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中医外治联合骶管滴注治疗治疗腰椎间盘突出症临床疗效观察
作者:雍坤 张贤  
单位:南京中医药大学
关键词:中医外治 骶管滴注疗法 腰椎间盘突出症 
分类号:
出版年·卷·期(页码):2016··第七期(0-)
摘要:

目的:观察中医外治联合骶管滴注疗法治疗腰椎间盘突出症的临床疗效。方法:60例腰椎间盘突出症的患者,采用随机抽样法分为A组(中医外治+骶管滴注)、B组(单纯骶管滴注)2组,每组30例。所有患者接受3个疗程的治疗,并指导腰背肌锻炼。评定治疗前及各治疗周期结束时的腰椎JOA评分及腰痛程度,治疗结束后评定整体治疗有效率,并进行组间对比。结果:A组患者腰痛缓解情况优于B组,在治疗1周后差异具有统计学意义(P<0.05)。疗程结束后A组患者腰椎JOA评分也明显好于B组(P>0.05)。治疗有效率A组高于B组,差异具有显著统计学意义(P<0.05)。结论:中医外治法能减轻腰椎间盘突出症患者的疼痛,改善患者的功能,与骶管滴注疗法合用可提高临床治疗效果。

Objective:To observe the curative effect external therapy of TCM combined sacral canal infusion on prolapse of lumbar intervertebral disc. Method:60 patients with prolapse of lumbar intervertebral disc were randomly divided into group A(external therapy of TCM combined sacral canal infusion)and group B(sacral canal infusion only)with 20 patients each.All patients. All the patients received 3 courses of treatment and guided muscle exercises of back and waist. Lumbar JOA scores,degree of back pain before treatment and at the end of each treatment cycle and the overall treatment efficiency was evaluated were evaluated and made a comparison between 2 groups. Result:The relief of back pain in group A was better than that in group B, the difference was statistically significant by the end of first week(P<0.05). The JOA scores of patients in group A ware significantly better than that in B group after the treatment(P>0.05), Conclusion:External therapy of TCM could reduce the pain of patients with lumbar disc herniationi,mprove the function of patients,and had a better clinical therapeutic effect combined with therapy of sacral canal injection.

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