中西医结合治疗腰椎间盘突出症的临床研究

The clinical study on western combined with traditional Chinese medicine in treatment of lumbar disc herniation

目的 探讨中西医结合治疗腰椎间盘突出症的疗效.方法 200例腰椎间盘突出患者随机分为中西医结合治疗组（A组）100例和西医治疗组（B组）100例.B组予一般抗炎、脱水、止痛及营养神经治疗,A组在B组基础上加用中医治疗.治疗3周后,观察两组疗效、VAS评分和住院天数.结果 A组总有效率为90.0%明显高于B组的73.0%（X2=3.987,P〈0.05） 两组治疗后4周VAS评分[（1.1±1.23、0.9±0.6）/分]均低于治疗前[（8.6±1.43、8.8±1.382）/分]（t=2.301、2.335,均P〈0.05） A组治疗后3 d和治疗后1周VAS评分分别为（5.5±0.92）分和（2.7±1.14）分,均低于B组的（8.2±0.59）分和（5.3±0.91）分（t=2.405、2.435,均P〈0.05） A组住院天数（20.1±3.5）d明显低于B组（27.6±4.3）d（t=2.314,P〈0.05）.结论 中西医结合治疗对腰椎间盘突出症有较好的临床疗效.

Objective To investigate the curative effect of western combined with traditional Chinese medicine in treatment of acute lumbar disc herniation.Methods 200 patients with lumbar disc herniation were randomly divided into western combined with traditional Chinese therapy group（group A） and western medicine group（group B） ,each group 100 cases.B group was conducted with the general anti - inflammatory, dehydration, nerve pain and nutritional therapy,and A group was given the traditional Chinese medicine treatment on the base of B group.After 3 weeks treatment, the curative effect, VAS score and hospital stay were observed.Results A total effective rate 90.0% in group A was higher than B group 73.0% （ x2 = 3.987 ,P 〈 0.05） The scores of VAS after treatment 4 weeks[（1.1 ±1.23、0.9 ±0.6）/point]were lower than before treatment[（8.6 ± 1.43,8.8 ± 1.382）/point]in two groups（t =2.301,2.335,all P〈0.05） The scores of VAS after treatment 3d and 1 week in group A[（5.5 ±0.92） point,（2.7±1.14） point] were lower than group B[（8.2 ±0.59） point,（5.3 ±0.91） point] （t =2.405,2.435,all P〈0.05） The hospital days（20.1 ±3.5）d in group A was significantly lower than group B（27.6 ±4.3）d（ t = 2.314,P 〈0.05）.Conclusion Western combined with traditional Chinese medicine had better clinical efficacy in teatrent of patients with acute lumbar disc hemiation.