the female patients.Male patients were younger than female patients(53.00+/-9.82 vs 57.00+/-6.18 yrs,t=4.620,P=0.035).The patients consisted mainly of persons who often bent from the waist and manual workers.Low back pain and both lower limbs pain were found in the patients,and the lower limbs pain presented mainly with gas pain and vague pain.Nine primary factors for differentiation of symptoms and signs,including liver-yin deficiency,kidney-yang deficiency,spleen deficiency,blood stasis,cold- dampness,dampness-heat,qi stagnation,wind and kidney-yin deficiency were found in 623 patients.The top 3 factors with high frequency included liver-yin deficiency,cold-dampness and kidney-yang deficiency; whlie the top 2 factors with low frequency included dampness-heat and spleen deficiency.Liver-kidney-yin deficiency were found in 176 patients(28.3%),wind in 50 patients(8.0%),spleen-kidney yang-deficiency and cold-dampness in 231 patients(37.1%)and qi stagnation and blood stasis and damp-heat syndrome in 166 patients(26.6%).Conclusion:The patients with LDH are mainly males in Changsha city,and the male patients are younger than female patients.The patients consist mainly of persons who often bend from the waist and manual workers.The basic types of syndrome include liver-kidney-yin deficiency,pathogenic wind invading collaterals,spleen-kidney deficiency and cold coagulation and qi-stagnation and blood stasis and damp-heat.The main causative factors of the disease include liver yin deficiency,kidney yin deficiency,blood stasis,cold-dampness,qi stagnation and wind.

參考文獻(xiàn)/References:

[1] 胥少汀,葛寶豐,徐印坎.實(shí)用骨科學(xué)[M].4版.北京:人民軍醫(yī)出版社,2012:2042.
[2] Christensen TH,Bliddal H,Hansen SE,et al.Severe low-back pain.I:Clinical assessment of two weeks conservative therapy[J].Scand J Rheumal,2009,22(1):25-29.
[3] 胡有谷.腰椎間盤突出癥[M].3版.北京:人民衛(wèi)生出版社,2004:5.
[4] NIOSH.Musculoskeletal disorders and workplace facters:a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck,upper extremity,and low back[R].Cincinati,1997.
[5] Battié MC,Videman T,Gill K,et al.1991 volvo award in clinical sciences.Smoking and lumbar intervertebral disc degeneration:an MRI study of identical twins[J].Spine(Phila Pa 1976),1991,16(9):1015-1021.
[6] Liuke M,Solovieva S,Lamminen A,et al.Disc degeneration of the lumbar spine in relation to overweight [J].Int J Obes(Lond),2005,29(8):903-908.
[7] Horner HA,Urban JP.2001 volvo award winner in basic science studies:effect of nutrient supply on the viability of cells from the nucleus pulposus of the intervertebral disc[J].Spine(Phila Pa 1976),2001,26 (23):2543-2549.
[8] 向劍鋒,楊少鋒.腰椎間盤突出癥中醫(yī)證候分布規(guī)律研究進(jìn)展現(xiàn)況[J].中國中醫(yī)骨傷科雜志,2013,21(2):67-69.
[9] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[S].南京:南京大學(xué)出版社,2012:214.
[10] 黃錦芳,郭團(tuán)年,賴選魁.腰椎間盤突出癥分型治療研究[J].中國骨傷,1998,11(3):45-46.
[11] 羅世東.手法配合中藥辨證治療腰椎間盤突出癥62例[J].廣西中醫(yī)學(xué)院學(xué)報(bào),2000,17(1):30-31.
[12] 王朝陽.中西醫(yī)結(jié)合治療腰椎間盤突出癥[J].川北醫(yī)學(xué)院學(xué)報(bào),1999,14(1):71-72.
[13] 彭利群.腰椎間盤突出癥的辨證施治[J].新中醫(yī),1999,31(8):29.
[14] 黃賢武,鄒小華.非手術(shù)綜合治療腰椎間盤突出癥128例療效觀察[J].中醫(yī)正骨,2002,14(5):26-27.
[15] 王吉根.經(jīng)方辨治腰椎間盤突出癥三則[J].安徽中醫(yī)學(xué)院學(xué)報(bào),2001,20(3):32-33.

相似文獻(xiàn)/References:

[1]鄧紅軍.硫酸鈣骨水泥椎體成形聯(lián)合后路短節(jié)段椎弓根螺釘 內(nèi)固定治療創(chuàng)傷性胸腰椎骨折[J].中醫(yī)正骨,2015,27(10):35.
[2]張莉,秦丹霞,張細(xì)姣.腹針治療椎間盤源性腰痛[J].中醫(yī)正骨,2015,27(10):38.
[3]吳青坡,孫國紹,王林杰.后路椎管減壓聯(lián)合腰椎椎弓根釘動態(tài)穩(wěn)定裝置內(nèi)固定 治療單節(jié)段腰椎退行性疾病[J].中醫(yī)正骨,2015,27(10):42.
[4]郭小偉,梅偉,潘玉林,等.一期后路病灶清除納米仿生骨椎體支撐體植骨融合 內(nèi)固定治療胸腰椎結(jié)核[J].中醫(yī)正骨,2015,27(07):66.
[5]孫廣江,崔海艦.絡(luò)病理論指導(dǎo)下應(yīng)用獨(dú)活寄生湯加減治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(12):37.
　SUN Guangjiang,CUI Haijian.Clinical study on oral application of Duhuo Jisheng Tang Jiajian(獨(dú)活寄生湯加減)under the guidance of collaterals disease theory for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):37.
[6]阮朝陽,曾強(qiáng)華,朱群威.口服消栓口服液和甲鈷胺膠囊治療腰椎間盤突出癥 經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀[J].中醫(yī)正骨,2015,27(12):71.
[7]陳冠軍,陳揚(yáng),莊汝杰.可灌注骨水泥椎弓根螺釘系統(tǒng) 在老年腰椎疾患手術(shù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):40.
[8]萬宏波,馬海燕,蔣云霞,等.口服益氣化瘀湯聯(lián)合功能鍛煉治療腰椎退行性疾病 術(shù)后殘留腰腿痛的臨床研究[J].中醫(yī)正骨,2015,27(06):1.
　WAN Hongbo,MA Haiyan,JIANG Yunxia,et al.Clinical study on oral application of Yiqi Huayu Tang(益氣化瘀湯)combined with functional exercise for the treatment of postoperative residual lumbocrural pain in patients with lumbar degenerative disease[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):1.
[9]賀振年,康信勇,徐洪偉,等.骨盆矢狀位參數(shù)對退行性腰椎滑脫癥的影響[J].中醫(yī)正骨,2015,27(06):19.
　HE Zhennian,KANG Xinyong,XU Hongwei,et al.Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):19.
[10]李鵬,徐世濤,譚磊.椎旁肌間隙入路傷椎單側(cè)植骨內(nèi)固定治療 單節(jié)段胸腰椎骨折[J].中醫(yī)正骨,2015,27(06):43.
[11]徐幫杰,楊楠,白偉杰,等.坐位定點(diǎn)旋轉(zhuǎn)整復(fù)法治療腰椎間盤突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):17.
[12]白春曉,賈育松,孫旗,等.中醫(yī)藥在腰椎間盤突出癥圍手術(shù)期應(yīng)用的研究進(jìn)展[J].中醫(yī)正骨,2015,27(11):65.
[13]王少純,周英杰.郭維淮教授運(yùn)用活血益氣通經(jīng)湯治療腰椎間盤突出癥的經(jīng)驗(yàn)[J].中醫(yī)正骨,2015,27(11):75.
[14]蘇洪,張雪林.患側(cè)下肢牽引配合腰椎斜扳法治療 極外側(cè)型腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(10):40.
[15]謝冬群,黃中梁,葉金麗.加強(qiáng)隔附子餅灸治療腎陽虛型腰椎間盤突出癥的 臨床研究[J].中醫(yī)正骨,2015,27(09):18.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):18.
[16]沈海良,錢萬鋒,周驍棟.針刀松解聯(lián)合局部封閉與口服中藥治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(09):46.
[17]王仁燦,黃炎洪,潘偉江,等.45°肩踝懸吊牽引下撞擊腰椎療法治療L5S1椎間盤突出癥[J].中醫(yī)正骨,2015,27(08):51.
[18]任博文,楊豪.口服桂葛萆薢湯加減配合功能鍛煉治療 寒濕型腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(08):53.
[19]丁曉醫(yī),周子靜.射頻熱凝聯(lián)合臭氧注射治療腰椎間盤突出癥的護(hù)理[J].中醫(yī)正骨,2015,27(12):81.
[20]仇湘中,蔣盛昶,張信成,等.紅外熱成像圖在腰椎間盤突出癥證候療效評定中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):17.
　QIU Xiangzhong,JIANG Shengchang,ZHANG Xincheng,et al.Application of infrared thermal imaging to curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(02):17.

備注/Memo

備注/Memo:
基金項(xiàng)目:湖南省中醫(yī)藥管理局重點(diǎn)課題(201119); 湖南省教育廳資助課題(11C0968,13C694)
更新日期/Last Update: 2016-04-30