腰椎间盘突出症术后复发中医干预治疗分析

Analysis of Traditional Chinese Medicine Intervention Therapy for Postoperative Recurrence of Lumbar Disc Herniation

目的:探讨腰椎间盘突出症手术治疗术后复发采用中医药治疗的临床疗效。方法:2003—2012年采用中药内服外用配合功能锻炼等综合疗法,共治疗腰椎间盘突出症术后复发患者37例。其中男22例,女15例;年龄21～58岁;病程最短3周,最长8年;呈急性发作14例,慢性发作23例。结果:本组37例参照疗效评定标准,治愈11例,好转19例,未愈7例,有效率81.08%,疗程2～8周,平均4周。结论:腰间盘突出症术后复发符合中医血瘀气滞型,是血瘀气滞,瘀血痹阻经络所致,采用口服身痛逐瘀汤配以止痛散外敷及功能锻炼等治疗方法临床疗效满意。临床中手术复发后再次手术有一定困难和风险,选择中医药干预治疗是一种行之有效的方法。

Objective：To discuss the clinical curative effect of traditional Chinese medicine therapy on lumbar disc herniation after surgery. Methods ： From 2003 to 2012,37 cases of patients with recurrences of lumbar disc herniation had been cured through internal and external use of herbs coordinated with comprehensive therapies like dirigation and so on. Among all cases, there were 22 males and 15 females with an age range of 21 -58 with the course of disease from 3 weeks to 8 years and 14 cases of acute at- tacks,23 cases of chronic episodes. Results ： Referring to the evaluation standard of curative effect,in the 37 cases of this group, 11 cases were cured, 19 cases took a favorable turn while 7 cases remain uncured. The effective percentage was 81.08% , and the time duration of treatment was 2 to 8 weeks with an average period of 4 weeks. Conclusion：The recurrence of lumbar disc hernia- tion accords with stagnation of Qi and blood from the perspective of traditional Chinese medicine, which is caused by stagnation of Qi and blood and congestion of main and collateral channels ; the clinical curative effect is satisfied by taking the herb decoction of expelling pain （Shentong Zhuyu Decoction） ,externally applying the medicine of relieving pain powder, and other treatments. If there is a postoperative recurrence of lumber disc herniation, it will be difficult and risky to have another operation. Therefore, tra- ditional Chinese medicine treatment is an effective way.