中医外治综合疗法治疗腰椎间盘突出症临床观察

Clinical Observation of Integrated External Therapy of Chinese Medicine for Lumbar Disc Herniation

目的:观察中医外治综合疗法治疗腰椎间盘突出症的效果。方法:纳入98例腰椎间盘突出症患者,应用随机数字表法将患者分为2组各49例,对照组采用常规康复训练治疗,观察组采用中医外治综合疗法治疗,2组疗程均为2周。比较2组患者治疗前后的腰椎间盘突出症症状及体征评分、日本骨科学会(JOA)下腰痛评估量表评分及治疗后的效果。结果:治疗2周后,对照组总有效率87.8%,观察组总有效率98.0%,2组比较,差异有统计学意义(P<0.05)。2组行走、疼痛和麻木、生活及工作能力、直腿抬高试验、压痛及膝、跟腱反射评分与总积分均较治疗前上升(P<0.05),观察组行走、疼痛和麻木、直腿抬高试验、压痛评分与总积分均高于对照组(P<0.05)。2组JOA下腰痛评估量表主观症状、体征、日常生活活动能力(ADL)受限、膀胱功能与总积分均较治疗前升高(P<0.05),观察组各项评分均高于对照组(P<0.05)。结论:中医外治综合疗法的疗效优于常规康复训练,有助于恢复患者脊椎的稳定性,增强脊柱功能,从而有效减轻腰痛症状,改善临床症状和体征。

Objective：To observe the clinical effect of integrated external therapy of Chinese medicine for lumbar disc herniation.Methods：Selected 98 cases of patients with lumbar disc herniation,and divided them into two groups randomly,49 cases in each group.The control group received the routine rehabilitation training for treatment,while the observation group received integrated external therapy of Chinese medicine for treatment.The course of treatment for both groups lasted for two weeks.Compared scores of symptoms and signs of lumbar disc herniation,JOA low lumbar pain scale before and after treatment as well as the clinical effect after treatment.Results：2 weeks after treatment,the total effective rate was 87.8%in the control group and 98.0%in the observation group,difference being significant（P〈0.05）.Each score of walk,pain,numb,the ability of living and working,leg raising test,tenderness and reflex of knee and Achilles tendon as well as the the total scores in both groups were higher than those before treatment（P〈0.05）,and each score of walk,pain and numb,straight leg raising test and tenderness as well as the total scores in the observation group were higher than those in the control group（P〈0.05）.Each score of subjective symptoms of JOA low lumbar pain scale,clinical examination,daily activities and bladder function as well as the total scores in both groups were higher than those before treatment（P〈0.05）,and each score in the observation group was higher than that in the control group（P〈0.05）.Conclusion：The clinical effect of integrated external therapy of Chinese medicine is better than that of the routine rehabilitation training,which helps the stability of the spine of patients to recover and enhances the spinal function,thus to significantly release the symptom of low back pain and improve the clinical symptoms and signs.