中医体质类型对腰椎间盘突出症臭氧髓核消融术的疗效影响

Effects of TCM Constitution Types on Clinical Efficacy of Ozone Nucleus Pulposus Ablation in Treating Patients with Lumbar Disc Herniation

目的:探讨臭氧髓核消融术治疗腰椎间盘突出症的疗效差异与中医体质类型之间的相关性。方法:将81例采用臭氧髓核消融术治疗腰椎间盘突出症患者根据《中医体质分类与判定表》进行体质分类,术后进行为期6个月的随访,分析疗效差异与中医体质类型的相关性。结果:81例患者经治疗,优44例,良18例,可13例,差6例,优良率76.54%;气虚质、湿热质、痰湿质、瘀血质体质类型临床疗效两两比较无显著差异。结论:臭氧髓核消融术治疗腰椎间盘突出症疗效显著,气虚质、湿热质、痰湿质、瘀血质等体质类型与臭氧髓核消融术治疗腰椎间盘突出症的疗效无相关性。

Objective： To To explore the correlation between clinical effects of ozone nucleus pulposus abla- tion in treating lumbar disc herniation （LDH） and TCM constitution types of patients. Method： According to the table of TCM constitution classifications and criteria, Sixty-one patients were classified and given with follow-ups for six months after surgery to analyze the relativity between the efficacy and TCM constitution types. Result： Among 81 patients, there were 44 cases with best efficacy, 18 cases better efficacy, 13 cases effective, 6 case ineffective, excel- lence rate was 76.54%. Comparisons among the patients of Qi deficiency, dampness-heat, phlegm-dampness and blood stasis demonstrated no significant differences in clinical efficacy.Conclusion： Ozone nucleus pulposus ablation is effective in treating LDH, there is no relativity between clinical efficacy of ozone nucleus pulposus ablation in treating LDH and constitution types.