药功整合疗法治疗腰椎间盘宊出症术后腰腿痛的临床观察

Clinical Research of Combining Traditional Chinese and Western Medicine on Treating Lumbago-leg Pain Caused by Non- physical Elements after LDH Nucleus Pulposus Extraction

目的:观察药功整合疗法治疗腰椎间盘宊出症(LDH)开窗髓核摘除术后非物理性因素腰腿痛的机理及临床应用价值。方法:将符合诊断LDH开窗髓核摘除术后非物理性因素腰腿痛患者120例随机分为两组,其中在术后常规用药基础上治疗组60例给予龙马汤口服配合功能锻炼,对照组60例给予非甾体类抗炎西药口服配合功能锻炼,两组均连续用药4周,禁止联合使用其它针对腰腿痛症状的药物。应用VAS和症状分级量化评分系统观察患者治疗前和治疗后评分的变化情况。结果:治疗组和对照组腰腿痛症状均明显改善、VAS评分改善率无显著性差异(P>0.05),症状分级量化评分改善率治疗组与对照组比较有显著性差异(P<0.05),且均数差值有统计学意义,表明治疗组疗效优于对照组。结论:LDH开窗髓核摘除术后非物理性因素腰腿痛患者应用药功整合疗法具有较好的临床疗效,在防止粘连,抗炎止痛,调节免疫,改善循环等多方面达到缓解症状,阻止病情进展的目的。

Objective： To verify the mechanism and the clinical efficacy of lumbago-leg pain caused by non-physical elements after LDH nucleus pulposus extraction based on a therapy of combining traditional Chinese and western medicine. Methods： Separating the 120 patients who had lumbago-leg pain caused by non-physical elements after LDH nucleus pulposus extraction into two groups. One group was the treatment group including 60 cases which adapted a therapy of combining traditional Chinese and western medicine for four weeks and the other group was the controlled group including 60 cases which adapted a therapy of western medicine for four weeks. During the four weeks,other medicines that went against lumbago-leg pain were forbidden and the therapeutic outcome was to be observed through VAS and quantification marking system according to the situation of changes before and after the treatment. Results： The improvement of the two groups was obvious and there was no obvious differences through VAS test and P 0. 05. The differences of the marking system were distinguishing and P 0. 05. This result was of statistical meaning and showed that the treatment group was better than the controlled group. Conclusion： The patients who have lumbago-leg pain caused by non-physical elements after LDH nucleus pulposus extraction can get a better clinic treatment by adapting a therapy of combining traditional Chinese and western medicine. And the therapy of combining traditional Chinese medicine and Western medicine play a good role in adhesion prevention,anti- inflammatory,pains relief,immunoregulation,and circle improvement to remiss and improve the condition of the patients.