中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
29期
110-113
,共4页
莫小汕%陆锋%魏书亭%温铭诞
莫小汕%陸鋒%魏書亭%溫銘誕
막소산%륙봉%위서정%온명탄
六味地黄丸%中药擦涂%腰椎间盘突出症%术后恢复
六味地黃汍%中藥抆塗%腰椎間盤突齣癥%術後恢複
륙미지황환%중약찰도%요추간반돌출증%술후회복
Liuwei Dihuang Pills%Traditional Chinese Medicine inunction%Lumbar disc disease%Postoperative recovery
目的：观察六味地黄丸联合中药擦涂对腰椎间盘突出症术后恢复的临床影响，为后期中医西医结合治疗提供理论依据。方法：2013年10月-2014年10月，选择中西医结合骨伤科的68例腰椎间盘突出症术后患者，根据术后治疗方式分为两组，对照组34例给予常规西医治疗，研究组34例给予六味地黄丸联合中药涂擦治疗。比较两组的临床效果、JOA评分、生活质量评分、VAS疼痛积分以及不良反应等。结果：研究组治疗后总有效率较对照组高，不良反应率较对照组低，比较差异均有统计学意义（P<0.05）。研究组各项JOA评分均高于对照组，比较差异均有统计学意义（P<0.05）。两组治疗前后VAS评分比较，差异均有统计学意义（P<0.05）；研究组治疗后VAS评分较对照组明显降低，比较差异均有统计学意义（P<0.05）。研究组治疗后QLO-C30生活质量评分均高于对照组，比较差异均有统计学意义（P<0.05）。结论：六味地黄丸联合中药擦洗对腰椎间盘突出症术后的治疗较传统西医治疗效果佳，明显改善患者术后疼痛及腰部功能，提高患者生活质量，不良反应率低，可作为临床安全有效的方式进行推广。
目的：觀察六味地黃汍聯閤中藥抆塗對腰椎間盤突齣癥術後恢複的臨床影響，為後期中醫西醫結閤治療提供理論依據。方法：2013年10月-2014年10月，選擇中西醫結閤骨傷科的68例腰椎間盤突齣癥術後患者，根據術後治療方式分為兩組，對照組34例給予常規西醫治療，研究組34例給予六味地黃汍聯閤中藥塗抆治療。比較兩組的臨床效果、JOA評分、生活質量評分、VAS疼痛積分以及不良反應等。結果：研究組治療後總有效率較對照組高，不良反應率較對照組低，比較差異均有統計學意義（P<0.05）。研究組各項JOA評分均高于對照組，比較差異均有統計學意義（P<0.05）。兩組治療前後VAS評分比較，差異均有統計學意義（P<0.05）；研究組治療後VAS評分較對照組明顯降低，比較差異均有統計學意義（P<0.05）。研究組治療後QLO-C30生活質量評分均高于對照組，比較差異均有統計學意義（P<0.05）。結論：六味地黃汍聯閤中藥抆洗對腰椎間盤突齣癥術後的治療較傳統西醫治療效果佳，明顯改善患者術後疼痛及腰部功能，提高患者生活質量，不良反應率低，可作為臨床安全有效的方式進行推廣。
목적：관찰륙미지황환연합중약찰도대요추간반돌출증술후회복적림상영향，위후기중의서의결합치료제공이론의거。방법：2013년10월-2014년10월，선택중서의결합골상과적68례요추간반돌출증술후환자，근거술후치료방식분위량조，대조조34례급여상규서의치료，연구조34례급여륙미지황환연합중약도찰치료。비교량조적림상효과、JOA평분、생활질량평분、VAS동통적분이급불량반응등。결과：연구조치료후총유효솔교대조조고，불량반응솔교대조조저，비교차이균유통계학의의（P<0.05）。연구조각항JOA평분균고우대조조，비교차이균유통계학의의（P<0.05）。량조치료전후VAS평분비교，차이균유통계학의의（P<0.05）；연구조치료후VAS평분교대조조명현강저，비교차이균유통계학의의（P<0.05）。연구조치료후QLO-C30생활질량평분균고우대조조，비교차이균유통계학의의（P<0.05）。결론：륙미지황환연합중약찰세대요추간반돌출증술후적치료교전통서의치료효과가，명현개선환자술후동통급요부공능，제고환자생활질량，불량반응솔저，가작위림상안전유효적방식진행추엄。
Objective:To observe clinical influences of Liuwei Dihuang Pills combined Traditional Chinese Medicine (TCM) inunction on postoperative recovery of lumbar intervertebral disc protrusion, and provide theoretical basis for TCM combined with Western Medicine treatment in later periods.Method:From December 2013 to December 2014, 68 postoperative patients were selected with lumbar intervertebral disc protrusion admitted by the orthopedics department combining TCM and Western medicine, and they were divided into two groups depending on postoperative treatment, 34 patients in control group received conventional Western medicine treatment, and 34 patients in research group were treated combined therapy of TCM inunction and Liuwei Dihuang Pills. Clinical efficacy, JOA score, quality of life score, VAS pain score and adverse reactions of patients between the two groups were compared.Result:The total effective rate of the research group was relatively higher than that of the control group, but the rate of adverse reactions was lower, and the differences were statistically significant(P<0.05).The JOA scores of the research group were higher than those of the control group,the differences were statistically significant(P<0.05).The VAS score before and after treatment of the two groups showed statistically differences(P<0.05),and those of the research group after treatment were lower than those of the control group(P<0.05).After treatment,the QLO-C30 life quality scores of the research group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Liuwei Dihuang Pills combined TCM deliver great treatment efficacy for the treatment of postoperative lumbar disc protrusion when compared to conventional Western medicine treatment, improve postoperative pain and lumbar function of patients, and the patients quality of life, and impose low rate of adverse reactions, being worthy of clinically safe and effective way to promote.
