摘要
目的:观察中医益肾蠲痹汤内服配合功能锻炼治疗腰椎间盘突出症(LDH)患者的临床效果。方法:采用随机数字表法将本院收治的100例LDH患者分为研究组和对照组各50例,两组患者均采用骨盆牵引、功能锻炼治疗,研究组加用益肾蠲痹汤内服配合功能锻炼治疗,两组患者均连续治疗4个疗程(2周为1个疗程),观察两组患者的治疗效果差异。结果:治疗4个疗程后,研究组的愈显率(90%)显著的高于对照组的(66%)且差异具有统计学意义(P<0.05)。治疗后研究组的JOA评分(24.3±3.2)分显著的优于对照组的(22.1±2.8)分(P<0.05)。治疗后,两组患者的疼痛麻木、行走、生活及工作能力、压痛及下肢放射疼痛、直腿抬高试验各项评分较治疗前均显著的提高(P<0.05),研究组提高效果显著的优于对照组(P<0.05)。结论:中医益肾蠲痹汤内服配合功能锻炼治疗腰椎间盘突出症患者能够更显著的缓解患者的临床症状、提高治疗效果。
Objective： To explore the clinical effect of using Yishen Juanbi Decoction combined with functional exercise in the treatment of lumbar disc herniation （LDH） patients. Methods ： Using the random number table method in our hospital, 100cases of LDH were divided into study group and controlled group with 50cases in each group. Two groups of patients were trea- ted with pelvic traction and functional exercise therapy. The research group and Yishen Juanbi Decoction combined with functional exercise treatment, two groups of patients were treated continuously for 4courses （2weeks for a course of treatment）, to observe the difference of treatment effect of the two groups of patients. Results ： After 4courses of treatment, the rate of the study group （90%） was significantly higher than that of the controlled group （66%） and the difference was statistically significant （P〈 0.05 ）. After treatment, the JOA score of the study group was significantly better than that of the controlled group （24. 3 ±3.2） （P〈0.05）, which was significantly better than that of the controlled group （22. 1 ±2. 8）. After treatment, the scores of pain and numbness, walking, life and work ability, tenderness and lower limbs to radiate pain, straight leg raising test of the two groups of patients were significantly increased （P〈0. 05） compared with the before. The result of the study group is significantly betterthan the controlled group （P〈0. 05 ）. Conclusion： Yishen Juanbi Decoction combined with functional exercise in the treatment of lumbar disc herniation patients can significantly alleviate the patient＇s clinical symptoms, improve the therapeutic effect.
出处
《四川中医》
2016年第1期162-164,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
益肾蠲痹汤
功能锻炼
腰椎间盘突出症
临床效果
Yishen Juanbi Decoction
Functional exercise
Lumbar disc herniation
Clinical effect
