椎间孔针闭合松解术联合藤黄健骨胶囊对腰椎间盘突出症患者临床效果研究

Closed release of intervertebral foramen needle combined with Tenghuang Jiangu capsule in the treatment of lumbar disc herniation

目的探讨椎间孔针闭合松解术联合藤黄健骨胶囊对腰椎间盘突出症患者临床效果。方法选择腰椎间盘突出症患者84例,根据随机数字表法分为观察组43例与对照组41例。对照组采用椎间孔针闭合松解术治疗,观察组在对照组基础上给予藤黄健骨胶囊。两组疗程均为3周。比较两组治疗疗效,以及治疗前后日本骨科协会评估治疗评分(JOA)、Oswetry功能障碍指数(ODI)、视觉模拟评分(VAS)和日常生活活动能力(ADL)变化。结果观察组患者治疗后的总有效率93.02%明显高于对照组68.29%(χ~2=8.33,P<0.05)。两组患者治疗后JOA评分、ADL评分高于治疗前,ODI评分、VAS评分低于治疗前,差异均有统计学意义(t分别=14.86、19.00、44.13、19.56;11.87、13.95、27.16、10.70,P均<0.05),且观察组治疗后JOA评分、ADL评分高于对照组治疗后,ODI评分、VAS评分低于对照组治疗后,差异均有统计学意义(t分别=7.68、7.53、13.98、10.51,P均<0.05)。结论椎间孔针闭合松解术联合藤黄健骨胶囊对腰椎间盘突出症患者临床效果显著。

Objective To explore the clinical effect of intervertebral foramen needle closed release combined with Tenghuang Jiangu capsule in patients with lumbar disc herniation.Methods The 84 patients with lumbar disc hernia.tion were selected and divided into observation group(43 cases)and control group(41 cases)according to random ta.ble method.The control group was treated with closed release of intervertebral foramen needle,while the observation group was treated with Tenghuang Jiangu capsule on the basis of the control group.The course was 3 weeks.The thera.peutic effects between two groups,the changes of JOA,ODI,VAS and ADL before and after treatment were compared.Results The total effective rate of the observation group was 93.02%,which was significantly higher than 68.29%of the control group(χ^2=8.33,P<0.05).After treatment,JOA score and ADL score of the two groups were higher than those before treatment,ODI score and VAS score were lower than those before treatment,and the differences were statis.tically significant(t=14.86,19.00,44.13,19.56;11.87,13.95,27.16,10.70,P<0.05).After treatment,JOA score and ADL score of the observation group were higher than those of the control group,ODI score and VAS score were lower than those of the control group,and the differences were significant(t=7.68,7.53,13.98,10.51,P<0.05).Conclusion Closed release of intervertebral foramen needle combined with Tenghuang Jiangu capsule has significant clinical effect on patients with lumbar intervertebral disc herniation.