综合疗法治疗腰椎管狭窄症的临床疗效

Clinical efficacy of combined therapy on lumbar spinal stenosis

目的:观察护理干预联合中药内服外敷综合疗法治疗腰椎管狭窄症的临床疗效及其安全性。方法:符合80例腰椎管狭窄症患者,按随机数字表法(5∶3)分为治疗组50例,对照组30例。两组均卧床休息,对照组给予20%甘露醇针,250m L,ivggt,qd;复方丹参针,250m L,ivggt,qd;弥可保针,0.5mg,ivggt,qd,2周后改为口服药。治疗组在对照组基础上加用中药内服外敷及护理干预。两组均4周为1个疗程。结果:1两组总有效率比较:治疗组50例,治愈18例,显效12例,有效16例,无效4例,总有效率为92.00%;对照组30例,治愈8例,显效9例,有效6例,无效7例,总有效率为76.67%;两组比较有显著性差异(Z=-6.345,P=0.000)。2两组不良反应比较:均未出现影响治疗的严重不良反应。结论:综合疗法治疗腰椎管狭窄症安全性高,疗效满意。

Objective To observe clinical efficacy of nursing intervention plus TCM medicine on lumbar spinal stenosis. Methods：80 cases were divided into the treatment group （50 cases） and control group （30 cases）. The control group stayed in bed and was givenmannitol injection, the Fufang Danshen injection and methycobal injection. The treatment group took TCM medicine and nursingintervention more, 4 weeks as 1 course. Results： In the treatment group, 18 cases were cured; 12 cases were effective; 16 cases were a littleeffective; 4 cases were invalid; the total efficiency was 92.00%. In the control group, 8 cases were cured; 9 cases were effective; 6 caseswere a little effective; 7 cases were invalid; the total efficiency was 76.67%. Adverse reactions did not occurred in treatment. Conclusion：Nursing intervention plus TCM medicine was effective on lumbar spinal stenosis.