强脊通络汤对腰椎间盘突出症患者神经功能恢复的临床研究

Therapeutic Effect of Qiangji Tongluo Decoction on Neural Function Recovery in Lumbar Intervertebral Disc Protrusion Patients

目的:观察强脊通络汤对腰椎间盘突出症患者神经功能恢复方面的临床疗效。方法:将70例患者随机分为2组各35例,治疗组采用口服强脊通络汤结合腰部按摩治疗,对照组单纯采用腰部按摩治疗。根据患者的症状、体征(疼痛、压痛、放射痛、肌力、感觉、直腿抬高试验等)、Oswestry功能障碍指数等进行系统量化评估。结果:2组治疗前腰部疼痛、腰部压痛、下肢放射痛、直腿抬高试验、拇趾背伸肌力、下肢感觉各评分比较,差异均无显著性意义(P>0.05),具有可比性;治疗后2组各指标评分比较,差异均有显著性意义(P<0.05)。提示治疗组在改善临床症状、促进神经恢复的方面疗效优于对照组。2组治疗前后Oswestry指数比较,差异有显著性意义(P<0.05),提示两种治疗方法均能改善患者的Oswestry指数;治疗后2组Oswestry指数比较,差异有显著性意义(P<0.05),提示在改善Oswestry功能障碍指数方面,治疗组优于对照组。结论:强脊通络汤可改善神经的血液供应和神经元的能量代谢,达到镇痛及神经功能恢复的目的。

Objective:To observe the therapeutic effect of Qiangji Tongluo Decoction (QTD) on neural function recovery in lumbar intervertebral disc protrusion (LIDP) patients. Methods:Seventy LIDP patients were equally randomized into 2 groups:the treatment group was given oral use of QTD and lumbar massage, and the control group was given lumbar massage alone. Systematic quantization estimation was carried out for symptoms and signs (including pain, tenderness, radiating pain, muscle force, sensation, straightleg raising test, etc. ) . Results:The differences of the observation parameters were insignificant between the two groups before treatment ( P < 0. 05), indicating the comparability of the two groups. The differences of the observation parameters were significant between the two groups after treatment ( P < 0. 05 ) . In the treatment group, Oswestry index was improved after treatment ( P < 0. 05 compared with that before treatment and with that in the control group after treatment) . Conclusion:QTD can improve the neural blood supply and energy metabolism, thus to relieve pain and promote neural function recovery.