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[1]張起,古恩鵬,鄭萬鵬,等.神經(jīng)根沉降征對中醫(yī)綜合療法治療腰椎管狹窄癥療效影響的臨床研究[J].中醫(yī)正骨,2017,29(08):17-21.
　ZHANG Qi,GU Enpeng,ZHENG Wanpeng,et al.A clinical study of influence of nerve root sedimentation signs on clinical therapeutic effect of combined therapy of traditional Chinese medicine in the treatment of lumbar spinal stenosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(08):17-21.
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神經(jīng)根沉降征對中醫(yī)綜合療法治療腰椎管狹窄癥療效影響的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年08期
頁碼:
17-21
欄目:
臨床研究
出版日期:
2017-08-20

文章信息/Info

Title:
A clinical study of influence of nerve root sedimentation signs on clinical therapeutic effect of combined therapy of traditional Chinese medicine in the treatment of lumbar spinal stenosis
作者:
張起; 古恩鵬; 鄭萬鵬; 劉廣東
天津市濱海新區(qū)中醫(yī)醫(yī)院,天津 300450
Author(s):
ZHANG Qi; GU Enpeng; ZHENG Wanpeng; LIU Guangdong
Binhai New District Hospital of Traditional Chinese Medicine,Tianjin 300450,China
關(guān)鍵詞:
椎管狹窄;  腰椎;  神經(jīng)根沉降征;  中醫(yī)療法;  臨床試驗
Keywords:
Key words spinal stenosis;  lumbar vertebrae;  nerve root sedimentation sign;  TCM therapy;  clinical trial
摘要:
目的:探討神經(jīng)根沉降征對中醫(yī)綜合療法治療腰椎管狹窄癥療效的影響。方法:選取33例腰椎管狹窄癥患者,按照是否存在神經(jīng)根沉降征分為2組,陽性組19例、陰性組14例。2組患者均采用以十步推拿手法為核心的中醫(yī)綜合療法治療。采用視覺模擬量表(visual analogue scale,VAS)和日本骨科學(xué)會(Japanese orthopaedic association,JOA)腰痛疾患療效評定量表(29分法)評定患者的疼痛程度和總體療效。結(jié)果:治療前2組患者的疼痛VAS評分比較,差異無統(tǒng)計學(xué)意義(t=-1.006,P=0.332); 治療結(jié)束后2組患者的疼痛VAS評分均降低[(7.32±0.89)分,(3.26±1.10)分,t=14.437,P=0.001;(6.92±1.32)分,(3.42±0.85)分,t=9.740,P=0.001]; 2組患者治療結(jié)束后的疼痛VAS評分比較,差異無統(tǒng)計學(xué)意義(t=0.469,P=0.643)。治療前2組患者的JOA評分比較,差異無統(tǒng)計學(xué)意義(t=1.623,P=0.115); 治療結(jié)束后2組患者的JOA評分均增大[(13.26±1.37)分,(17.42±2.24)分,t=-12.723,P=0.001;(14.14±1.75)分,(20.50±1.87)分,t=-17.079,P=0.001],陽性組治療結(jié)束后的JOA評分低于陰性組(t=4.171,P=0.001)。結(jié)論:采用十步推拿手法為核心的中醫(yī)綜合療法治療腰椎管狹窄癥,神經(jīng)根沉降征陰性者療效更優(yōu)。
Abstract:
ABSTRACT Objective:To explore the influence of nerve root sedimentation signs on clinical therapeutic effect of combined therapy of traditional Chinese medicine(TCM)in the treatment of lumbar spinal stenosis(LSS).Methods:Thirty-three patients with LSS were selected and randomly divided into positive group(19 cases)and negative group(14 cases)according to whether nerve root sedimentation signs were found.The patients in the 2 groups were treated with TCM complex therapy centered on ten-step manipulation maneuver.The pain degrees and the clinical curative effects were evaluated by using visual analogue scale(VAS)and therapeutic effect rating scale(29 points)for low back pain made by Japanese orthopaedic association(JOA)respectively.Results:There was no statistical difference in pain VAS scores between the 2 groups before treatment(t=-1.006,P=0.332).The pain VAS scores decreased in both of the 2 groups after the end of the treatment(7.32+/-0.89 vs 3.26+/-1.10 points,t=14.437,P=0.001; 6.92+/-1.32 vs 3.42+/-0.85 points,t=9.740,P=0.001).There was no statistical difference in pain VAS scores between the 2 groups after the end of the treatment(t=0.469,P=0.643).There was no statistical difference in JOA scores between the 2 groups before treatment(t=1.623,P=0.115).The JOA scores increased in both of the 2 groups after the end of the treatment(13.26+/-1.37 vs 17.42+/-2.24 points,t=-12.723,P=0.001; 14.14+/-1.75 vs 20.50+/-1.87 points,t=-17.079,P=0.001).The JOA scores were lower in positive group compared to negative group after the end of the treatment(t=4.171,P=0.001).Conclusion:In treatment of LSS,the curative effect of TCM complex therapy centered on ten-step manipulation maneuver is better in patients without nerve root sedimentation signs compared to those with nerve root sedimentation signs.

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備注/Memo

備注/Memo:
基金項目:天津市濱海新區(qū)衛(wèi)生計生委科技項目(2016BWKL001) 通訊作者:古恩鵬 E-mail:[email protected]
更新日期/Last Update: 2017-12-29