四肢熏洗方结合腰背肌功能锻炼治疗腰突症的临床观察

Therapeutic Effect of Limb Fumigation and Washing Prescription Combined with Functional Exercise of Lumbar and Dorsal Muscles on Lumbar Intervertebral Disc Herniation

目的观察四肢熏洗方结合腰背肌功能锻炼对腰椎间盘突出症的治疗效果。方法将100例腰椎间盘突出症患者随机分为治疗组50例,采用中药熏蒸结合腰背肌功能锻炼,对照组50例患者,采用牵引结合腰背肌功能锻炼,比较两组患者的治疗效果。结果运用疗效标准和量化标准(JOA和VAS量化评分)分别进行治疗前后的组内比较和组间比较,治疗前后差异均有统计学意义(P<0.05)。结论四肢熏洗方中药熏蒸结合腰背肌功能锻炼能够有效地缓解腰椎间盘突出症患者腰腿疼症状,简便廉验,无不良反应,防治结合,适合社区进一步推广应用。

OBJECTIVE To observe the therapeutic effect of limb fumigation and washing prescription combined with functional exercise of lumbar and dorsal muscles on lumbar intervertebral disc herniation. METHODS 100 patients with lumbar disc herniation were randomly divided into two groups. 50 patients in the treatment group were fumigated with traditional Chinese medicine combined with functional ex ercise of lumbar and dorsal muscles,and 50 patients in the control group were given traction combined with functional exercise of lumbar and dorsal muscles. RESULTS The curative effect criteria and quantitative criteria(JOA and VAS quantitative score)were used to make intra-group and inter-group comparisons before and after treatment respectively. The treatment group and the control group had statistical significance before and after treatment(P<0.01). CONCLUSION Limb fumigation and washing prescription combined with functional ex ercise of lumbar and dorsal muscles could effectively alleviate the symptoms of lumbar and leg pain in patients with lumbar disc hernia tion. It was simple,inexpensive,without adverse reactions,and was suitable for further promotion and application in the community.