小针刀辅助桃红四物汤治疗急性期腰椎间盘突出症临床研究

Clinical Study of Using Small Needle Knife Assisted Taohong Siwu Decoction in the Treatment of Acute Lumbar Disc Herniation

目的:观察小针刀辅助桃红四物汤治疗急性期腰椎间盘突出症临床效果,以期提高临床诊治水平。方法:选取2011年5月到2013年7月130例急性期腰椎间盘突出症患者为研究对象,分成2组,对照组65例,予西医治疗,观察组65例,予小针刀辅助桃红四物汤治疗,观察治疗后在临床效果和相关指标上变化。结果:总疗效上,对照组治愈率30.77%、总有效率75.38%,观察组治愈率43.08%、总有效率89.23%,两组比较差异有统计学意义(P<0.05);两组治疗前后在VAS评分、JOA评分、ODI评分和C反应蛋白、5羟色胺、血浆粘度、纤维蛋白原比较差异均有统计学意义(P均<0.05),治疗后组间以上指标比较差异也有统计学意义(P均<0.05)。结论:小针刀辅助桃红四物汤治疗急性期腰椎间盘突出症临床效果显著。

Objective： To investigate clinical result of using small needle knife assisted Taohong Siwu Decoction in the treat- ment of acute lumbar disc herniation, in order to improve the clinical diagnosis and treatment. Methods ： May 2011to July 2013, 130cases of acute lumbar disc herniation patients in this study were divided into two groups, a controlled group of 65patients with western medicine treatment, an observation group of 65eases with small knife assisted Taohong Siwu Decoction, the clinical effect and related indicators were observed after treatment. Resuhs ： The cure rate of the controlled group was 30.77%, the total effec- tive rate was 75.38% , 43.08% cure rate in the observation group, the total effective rate was 89. 23% , the difference was statis- tically significant （P〈0. 05 ） ; before and after treatment, the VAS score, JOA score, ODI scores and C-reactive protein, seroto- nin, plasma viscosity and fibrinogen were statistically significant （P〈0. 05 ）, the difference between the above indicators after treatment group also had statistically significant （ P〈0.05 ）. Conclusion： The small needle knife assisted Taohong Siwu Decoction in the treatment of acute clinical effect of lumbar disc herniation is remarkable.