摘要
目的:观察经皮椎间孔镜结合口服强筋接骨胶囊治疗腰椎间盘突出症的疗效。方法:实验组采用椎间孔镜技术联合口服强筋接骨胶囊治疗,而对照组单纯使用经皮椎间孔镜技术,根据住院天数及术后7天、1月、6月下肢疼痛VAS评分,以及治疗半年后改良MacNab疗效评定标准两项指标进行结果评定。结果:根据腰痛及下肢放射痛VAS评分法进行术前术后评分,治疗组术前为8.5±1.1分,术后7天为3.2±1.4分,术后6个月评分1.3±1.0分;术后六个月根据改良MacNab标准进行评分,其中优良总数71例,优良率93.42%,实验组较对照组在下肢疼痛评分明显降低,半年后改良MacNab评定标准优良率明显高于对照组,P<0.01结果均有统计学意义。结论:应用椎间孔镜结合口服强筋接骨胶囊治疗腰椎间盘突出症缩短了治疗时间,明显缓解了疼痛症状,改善了生活质量。两者结合治疗效果确切值得推广。
Objective： To explore the advantages of applying percutaneous transforaminal endoscopic surgery combined with oral Qiangjin Jiegu Capsule in the treatment of lumbar disc herniation. Methods： 194 cases in our hospital admitted patients with lumbar disc herniation underwent percutaneous transforaminal endoscopic treatment（ cases time period for the January 2016 -2017 year in January） were selected,152 cases were in accordance with inclusion criteria in these 194 cases,the 152 patients were randomly divided into two groups,the experimental group and the controlled group with 76 cases in each group,the experimental group used intervertebral foramen mirror technology combined with Qiangjin Jiegu Capsule,while the controlled group were treated with percutaneous transforaminal endoscopic techniques,score according to the hospitalization days and 7 days after operation,lower extremity pain VAS,and half a year after treatment improved standard Mac Nab curative effect evaluation of two indicators for evaluation of results. According to the results of low back pain and sciatica VAS score preoperative and postoperative scores,preoperative treatment group was 8. 5±1. 1,7 days after operation was 3. 2±1. 4,6 months after the operation score was 1. 3±1. 0;Six months after surgery were evaluated according to the modified Mac Nab criteria,including 71 cases of excellent total（ of which59 cases of excellent,good in 12 cases）,excellent rate of 93. 42%,the experimental group was lower than the controlled group in the lower extremity pain scores were significantly decreased after the first half of the modified Mac Nab criteria was significantly higher than the controlled group（ P〈 0. 01）. Results were statistically significant. Conclusion： The application of transforaminal endoscopy combined with oral Qiangjin Jiegu Capsule in the treatment of lumbar disc disease shortened the treatment time,significantly relieved the pain symptoms and improved the quality of life. Combination of the two treatment effect is accurate,worthy of promotion.
作者
徐洪
李建才
黄东来
XU Hong;LI jianeai;HUANG Donglai(Xiadu District Traditional Chinese Medicine Hospital of Chegndu City （Chegndu Sichnan 610500, China;The 4th People＇s Hospital of Jianiu District （Chegndu Sichuan 610000, China;The People＇s Hospital of Dujiangyan City （Dujiangyan Sichuan 611800, China)
出处
《四川中医》
2018年第5期142-145,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
椎间孔镜
强筋接骨胶囊
腰椎间盘突出症
Percutaneous transforaminal endoscopy
Qiangjin Jiegu Capsule
prolapse of lumbar intervertebral disc
