摘要
目的探讨身痛逐瘀汤干预治疗椎间孔镜手术围手术期患者的临床效果.方法选择2017年8月—2019年10月接受椎间孔镜手术治疗的78例患者,随机分为观察组与对照组,每组39例.2组患者围手术期均接受常规治疗,对照组采用甲钴胺治疗,观察组在对照组患者基础上加用身痛逐瘀汤治疗.对比2组患者疼痛程度、腰椎功能.结果术后6 h,2组患者疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分对比,差异无统计学意义(P>0.05);与术后6 h相比,术后14 d 2组患者VAS、ODI评分均较低,且观察组患者VAS、ODI评分均比对照组患者更低,差异有统计学意义(P<0.05).结论身痛逐瘀汤应用于椎间孔镜手术围手术期治疗具有良好的临床效果.
Objective To investigate the clinical effect of Shentong Zhuyu decoction in the intervention of intervertebral foraminal surgery in perioperative period.Methods A total of 78 patients who underwent intervertebral foraminal surgery in our hospital from August 2017 to October 2019 were selected as the research subjects and randomly divided into observation group and control group,with 39 cases in each group.Patients in both groups received routine treatment during the perioperative period,while the control group was treated with mecobalamin,and the observation group was treated with Shentong Zhuyu decoction on the basis of patients in the control group.The degree of pain and lumbar function were compared between the two groups.Results At 6 hours after operation,there was no significant difference in visual analogue score(VAS)and Oswestry Dysfunction Index(ODI)scores between the two groups(P>0.05).At 14 days after operation,the two groups were compared with 6 hours The VAS and ODI scores were lower,and the VAS and ODI scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Shentong Zhuyu decoction has good clinical effect in the perioperative treatment of intervertebral foraminal surgery.
作者
杨明吾
YANG Mingwu(Orthopedics Department,Taian Hospital of Traditional Chinese Medicine,Shandong Province,Taian 271000,China)
出处
《光明中医》
2020年第17期2709-2711,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
腰椎间盘突出症
椎间孔镜术
身痛逐瘀汤
腰椎功能
中医药疗法
lumbar disc herniation
foraminal surgery
Shentong Zhuyu decoction
lumbar spine function
therapy of TCM
