中药湿敷配合蜡泥治疗气滞血瘀型腰椎间盘突出症53例

Wet Compress with Chinese Herbs and Candle- mud for the Treatment of Lumber Disc Herniation with qi Stagnation with Blood Stasis for 53 Case

目的:观察中药湿敷配合蜡泥治疗腰椎间盘突出症的临床疗效。方法:将100例确诊为腰椎间盘突出症的患者纳入研究,并随机分为中药湿敷配合蜡泥观察组和单纯蜡泥外敷对照组,观察两组患者JOA评分改善情况及随访1年后的疗效。结果:两组患者JOA评分均较前增加,但观察组改善更显著;观察组有效率92.45%,对照组有效率78.72%,差异具有统计学意义(P<0.05);随访结果显示,观察组1年内复发次数、首次复发的时间均少于对照组,差异具有统计学意义(P<0.05)。结论:中药湿敷配合蜡泥治疗腰椎间盘突出症疗效显著,不但能更好地改善临床症状,提高临床疗效,且复发率更低,值得推广。

Objective： To observe the curative effect of wet compress with Chinese herbs and Candle - mud for the treatment of Lumber Disc Herniation （LDH） . Methods： 100 cases were randomized into two groups： A treatment group are treated by wet compress with Chinese herbs and hot compress with Candle - mud while the other group （control group） by only hot compress with Candle - mud. In the two groups, we observed the improvement of JOA scores and made statistics of the clinical efficacy within 1 - year follow - up. Results ：Improvement of JO A scores could be found in two groups and treatment group were better than control group. The effective rate of treatment group was 92.45% while the control group was 78.72%. The difference was statistically significant （P 〈0.05）. The follow -up survey showed that in one year the frequency and the first time of recurrence in treatment group was less than those in control group （P〈0.05）. Conclusion： Wet compress with Chinese herbs, with less recurrence rate, were significantly effective for LDH and worth promoting.