CAJ | 학술논문

[目的]观察中医镇痛方分型治疗硬膜外麻醉后的腰背疼痛的临床疗效。[方法]将120例患者随机分为中药组80例和对照组40例。中药组根据疼痛程度，分为轻、中、重三型，轻、中型分别予中药镇痛1号方，重型予中药镇痛2号方治疗，对照组不分疼痛程度，均予曲马多对症止痛治疗，1个月为1疗程。观察治疗过程中的副作用并进行比较，疗程结束后记录并比较两组视觉模拟评分（visual analogue scale ，VAS）及疗效。[结果]治疗过程中，中药组患者无不良反应，对照组患者有6例出现副作用，停药后缓解，两组差异有统计学意义（P<0.05）。疗程结束后，中药各型有效率分别为91.7%、87.0%、84.8%，明显高于对照组的77.5%，VAS评分明显降低，差异均有统计学意义（P<0.05）。[结论]中医镇痛方治疗硬膜外麻醉后腰背疼痛有较好的临床疗效，且无明显不良反应，值得临床推广应用。
[목적]관찰중의진통방분형치료경막외마취후적요배동통적림상료효。[방법]장120례환자수궤분위중약조80례화대조조40례。중약조근거동통정도，분위경、중、중삼형，경、중형분별여중약진통1호방，중형여중약진통2호방치료，대조조불분동통정도，균여곡마다대증지통치료，1개월위1료정。관찰치료과정중적부작용병진행비교，료정결속후기록병비교량조시각모의평분（visual analogue scale ，VAS）급료효。[결과]치료과정중，중약조환자무불량반응，대조조환자유6례출현부작용，정약후완해，량조차이유통계학의의（P<0.05）。료정결속후，중약각형유효솔분별위91.7%、87.0%、84.8%，명현고우대조조적77.5%，VAS평분명현강저，차이균유통계학의의（P<0.05）。[결론]중의진통방치료경막외마취후요배동통유교호적림상료효，차무명현불량반응，치득림상추엄응용。
Objective] Observation of analgesia on epidural anesthesia of TCM clinical efficacy of low back pain.[Method] 120 patients group and a control group of 80 cases randomly divided into traditional Chinese medicine 40 cases. Chinese traditional medicine group, according to the degree of pain into three groups of light, medium, heavy respectively, to the Chinese medicine analgesia in light, no. 1, restructuring to traditional Chinese medicine analgesia 2 treatment, control group in both degrees of pain, both the tramadol symptomatic pain treatment, 4 weeks for 1 course of treatment. After the course, record and compare the two groups of visual analogue scale and curative effect. [Result]Chinese traditional medicine group efficient(91.7%, 87.0%, 84.8%), significantly higher than the control group(77.5%), significantly lower VAS score, the difference had statistical significance. [Conclusion] Chinese medicine treatment of epidural analgesia party centre-backs back pain has better clinical curative effect, worth clinical promotion.