手法结合痹祺胶囊口服治疗腰椎间盘突出症症状学评分研究

Study on semeiology score of LDH patients before and after treated by massage with Chinese medicine

目的:分析腰椎间盘突出症患者保守治疗前后临床表现变化。方法:收集110名腰椎间盘突出症患者的临床资料,分为实验组:70名患者采用手法结合痹祺胶囊口服方法治疗,对照组:40名患者采用手法治疗结合风湿骨痛胶囊口服方法治疗,对其保守治疗前后进行JOA评分。结果:实验组治疗前后JOA值(t=20.68767,P<0.0001)差异显著,对照组JOA值(t=24.31136,P<0.0001)差异显著,对照组和实验组治疗前后JOA值的差值进行独立样本秩和检验(z=-2.1634,P=0.0305<0.05)差异显著,实验组疗效优于对照组。结论:采用手法结合痹祺胶囊口服方法治疗腰椎间盘突出症,疗效较好。

Objective： Comparative study on clinical manifestation of the lumbar disc herniation（LDH） patients with Japanese Orthopedic Association Scale （JOA） before and after treated by massage with Chinese medicine. Methods： Clinic information of 110 LDH patients was selected according to settled criteria. Experiment group： 70 patients were treated by manipulation and Biqi Capsule. Control group： 40 patients were treated by manipulation and Fengshi Gutong Capsule. JOA and SAS 9.0 were used. Results： There were significant changes of JOA score before and after treatment in experiment group （t=20.68767, P〈0.0001）. There were significant changes of JOA score before and after treatment in control group（t=24.31136, P〈0.0001）. The equation of JOA score between the control group and experiment group before and after the treatment showed that there was significant difference by independent t test. The curative effect of experiment group was better than that of control group. Conclusion： There was significant curative effect of manipulation with Biqi Capsule in treating LDH.