中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
1期
100-103
,共4页
都芳涛%郑建红%于德国%刘秀娟
都芳濤%鄭建紅%于德國%劉秀娟
도방도%정건홍%우덕국%류수연
复方南星止痛膏%经皮激光椎间盘减压术%椎间盘源性腰痛
複方南星止痛膏%經皮激光椎間盤減壓術%椎間盤源性腰痛
복방남성지통고%경피격광추간반감압술%추간반원성요통
Fufang nanxing zhitong Plaster%Percutaneous laser disc decompression%Discogenic back pain
目的 探讨应用复方南星止痛膏配合经皮激光椎间盘减压术(PLDD)治疗椎间盘源性腰痛的临床疗效.方法 将山东省聊城市第二人民医院2007年10月至2011年4月收治的98例椎间盘源性腰痛患者按照随机数字表法分为治疗组和对照组,每组各49例.治疗组行PLDD治疗,术后应用复方南星止痛膏;对照组行PLDD治疗,术后应用扶他林.比较2组患者的疗效、视觉模拟评分(VAS)、腰椎功能障碍指数(ODI)评分及并发症情况.结果 术后1周治疗组有效率明显高于对照组[93.8％ (46/49)比55.1％(27/49)],差异有统计学意义(P＜0.01);术后1、3、6个月2组有效率比较差异无统计学意义(P＞0.05).2组患者治疗后VAS与ODI评分与治疗前比较[治疗组:(3.0±1.9)分比(6.4±1.2)分,(17.5±7.5)分比(47.1±8.3)分;对照组:(4.9±1.7)分比(6.4±2.8)分,(23.6±10.1)分比(47.0±7.9)分],差异有统计学意义(P＜0.01).治疗组治疗后VAS与ODI评分与对照组比较差异有统计学意义(p＜0.01).治疗组并发症发生率[(18.4％(9/49)]明显低于对照组[61.2％ (30/49)],差异有统计学意义(P＜0.01).结论 应用复方南星止痛膏配合PLDD可明显提高患者的治疗有效率,改善疼痛状况及腰椎功能,且不良反应发生率低.
目的 探討應用複方南星止痛膏配閤經皮激光椎間盤減壓術(PLDD)治療椎間盤源性腰痛的臨床療效.方法 將山東省聊城市第二人民醫院2007年10月至2011年4月收治的98例椎間盤源性腰痛患者按照隨機數字錶法分為治療組和對照組,每組各49例.治療組行PLDD治療,術後應用複方南星止痛膏;對照組行PLDD治療,術後應用扶他林.比較2組患者的療效、視覺模擬評分(VAS)、腰椎功能障礙指數(ODI)評分及併髮癥情況.結果 術後1週治療組有效率明顯高于對照組[93.8％ (46/49)比55.1％(27/49)],差異有統計學意義(P＜0.01);術後1、3、6箇月2組有效率比較差異無統計學意義(P＞0.05).2組患者治療後VAS與ODI評分與治療前比較[治療組:(3.0±1.9)分比(6.4±1.2)分,(17.5±7.5)分比(47.1±8.3)分;對照組:(4.9±1.7)分比(6.4±2.8)分,(23.6±10.1)分比(47.0±7.9)分],差異有統計學意義(P＜0.01).治療組治療後VAS與ODI評分與對照組比較差異有統計學意義(p＜0.01).治療組併髮癥髮生率[(18.4％(9/49)]明顯低于對照組[61.2％ (30/49)],差異有統計學意義(P＜0.01).結論 應用複方南星止痛膏配閤PLDD可明顯提高患者的治療有效率,改善疼痛狀況及腰椎功能,且不良反應髮生率低.
목적 탐토응용복방남성지통고배합경피격광추간반감압술(PLDD)치료추간반원성요통적림상료효.방법 장산동성료성시제이인민의원2007년10월지2011년4월수치적98례추간반원성요통환자안조수궤수자표법분위치료조화대조조,매조각49례.치료조행PLDD치료,술후응용복방남성지통고;대조조행PLDD치료,술후응용부타림.비교2조환자적료효、시각모의평분(VAS)、요추공능장애지수(ODI)평분급병발증정황.결과 술후1주치료조유효솔명현고우대조조[93.8％ (46/49)비55.1％(27/49)],차이유통계학의의(P＜0.01);술후1、3、6개월2조유효솔비교차이무통계학의의(P＞0.05).2조환자치료후VAS여ODI평분여치료전비교[치료조:(3.0±1.9)분비(6.4±1.2)분,(17.5±7.5)분비(47.1±8.3)분;대조조:(4.9±1.7)분비(6.4±2.8)분,(23.6±10.1)분비(47.0±7.9)분],차이유통계학의의(P＜0.01).치료조치료후VAS여ODI평분여대조조비교차이유통계학의의(p＜0.01).치료조병발증발생솔[(18.4％(9/49)]명현저우대조조[61.2％ (30/49)],차이유통계학의의(P＜0.01).결론 응용복방남성지통고배합PLDD가명현제고환자적치료유효솔,개선동통상황급요추공능,차불량반응발생솔저.
Objective To study the therapeutic effect of Fufang nanxing zhitong plaster cooperated with percutaneous laser disc decompression (PLDD) in the treatment of discogenic back pain.Methods Ninety-eight cases of discogenic back pain in the Affiliated second people's hospital of Liaocheng from October 2007 to April 2011 were divided into 2 groups by means of random number table:treatment group and control group with 49 cases in each group.The treatment group was given Fufang nanxing zhitong plaster after PLDD ; the control group was given diclofenac sodium sustained release tablets after PLDD.The curative effect,visual analogue scale (VAS)score,ODI score and complications situation were compared.Results 1 week after operation,the excellent and good rate of the treating group was significantly higher than that of the control group[93.8％ (46/49) vs 55.1％ (27/49)]; there were significant differences between the two groups(P ＜ 0.01); at 1 month,3 months and 6 months after operation,excellent and good rate difference was not statistically significant between the 2 groups (P ＞ 0.05).There were significant differences on VAS score and ODI score of two group after treatment compared with before group [treatment group:(3.0 ±1.9)scores vs (6.4 ± 1.2)scores,(17.5 ± 7.5)scores vs (47.1 ± 8.3)scores;control group:(4.9 ± 1.7)scores vs (6.4 ±2.8) scores,(23.6 ± 10.1)scores vs (47.0 ± 7.9) scores] (P ＜0.01),but the improvement range in treatment group was significantly better than that in control group (P ＜0.01).The incidences of complication in treatment group (18.4％,9/49) was significantly lower than that in control group (61.2％,30/49) (P ＜ 0.01).Conclusion Fufang nanxing zhitong Plaster cooperated with PLDD is a valid method of treating discogenic back pain.
