摘要
目的:观察分析活血通络汤联合牵引及按摩手法治疗腰椎间盘突出症临床疗效。方法:纳入2015年2月~2016年11月我院收治102例腰椎盘突出症病例作为研究对象,按照治疗方案差异,分为观察组(n=51)与对照组(n=51),对照组予以悬浮式牵引与按摩手法,观察组于其基础上予以活血通络汤联合治疗,对比两组治疗前后椎基动脉收缩峰期流速(Vp)、舒张末期流速(Vd)及总体症状体征评分(JOA)。结果:治疗前,两组患者的Vp与Vd、总体症状体征评分均无明显差异(P>0.05);然而治疗后,对于Vp与Vd,观察组LVA、RVA、BA均明显低于对照组(P<0.05);观察组总体症状体征评分(25.35±4.03)分也明显高于对照组(P<0.05)。结论:对腰椎盘突出症实施悬浮式牵引、按摩手法联合中药活血通络汤治疗,可获得确切疗效,有效缓解总体症状体征,并且改善椎基底动脉血流速度,具有推广价值。
Objective： To investigate the clinical efficacy of using Huoxue Tongluo Decoction combined with traction and massage in the treatment of protrusion of lumbar intervertebral disc. Methods： 102 cases of lumbar intervertebral disc treated in our hospital from February 2015 to November 2016 were enrolled and divided into observation group（ n = 51） and controlled group（ n= 51） according to the treatment plan. The controlled group was treated with suspension traction and massage,and the observation group was treated with Huoxue Tongluo Decoction on the basis of the combined treatment in the controlled group. The peak systolic velocity（ Vp）,end diastolic velocity（ Vd）,and the symptoms score（ JOA score） of the two groups before and after treatment were compared. Results： Before treatment,there was no significant difference in Vp,Vd and JOA between the two groups（ P〉0. 05）; After treatment,the LVA,RVA and BA in the observation group were significantly lower than those in the controlled group（ P〈0. 05）; The JOA scores in the observation group was（ 25. 35± 4. 03）,which was also significantly higher than that in the controlled group（ P〈0. 05）. Conclusion： The implementation of using Huoxue Tongluo Decoction combined with traction and massage in the treatment of protrusion of lumbar intervertebral disc has significant efficacy,which relieves the symptoms and signs,and improve blood flow velocity of vertebrobasilar artery,worthy of wider promotion.
作者
胡晓龙
何剑
HU Xiaolong;HE Jian(Chengdu Military Bayi Orthopedics Hospital （ Chengdu Sichuan 610000, China)
出处
《四川中医》
2018年第5期151-153,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
悬浮式牵引
按摩手法
活血通络汤
腰椎盘突出症
疗效
Traction
Massage
Huoxue Tongluo Decoction
Lumbar intervertebral disc
Therapeutic effect
