补阳还五汤联合功能锻炼治疗后纵韧带破裂型腰椎间盘突出症疗效观察

Buyang Huanwu decoction combined with functional exercise in the treatment of posterior longitudinal ligament rupture type lumbar disc herniation

目的:探讨补阳还五汤与功能锻炼联合用于后纵韧带破裂型腰椎间盘突出症的临床疗效。方法:86例后纵韧带破裂型腰椎间盘突出症患者随机分为观察组与对照组各43例,所有患者急性期均给予塞来昔布+盐酸乙哌立松治疗,对照组在上述基础上给予功能锻炼,观察组加用补阳还五汤治疗,对比两组患者临床疗效。结果:观察组镇痛有效率为95.3%,显著高于对照组的74.4%(P<0.01);两组治疗前JOA评分及腰椎间盘突出率比较,差异无统计学意义(P>0.05),治疗后JOA评分均显著增高而腰椎间盘突出率均显著降低(P<0.01),且治疗后观察组JOA评分显著高于对照组而腰椎间盘突出率显著低于对照组(P<0.01);治疗后观察组椎间盘吸收率显著高于对照组(P<0.01)。结论:补阳还五汤在后纵韧带破裂型腰椎间盘突出症的治疗中,能够有效促进突出髓核的重吸收,快速、有效缓解患者疼痛等临床症状。

Objective：To discuss the clinical effects of Buyang Huanwu decoction combined with functional exercise in the treatment of posterior longitudinal ligament rupture type lumbar disc herniation.Methods：86patients with posterior longitudinal ligament rupture type lumbar disc herniation were randomly divided into the observation group and the control group,all the patients were treated with celecoxib ＋ eperisone hydrochloride in the acute stage,and the control group were given functional exercise based on the above treatment,and the observation group were treated with Buyang Huanwu decoction combined with functional exercise,and then the clinical effects were contrasted between the two groups.Results：Analgesic effective rate of the observation group was 95.3%（41/43）,significantly higher than 74.4%（32/43）（P〈0.01）;there were no significantly difference in JOA score and lumbar disc herniation ratio before the treatment（P〉0.05）,JOA score significantly rised and the lumbar disc herniation ratio significantly decireased after the treatment（P〈0.01）,and JOA score significantly higher,the lumbar disc herniation ratio significantly lower in the observation group than the control group（P〈0.01）;intervertebral disc absorption rate in the observation group was significantly higher than the control group after the treatment（P〈0.01）.Conclusion：Buyang Huanwu decoction can effectively promote the nucleus pulposus reabsorption,quickly and effectively relieve pain and other clinical symptoms in the treatment of posterior longitudinal ligament rupture type lumbar disc herniation.