温养督脉法治疗腰椎间盘突出症经皮椎间孔镜术后下肢麻木症状的临床研究

Clinical research on warming and nourishing governor meridian method in treatment of lower limb numbness after percutaneous transforaminal endoscopic surgery for lumbar disc herniation

目的观察温养督脉法治疗腰椎间盘突出症经皮椎间孔镜髓核摘除术后下肢麻木的临床效果,探讨腰椎间盘突出症术后下肢麻木以督脉亏虚为基本病机认识的临床意义及温养督脉法治疗其有效性。方法选取腰椎间盘突出症经皮椎间孔镜髓核摘除术后出现下肢麻木的患者90例,随机分为补肾强督中药组及西医对照组,分别对患者治疗前、治疗1周后、治疗2周后及停药1个月后的棉签测试评分、视觉麻木VAS评分及针刺测试评分进行统计学分析。结果补肾强督中药组及西医对照组治疗后较治疗前麻木情况均改善(P<0.05),但补肾强督中药组改善明显优于西医对照组(P<0.05),且停药1个月后疗效稳定,组间比较差异有统计学意义(P<0.05)。结论温养督脉法治疗腰椎间盘突出症经皮椎间孔镜术后下肢麻木症状有较好的临床效果。

Objective To observe the clinical effect of warming and nourishing governor meridian method in treatment of lower limb numbness after percutaneous transforaminal endoscopic resection of nucleus pulposus for lumbar disc herniation to discuss the clinical significance of postoperative lower limb numbness of lumbar disc herniation with deficiency of governor meridian as the basic pathogenesis cognition and the effectiveness of warming and nourishing governor meridian method. Methods Ninety patients with lumbar disc herniation who had lower limb numbness after percutaneous transforaminal endoscopic resection of nucleus pulposus were selected. They were randomly divided into the tonifying kidney and governor meridian TCM group and the western medicine control group. The swab test score, visual numbness VAS score and acupuncture test score before treatment, 1 week after treatment, 2 weeks after treatment and 1 month of stop taking the medicine were respectively statistically analyzed. Results The numbness situation after treatment in the tonifying kidney and governor meridian TCM group and the western medicine control group was improved compared with that before treatment(P < 0.05), but the improvement in the tonifying kidney and governor meridian TCM group was significantly better than that in the western medicine control group(P < 0.05). The effect was stable after 1 month of stop taking the medicine. There were statistically significant differences between the two groups(P < 0.05). Conclusion Warming and nourishing governor meridian method in treatment of lower limb numbness after percutaneous transforaminal endoscopic surgery for lumbar disc herniation has a better clinical effect.