CAJ | 학술논문

目的探讨序贯康复包对腰椎间盘突出症的有效性与安全性.方法将130例腰椎间盘突出症患者,采用随机数字法分为观察组和对照组,观察组在给予基础治疗的同时接受透海散熏蒸结合序贯康复干预(60例);对照组不予中药熏蒸,其他干预无先后次序,余同观察组,共60例.脱落病例10例.于治疗10 d、20d和3个月后采用腰痛疾患治疗成绩判定标准(JOA)、视觉模拟评分法(VAS)、SF-36简明健康调查问卷(SF-36),评价其功能及生活质量改善情况.结果治疗前两组患者JOA、VAS、SF-36评分比较差异均无统计学意义(P＞0.05);治疗10 d观察组患者JOA、VAS评分分别为(22.850±2.392),(2.250±0.628)分,对照组分别为(21.250±1.856),(2.500 ±0.651)分,两组比较差异均有统计学意义(t值分别为16.754,4.585;P ＜0.05);治疗20 d两组患者JOA、VAS评分比较差异均有统计学意义(P＜0.05);但观察组的功能结果在治疗后3个月时与对照组相比,差异无统计学意义(P＞0.05);治疗前后两组患者SF-36评分比较差异有统计学意义(t=25.997,P＜0.01).结论包括中药熏蒸在内的序贯康复干预对腰椎间盘突出症患者效果显著,安全可靠,疗效可持续,能明显提高患者的生活质量,值得在临床上推广应用.
목적 탐토서관강복포대요추간반돌출증적유효성여안전성.방법 장130례요추간반돌출증환자,채용수궤수자법분위관찰조화대조조,관찰조재급여기출치료적동시접수투해산훈증결합서관강복간예(60례);대조조불여중약훈증,기타간예무선후차서,여동관찰조,공60례.탈락병례10례.우치료10 d、20d화3개월후채용요통질환치료성적판정표준(JOA)、시각모의평분법(VAS)、SF-36간명건강조사문권(SF-36),평개기공능급생활질량개선정황.결과 치료전량조환자JOA、VAS、SF-36평분비교차이균무통계학의의(P＞0.05);치료10 d관찰조환자JOA、VAS평분분별위(22.850±2.392),(2.250±0.628)분,대조조분별위(21.250±1.856),(2.500 ±0.651)분,량조비교차이균유통계학의의(t치분별위16.754,4.585;P ＜0.05);치료20 d량조환자JOA、VAS평분비교차이균유통계학의의(P＜0.05);단관찰조적공능결과재치료후3개월시여대조조상비,차이무통계학의의(P＞0.05);치료전후량조환자SF-36평분비교차이유통계학의의(t=25.997,P＜0.01).결론 포괄중약훈증재내적서관강복간예대요추간반돌출증환자효과현저,안전가고,료효가지속,능명현제고환자적생활질량,치득재림상상추엄응용.
Objective To discuss the efficacy and safety of sequential rehabilitation for patients with lumbar disc herniation.Methods 130 patients with lumbar disc herniation were randomly divided into two groups:the observation group and the control group.The observation group received TouHaiSan fumigation combined with sequential rehabilitation package intervention (treatment of 60 cases with basic cure),while the control group had nointervention prioritieswithout medicine fumigation for a total of 60 cases.There were 10 cases of shedding.The scores ofJOA,SF-36 and VAS were used to evaluate its effect and improvement of life quality in 10 days,20 days and 3 months after treatment.Results Before treatments,the scores of JOA,SF-36,and VAS between the two groups were no significant difference (P ＞0.05).In 10 days after treatment,the JOA and VAS scores in the observation group were (22.850 ±2.392) and (2.250 ±0.628),compared to (21.250 ± 1.856) and (2.500 ± 0.651) in the control group,which showed a significant difference (t =16.754,4.585,respectively;P ＜0.05).In 20 days after treatment,the JOA and VAS sores were all showed significantly improved between the two groups (P ＜ 0.05),while there was no statistically significant difference of function after 3 months (P ＞ 0.05).After treatment,the SF-36 score showed a significant difference between the two groups (t =25.997,P ＜ 0.01).Conclusions TouHaiSan fumigation combined with sequential rehabilitation package is effective,safe,reliable and sustainable,as well as can improve patients' quality of life,which is worthy of application.