牵引结合身痛逐瘀汤治疗腰椎间盘突出症33例

Traction Combined with Shentong Zhuyu Decoction in the Treatment of Lumbar Disc Herniation for 33 Cases

目的观察牵引结合身痛逐瘀汤治疗血瘀型腰椎间盘突出症的临床效果。方法将66例符合纳入标准的患者按就诊时间先后顺序随机分为对照组和观察组各33例。对照组采用牵引治疗,观察组采用牵引结合身痛逐瘀汤内服治疗,每天治疗1次,7 d为1个疗程。治疗3个疗程后,观察2组患者的临床疗效,并采用Oswestry功能障碍指数量表(ODI)评价患者治疗前后的功能活动情况。结果 (1)观察组总有效率为93.9%,优于对照组的72.7%,2组间比较差异有统计学意义(P<0.05)。(2)治疗后,2组患者的ODI评分较治疗前均有所下降(P<0.05),且观察组评分低于对照组(P<0.05)。结论牵引结合身痛逐瘀汤内服可缓解腰椎间盘突出症患者的临床症状、改善腰部功能活动,有助于提高患者的日常生活能力,其临床疗效优于单纯牵引治疗。

Objective To observe the clinical effect of traction combined with Shentong Zhuyu decoction in the treatment of lumbar disc herniation of blood stasis syndrome. Methods Sixty-six patients who met the inclusion criteria were randomly divided into control group and observation group according to the time of treatment. Each group had 33 cases. Patients in control group were treated with traction, while the observation group was treated with traction combined with Shentong Zhuyu decoction, with treatment 1 time/ day, and 7 days for was one course. The clinical effect of the two groups ＇after 3 courses of treatment was observed, and the function of the patients before and after treatment by Oswestry disability index （ODI） was evaluated. Results The total effective rate of the observation group was 93.9% which was better than 72.7% of the control group, and there were significant differences between the two groups （P〈0.05） . After treatment, the ODI score of the two groups decreased comparing with before treatment （P〈0.05） , and the score of observation group was lower than that of the control group （P〈0.05） . Conclusion Traction combined with Shentong Zhuyu decoction can relieve the clinical symptoms of lumbar disc herniation, improve lumbar function, help to improve the ability of daily life of patients, and the clinical effect is better than pure traction.