骨科熥药配合经皮激光汽化减压治疗腰椎间盘突出症的临床观察

The Clinical Study of Treating Lumbar Intervertebral Disc Protrusion with Percutaneous Laser Disc Decompression and External Application of Orthopedics Fomentation

目的:观察骨科熥药配合经皮激光汽化减压(PLDD)治疗腰椎间盘突症的临床疗效。方法:将78例患者随机分为治疗组40例和对照组38例。治疗组采用骨科熥药配合PLDD治疗;对照组采用口服双氯芬酸钠缓释片、牵引、半导体激光照射治疗。治疗后4周观察临床疼痛症状变化及综合疗效。结果:总有效率治疗组为95.0%,对照组为78.9%;治疗组综合疗效优于对照组(P<0.01)。治疗组疼痛积分改善与对照组比较,差异有统计学意义(P<0.01)。结论:骨科熥药配合PLDD治疗腰椎间盘突出症有较好的临床疗效。

Objective：To observe the clinical effect of treating lumbar intervertebral disc protrusion by percutaneous laser disc decompression and external application of orthopedics fomentation. Method： 78 patients were randomly divided into tri- al group（40 cases） and control group（38 cases）. The patients in trial group were treated with percutaneous laser disc de- compression and external application of orthopedics fomentation. The patients in control group were treated with sustained release diclofenac sodium tablet, traction and semiconductor laser irradiation. The improvement of painful symptoms and comprehensive therapeutic effect was evaluated 4 weeks after the treatment. Results：The efficiency rate of the treatment group was 95 % while the control group was 78.9 %. The comprehensive therapeutic effect of trial group was better than that of control group （P〈0.01）. Pain score of the trial group was lower than that of the control group, and the difference has statistically significance （P〈0.01）. Conclusion：The treatment of lumbar intervertebral disc protrusion with percutane- ous laser disc decompression and external application of orthopedics fomentation has a better clinical therapeutic effect.