早期中药湿热敷治疗腰椎间盘突出症术后残余痛的效果分析

Effect analysis of early Chinese herb by humid wet compressing in treatment of residual pain after lumbar disc herniation

目的观察早期中药湿热敷对腰椎间盘突出症术后残余痛的临床疗效。方法选取2010年2月～2013年2月在本院行腰椎间盘突出症后路开窗髓核摘除的患者106例，将其随机分为治疗组和对照组各53例，对照组患者进行常规药物治疗和康复锻炼，治疗组在常规治疗的基础上行中药湿热敷进行早期干预，于1、6个月比较两组的临床疗效。结果两组患者均按时随访，术后1个月治疗组优良率为92．45％，对照组为73．58％，术后6个月治疗组优良率为92．45％，对照组为71．70％，治疗组术后1、6个月的优良率均高于对照组，差异有统计学意义（P〈0．01）。结论早期对腰椎间盘突出症经后路髓核摘除的患者进行中药湿热敷，可明显减少术后残余痛的发生，且操作简单，安全经济，无副作用，值得临床推广。

Objective To observe the clinical effect of early Chinese：herb by humid wet compressing in the treatment of residual pain after lumbar disc herniation. Methods 106 cases of patients who processed posterior discectomy of lumbar disc herniation in our hospital from February 2010 to February 2013 were selected,and were randomly divided into treatment group and control group with 53 cases in each group.The control group were adopted conventional therapy and rehabilitation exercise.On the basis of the conventional theray,the treatment group were taken with Chinese herb by humid wet compressing in early phase.Then the clinical effect of two groups after one and six months was respectively compared.Results Two groups were followed up on time after treatment.The excellent rate of the treatment group was 92.45% after one month,the control group was 73.58%;after six months,the excellent rate of treatment group was 92.45%,the control group was 71.70%.The excellent rate of treatment group after one and six months was higher htan that of control group respectively,the difference was significant （P 〈 0.01）. Conclusion Adopting Chinese herb by humid wet compressing for patients taken posterior discectomy of lumbar disc herniation can obviously reduce the occurrence of postoperative residual pain,and the operation is simple,safe and economic,has less side effect,thus this theray is worth to be generalized in clinic.