中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
12期
1591-1593
,共3页
腰椎间盘突出症%急性%中西医结合%疗效
腰椎間盤突齣癥%急性%中西醫結閤%療效
요추간반돌출증%급성%중서의결합%료효
Lumbar disc herniation%Acute%Western combined with traditional Chinese medicine%Curative effect
目的 探讨中西医结合治疗腰椎间盘突出症的疗效.方法 200例腰椎间盘突出患者随机分为中西医结合治疗组(A组)100例和西医治疗组(B组)100例.B组予一般抗炎、脱水、止痛及营养神经治疗,A组在B组基础上加用中医治疗.治疗3周后,观察两组疗效、VAS评分和住院天数.结果 A组总有效率为90.0%明显高于B组的73.0%(X2=3.987,P<0.05);两组治疗后4周VAS评分[(1.1±1.23、0.9±0.6)/分]均低于治疗前[(8.6±1.43、8.8±1.382)/分](t=2.301、2.335,均P<0.05);A组治疗后3 d和治疗后1周VAS评分分别为(5.5±0.92)分和(2.7±1.14)分,均低于B组的(8.2±0.59)分和(5.3±0.91)分(t=2.405、2.435,均P<0.05);A组住院天数(20.1±3.5)d明显低于B组(27.6±4.3)d(t=2.314,P<0.05).结论 中西医结合治疗对腰椎间盘突出症有较好的临床疗效.
目的 探討中西醫結閤治療腰椎間盤突齣癥的療效.方法 200例腰椎間盤突齣患者隨機分為中西醫結閤治療組(A組)100例和西醫治療組(B組)100例.B組予一般抗炎、脫水、止痛及營養神經治療,A組在B組基礎上加用中醫治療.治療3週後,觀察兩組療效、VAS評分和住院天數.結果 A組總有效率為90.0%明顯高于B組的73.0%(X2=3.987,P<0.05);兩組治療後4週VAS評分[(1.1±1.23、0.9±0.6)/分]均低于治療前[(8.6±1.43、8.8±1.382)/分](t=2.301、2.335,均P<0.05);A組治療後3 d和治療後1週VAS評分分彆為(5.5±0.92)分和(2.7±1.14)分,均低于B組的(8.2±0.59)分和(5.3±0.91)分(t=2.405、2.435,均P<0.05);A組住院天數(20.1±3.5)d明顯低于B組(27.6±4.3)d(t=2.314,P<0.05).結論 中西醫結閤治療對腰椎間盤突齣癥有較好的臨床療效.
목적 탐토중서의결합치료요추간반돌출증적료효.방법 200례요추간반돌출환자수궤분위중서의결합치료조(A조)100례화서의치료조(B조)100례.B조여일반항염、탈수、지통급영양신경치료,A조재B조기출상가용중의치료.치료3주후,관찰량조료효、VAS평분화주원천수.결과 A조총유효솔위90.0%명현고우B조적73.0%(X2=3.987,P<0.05);량조치료후4주VAS평분[(1.1±1.23、0.9±0.6)/분]균저우치료전[(8.6±1.43、8.8±1.382)/분](t=2.301、2.335,균P<0.05);A조치료후3 d화치료후1주VAS평분분별위(5.5±0.92)분화(2.7±1.14)분,균저우B조적(8.2±0.59)분화(5.3±0.91)분(t=2.405、2.435,균P<0.05);A조주원천수(20.1±3.5)d명현저우B조(27.6±4.3)d(t=2.314,P<0.05).결론 중서의결합치료대요추간반돌출증유교호적림상료효.
Objective To investigate the curative effect of western combined with traditional Chinese medicine in treatment of acute lumbar disc herniation.Methods 200 patients with lumbar disc herniation were randomly divided into western combined with traditional Chinese therapy group(group A) and western medicine group(group B) ,each group 100 cases.B group was conducted with the general anti - inflammatory, dehydration, nerve pain and nutritional therapy,and A group was given the traditional Chinese medicine treatment on the base of B group.After 3 weeks treatment, the curative effect, VAS score and hospital stay were observed.Results A total effective rate 90.0% in group A was higher than B group 73.0% ( x2 = 3.987 ,P < 0.05); The scores of VAS after treatment 4 weeks[(1.1 ±1.23、0.9 ±0.6)/point]were lower than before treatment[(8.6 ± 1.43,8.8 ± 1.382)/point]in two groups(t =2.301,2.335,all P<0.05) ;The scores of VAS after treatment 3d and 1 week in group A[(5.5 ±0.92) point,(2.7±1.14) point] were lower than group B[(8.2 ±0.59) point,(5.3 ±0.91) point] (t =2.405,2.435,all P<0.05);The hospital days(20.1 ±3.5)d in group A was significantly lower than group B(27.6 ±4.3)d( t = 2.314,P <0.05).Conclusion Western combined with traditional Chinese medicine had better clinical efficacy in teatrent of patients with acute lumbar disc hemiation.
