腰椎牵引联合独活寄生汤加减治疗肝肾亏虚夹瘀型腰椎间盘突出症效果观察

Effect observation of Duhuo Jisheng Decoction in treating lumbar intervertebral disc protrusion

目的:观察腰椎牵引联合独活寄生汤加减治疗肝肾亏虚夹瘀型腰椎间盘突出症的临床疗效。方法:选取我院2015年10月-2017年10月收治的82例肝肾亏虚夹瘀型腰椎间盘突出症患者,随机分为A组和B组,各41例。A组:腰椎牵引+芬必得,共治疗1个疗程(2周);B组:腰椎牵引+独活寄生汤加减,共治疗4个疗程(4剂为1个疗程)。治疗结束后,采用相关疗效标准评定两组治疗效果,同时采用JOA评分标准评定两组治疗前后腰疼评分,并做统计学比较。结果:A组总有效率为80.49%,B组总有效率为95.12%(P <0.05);治疗后A组JOA评分由(11.2±1.0)分升高为(20.3±1.8)分;B组JOA评分由(11.3±0.9)分升高为(27.1±1.5)分(P <0.05)。结论:腰椎牵引联合独活寄生汤加减治疗肝肾亏虚夹瘀型腰椎间盘突出症疗效确切,适应范围广。

Objective: To observe the clinical effect of Duhuo Jisheng decoction(独活寄生汤) on lumbar disc herniation. Methods: 82 cases of lumbar intervertebral disc herniation treated in our hospital from October 2015 to October 2017 were selected and divided into group A and group B, with 41 cases in each group. Group A received lumbar traction combined with Fenbid;Group B received lumbar traction combined with Duhuo Jisheng decoction(独活寄生汤). Results: The total effective rate of group A and B was 80.49% and 95.12% respectively (P<0.05);After treatment, JOA score of group A increased from (11.2±1.0) points to (20.3±1.8) points;JOA score of Group B increased from (11.3±0.9) points to (27.1±1.5) points (P<0.05). Conclusion: The treatment of lumbar traction with Duhuo Jisheng decoction(独活寄生汤) was effective and it could be widely used.