血府逐瘀汤联合西药治疗椎间孔镜术后血肿压迫性下肢疼痛疗效观察

Effect Observation on Xuefu Zhuyu Tang Combined with Western Medicine for Lower Limb Pain with Hematoma and Compression after Transforaminal Percutaneous Endoscopic Lumbar Discectomy

目的:观察血府逐瘀汤联合西药治疗椎间孔镜术后血肿压迫性下肢疼痛的临床疗效。方法:将4 0例行椎间孔镜术后出现血肿压迫性下肢疼痛的腰椎间盘突出症患者随机分为对照组和观察组各20例。对照组术后常规给予脱水消肿、抗炎治疗,观察组在对照组用药基础上加服血府逐瘀汤。治疗前后应用视觉模拟评分法(VAS)评估2组患者的下肢疼痛情况。采用改良Macnab疗效标准评定患者的功能恢复情况。结果:治疗后,对照组优良率为6 0.0%,观察组优良率达85.0%,2组比较,差异有统计学意义(P<0.01)。2组VAS评分均较治疗前下降(P<0.05),观察组VAS评分低于对照组(P<0.05)。结论:腰椎间盘突出症患者在椎间孔镜术后加服血府逐瘀汤,疼痛缓解程度及功能恢复的效果均优于单纯运用消肿、抗炎药物治疗,疗效较为显著,值得进一步研究及在临床上推广。

Objective：To observe the clinical effect of Xuefu Zhuyu tang combined with western medicine for lower limb pain with hematoma and compression after transforaminal percutaneous endoscopic lumbar discectomy（PELD）. Methods： Divided 40 cases of patients with lumbar disc herniation who suffered from lower limb pain with hematoma and compression after transforaminal PELD into the control group and the observation group randomly, 20 cases in each group. The control group received routine dehydration,detumescence and anti-inflammation medicine for treatment after operation, while the observation group additionally received Xuefu Zhuyu tang. Evaluated the lower limb pain condition of patients in the two groups before and after treatment by visual analogue scale（VAS） and evaluated the function recovery of patients by modified Macnab criteria. Results：After treatment,the good rate was 60.0%in the control group and was 85.0% in the observation group,the difference being significant（P〈0.01）. VAS scores in the two groups were all decreased when compared with those before treatment（P〈0.05）,and VAS score in the observation group was lower than that in the control group（P〈0.05）. Conclusion：The additional treatment of Xuefu Zhuyu tang for patients with lumbar disc herniation after transforaminal PELD has better effect in relieving pain and recovering function than that of detumescence and anti-inflammatory medicine. The curative effect of the therapy is more significant and is worthy of further research and promotion in clinical practice.