摘要
目的:分析实行中医临床路径保守治疗腰椎间盘出症患者的临床特征.方法:选取2013年~2015年江门五邑中医院收治的具有代表性的200例腰椎间盘突出症患者,分别从性别、年龄、职业、婚姻状态、住院天数、伴随疾病、中医病证方面入手.结果:2013年~2015年我院收治的200例腰椎间盘突出症患者,其中男114例,女86例,腰椎间盘突出症,男性发病率多于女性,且41~50岁患者居多,约占34.00%;对患者的职业进行分析发现,公务员、工人发生腰椎间盘突出症所占比例最多,与长时间腰部屈曲体位工作相关;婚姻状况分析中,已婚患者发病率高于未婚,约占96.50%,且住院接受治疗天数≤10天的患者人数最多,约占61.50%;伴随疾病分析中骨质疏松、劲椎病、血脂异常较为显著;对患者进行中医病证的分析,导致患者发生腰椎间盘突出症的主要中医病证为气滞血瘀、肝肾亏虚、湿热痹阻、风寒痹阻.结论:采用非手术方法治疗的腰椎间盘突出症男性患者多于女性,且以中青年公务员、工人为主,导致该病症发生的最主要中医病证为气滞血瘀、肝肾亏虚,患者住院时间短,治疗效果较好,降低了患者的经济负担.
Objective:To analyze the clinical features of patients with lumbar disc herniation (LDH) treated by TCM clinical pathway.Methods: 200 representative LDH patients admitted into the hospital were selected, and their gender, age, occupation, marital status, hospital stays, concomitant diseases, TCM syndrome were investigated.Results: The 200 LDH patients in the hospital from 2013 to 2015 consisted of 114 males and 86 females, and the male incidence of LDH was more than female, especially for patients aged 41 to 50, which accounted of 34.00%;The patients' occupation were analyzed, and the incidence of LDH in civil servants and workers was the highest, which related to long-term lumbar flexion positions;In the analysis of marital status, the incidence of married patients was higher than unmarried patients, and the number of patients receiving hospital stays≤10d was the largest, which accounted of 61.50%;The osteoporosis, cervical spondylosis, dyslipidemia were significant in the analysis of concomitant diseases;According to analysis of TCM syndromes of patients, the main TCM syndromes leading to LDH were qi stagnation and blood stasis, deficiency of liver and kidney, moist heat blockage, cold stagnation.Conclusion: There were more males than females patients with LDH treated by non-surgical, and mainly dominated by young and middle-aged civil servants and workers, and main TCM syndromes such as qi stagnation and blood stasis, deficiency of liver and kidney were the main causes of this disease.The short hospital stays and good curative effects decrease the financial burden of patients.
出处
《中国伤残医学》
2017年第10期4-6,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
非手术治疗
腰椎间盘突出
临床特征
Non-surgical treatment
Lumbar disc herniation
Clinical features
