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中西医结合保守治疗腰椎间盘突出症临床观察 被引量:46

Clinical Observation on Integrated Chinese-western Therapy on Lumbar Disc Herniation
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摘要 目的观察中西医结合治疗腰椎间盘突出症急性期的临床疗效。方法将186例腰椎间盘突出症急性期患者随机分为3组。西医组采用口服布洛芬缓释胶囊、甲钴胺片,注射20%甘露醇配合地塞米松治疗。中医组采用手法、针灸、局部熏蒸或洗浴、辨证分型后口服中药汤剂治疗。治疗组采用以上两组方法共同治疗。结果治疗后西医组、中医组临床疗效显著低于治疗组(P<0.05);治疗后,治疗组的症状改善率明显高于西医组和中医组(P<0.05);3月、6个月后,治疗组的复发率均显著低于其他两组(P<0.05)。结论采用中西医结合方法对腰椎间盘突出症急性期患者实施治疗效果显著,在今后临床实践中值得进一步研究分析及推广使用。 Objective To observe the effects of integrated Chinese-western therapy on lumbar disc herniation( LDH). Methods 186 patients with LDH in acute phase were randomly divided into 3 groups,western medicine group received oral Ibuprofen sustained release capsules,Mecobalamin tablets and 20% Mannitol injection with Dexamethasone; TCM group received decoction of Chinese medicine,acupuncture,fumigation or bathing; treatment group received the combination of the two methods above. Results The difference of the effect of the three groups was significant,the curative effects of western medicine group and TCM group were significantly lower than that of treatment group( P〈0. 05). After treatment,the ameliorative rate of symptom of treatment group was significantly higher than those of Western medicine group and TCM group( P〈0. 05). After 3months and 6 months,the recurrence rate of treatment group was significantly lower than those of the other two groups( P〈0. 05). Conclusion Integrated Chinese-western therapy is effective in treatment of LDH,it is worthy of further research and promotition in future clinical practice.
作者 戚艳 崔荣荣
出处 《湖北中医药大学学报》 2017年第1期84-87,共4页 Journal of Hubei University of Chinese Medicine
基金 内蒙古兴安盟科技局科研项目(项目编号:20150010)
关键词 腰椎间盘突出症 中西医结合疗法 布洛芬 甲钴胺片 甘露醇 地塞米松 lumbar disc herniation integrated Chinese-western therapy Ibuprofen Mannitol Dexamethasone
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