摘要
目的观察黄芪桂枝五物汤加味联合经皮椎间孔镜治疗腰椎间盘突出症的临床疗效。方法将64例腰椎间盘出症患者随机分为治疗组(32例)和对照组(32例),且均行经皮椎间孔镜下髓核摘除术,治疗组术后加服黄芪桂枝五物汤加味。2组均定期随访(术后1周、1个月、3个月),采用VAS评分,下腰椎JOA评分,MRI复查,评估2组神经功能恢复程度。结果 2组患者术后1周及1月、3月的VAS评分均低于术前的VAS评分(P<0.05)。2组患者术后3个月JOA评分均较术前明显提高,与术前比较,差异有统计学意义(P<0.01),且治疗组术后3个月的JOA评分高于对照组(P<0.05),根据JOA分值改善率进行评比,对照组术后优良率为75%;治疗组术后优良率为81.25%;2组术后3个月比较,治疗组的疗效优于对照组(P<0.05)。结论经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症可取得良好效果;黄芪桂枝五物汤加味对其临床疗效能够起到强化作用,有助于患者神经功能更好的恢复。
Objective To obseve the clinical effect of of Huangqi Guizhi Wuwu decoction combined with percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation. Methods 64 cases of lumbar intervertebral disc patients were randomly divided into treatment group（ 32 cases） and control group（ 32 cases）, and they were treated by percutaneous transforaminal endoscopic discectomy. After treatment, the treatment group was given additionally Huangqi Guizhi Wuwu decoction.Two groups were followed up regularly（1 week, 1 month, 3 months）, the degree of neurological function recovery in two groups was assessed by using VAS score, the lower lumbar JOA score and MRI review. Results The VAS scores of two groups were lower than those of the VAS score（P〈0.05） before 1 week, 1 month and 3 months. The postoperative 3 months＇ JOA score were significantly improved, and the difference was statistically significant（P〈0.01）. After 3 months, the JOA score of the treatment group was higher than that of the control group（P〈0.05）. According to the JOA score improvement rate of appraisal, the excellent and good rate of the control group and the treatment group was 75% and 81.25%, respectively. After operation of 3 months, the effect of the treatment group was better than that of the control group（P〈0.05）. Conclusion The percutaneous transforaminal endoscopic nucleus pulposus removal surgery in the treatment of lumbar disc herniation can obtain good effect, modified Huangqi Guizhi Wuwu decoction can strengthen the role, and contribute to the recovery of neural function.
出处
《中国中医药现代远程教育》
2016年第4期94-96,共3页
Chinese Medicine Modern Distance Education of China
关键词
黄芪桂枝五物汤
腰椎间盘突出症
椎间孔镜
Huangqi Guizhi Wuwu decoction
lumbar disc herniation
transforaminal endoscopic discectomy
