国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2012年
5期
409-412
,共4页
射频靶点热凝%中药内服外敷%颈椎间盘突出症
射頻靶點熱凝%中藥內服外敷%頸椎間盤突齣癥
사빈파점열응%중약내복외부%경추간반돌출증
Radiofrequency thermocoagulation%Chinese medicine internal and external treatment%Cervical disc herniation
目的 探讨射频靶点热凝联合中药内服外敷治疗颈椎间盘突出症的疗效及安全性.方法 对116例经CT或MRI检查确诊的颈椎间盘突出症患者,按随机数字表法分为射频靶点热凝组56例(对照组)和射频靶点热凝联合中药组60例(治疗组).对照组单纯行射频靶点热凝术治疗,治疗组采用射频靶点热凝术联合中药治疗.在治疗前、术后24 h、术后1个月、术后3个月、术后6个月分别进行疼痛视觉模拟标尺法(VAS)、日本骨科协会(JOA)等评分以评价疗效.结果 治疗前、术后24 h的疼痛VAS、JOA评分组间比较差异无统计学意义(x2=0.19,P＞0.05),术后1个月、3个月、6个月的疼痛VAS、JOA评分组间比较差异有显著性(对照组F值分别为168.50、97.80、109.10,治疗组F值分别为286.50、165.34、75.82,P＜0.01).两组治疗6个月后的疗效比较,对照组优良率为76.7％,治疗组为90.0％,两组优良率比较差异有统计学意义(x2=4.568,P＜0.05).结论 颈椎间盘突出症患者,采用射频靶点热凝联合中药内服外敷治疗颈椎间盘突出症有效.
目的 探討射頻靶點熱凝聯閤中藥內服外敷治療頸椎間盤突齣癥的療效及安全性.方法 對116例經CT或MRI檢查確診的頸椎間盤突齣癥患者,按隨機數字錶法分為射頻靶點熱凝組56例(對照組)和射頻靶點熱凝聯閤中藥組60例(治療組).對照組單純行射頻靶點熱凝術治療,治療組採用射頻靶點熱凝術聯閤中藥治療.在治療前、術後24 h、術後1箇月、術後3箇月、術後6箇月分彆進行疼痛視覺模擬標呎法(VAS)、日本骨科協會(JOA)等評分以評價療效.結果 治療前、術後24 h的疼痛VAS、JOA評分組間比較差異無統計學意義(x2=0.19,P＞0.05),術後1箇月、3箇月、6箇月的疼痛VAS、JOA評分組間比較差異有顯著性(對照組F值分彆為168.50、97.80、109.10,治療組F值分彆為286.50、165.34、75.82,P＜0.01).兩組治療6箇月後的療效比較,對照組優良率為76.7％,治療組為90.0％,兩組優良率比較差異有統計學意義(x2=4.568,P＜0.05).結論 頸椎間盤突齣癥患者,採用射頻靶點熱凝聯閤中藥內服外敷治療頸椎間盤突齣癥有效.
목적 탐토사빈파점열응연합중약내복외부치료경추간반돌출증적료효급안전성.방법 대116례경CT혹MRI검사학진적경추간반돌출증환자,안수궤수자표법분위사빈파점열응조56례(대조조)화사빈파점열응연합중약조60례(치료조).대조조단순행사빈파점열응술치료,치료조채용사빈파점열응술연합중약치료.재치료전、술후24 h、술후1개월、술후3개월、술후6개월분별진행동통시각모의표척법(VAS)、일본골과협회(JOA)등평분이평개료효.결과 치료전、술후24 h적동통VAS、JOA평분조간비교차이무통계학의의(x2=0.19,P＞0.05),술후1개월、3개월、6개월적동통VAS、JOA평분조간비교차이유현저성(대조조F치분별위168.50、97.80、109.10,치료조F치분별위286.50、165.34、75.82,P＜0.01).량조치료6개월후적료효비교,대조조우량솔위76.7％,치료조위90.0％,량조우량솔비교차이유통계학의의(x2=4.568,P＜0.05).결론 경추간반돌출증환자,채용사빈파점열응연합중약내복외부치료경추간반돌출증유효.
Objective To explore the effects and security of traditional Chinese medicine combined with radiofrequency thermocoagulation in the treatment of lumbar disc herniation.Methods A total of 116 cases with lumbar disc herniation were randomly divided into a treatment group and a control group.The control group (56 cases) was treated with radiofrequency thermocoagulation,while the treatment grouP (60 cases)was treated with Chinese medicine on the basis of the control group.Clinical effect was evaluated by VAS score and JOA score standard analysis before therapy,and 24 hours,1 month,3 month and 6 months after the therapy.Results Thee was no significant differences(x2=0.19,P＞0.05)in VAS and JOA score between the two groups before therapy and 24 hours after the therapy.While after 1 months,3 months and 6 months after the therapy,there was significant difference between the two groups (F value of the control grouP was 168.50、97.80、109.10,F value of the treatment group was 286.50、165.34、75.82,P＜0.01).The therapeutic effects comparison between the two group after 6 months therapy:the recovery rate was 76.7％ and 90.0％ in the control group and the treatment group respectively,showing significant differences (x2=4.568,P＜0.05).Conclusion Chinese medicine combined with radiofrequency thermocoagulation was an effective method for cervical disc herniation.
