盘龙七片配合腰椎小关节松解治疗风湿痹阻型腰椎管狭窄症

Panlongqi tablet(盘龙七片)combined with lumbar facet joint release for the treatment of lumbar spinal stenosis of Fengshi Bizu(风湿痹阻)

目的：探讨盘龙七片配合腰椎小关节松解术治疗风湿痹阻型腰椎管狭窄症的临床疗效.方法：自2012年2月至2013年2月,对120例风湿痹阻型腰椎管狭窄症患者的临床资料进行回顾性研究.按治疗方法不同将120例腰椎管狭窄症患者分为盘龙七片组和对照组,各60例.盘龙七片组男26例,女34例;年龄46 ～65岁,平均（60.40±3.36）岁;病程2～15年,平均7.6年,采用口服盘龙七片配合腰椎小关节松解治疗.对照组男24例,女36例;年龄48～63岁,平均（61.20±2.47）岁;病程3～14年,平均6.9年,单独腰椎小关节松解治疗.分别于治疗前、治疗后4周、3个月随访时采用JOA评分（15分法）和Oswestry下腰痛功能障碍指数（ODI）对患者的临床疗效进行评价.结果：所有患者获得随访,时间4～7个月,平均5.6个月.术后3个月时,对照组有7例症状复发,盘龙七片组仅1例复发.治疗后4周及3个月时,盘龙七片组ODI、JOA评分明显优于对照组（P＜0.05）.结论：对于风湿痹阻型腰椎管狭窄症患者,采用腰椎小关节松解配合口服盘龙七片法,辅以腰背肌功能锻炼,可缓解腰部及下肢疼痛症状,改善下腰椎功能状态,是保守治疗此类疾病的良好治疗手段.

Objective：To investigate the clinical efficacy of Panlongqi tablet（盘龙七片） combined with lumbar facet joint release for lumbar spinal stenosis of type Fengshi Bizu （风湿痹阻）.Methods：Since February 2012 to February 2013,120 patients with lumbar spinal stenosis of Fengshi Bizu （风湿痹阻） syndrome were retrospectively studied.According to different treatment methods,120 patients with lumbar spinal stenosis were divided into Panlongqi tablet （盘龙七片）group and control groups,respectively.In Panlongqi tablet （盘龙七片）group,60 patients were treated by Panlongqi tablet （盘龙七片） combined with lumbar facet joints release solution including 26 males and 34 females with an average age of （60.40±3.36） years old ranging from 46 to 65 ;the course of the disease was 2 to 15 years （averaged 7.6 years）.In control group the other 60 patients were treated with lumbar facet joint release including 24 males and 36 females with an average age of （61.20±2.47） years old ranging from 48 to 63 ;the course was 3 to 14 years （averaged 6.9 years）.The clinical effect of patients were evaluated by JOA and ODI score before treatment,at 4 weeks and 3 months after treatment.Results：All patients were followed up for 4 to 7 months （means 5.6 months）.After 3 months,7 cases in control group recurrenced symptoms,only 1 case in Panlongqi tablet （盘龙七片） group recurrenced.At 4 weeks and 3 months of follow-up,ODI score and JOA score of Panlongqi tablet group were much better than those of the control group.Conclusion：For lumbar spinal stenosis of type Fengshi Bizu （风湿痹阻）,which were treated with lumbar facet joint release with Panlongqi tablet （盘龙七片）,supplemented by back muscle exercise,in relieving waist and low back pain symptoms and improving functional status of lower lumbar spine,can obtain satisfactory clinical outcome,is a good method of conservative treatment for such diseases.