补气活血汤联合电针治疗腰椎间盘突出症术后综合征临床效果

Clinical effect of Buqi Huoxue Decoction combined with electroacupuncture on postoperative syndrome of lumbar disc herniation

目的观察补气活血汤联合电针治疗腰椎间盘突出症术后综合征的临床效果。方法选取2015年8月~2019年4月陕西省宝鸡市中医医院骨科腰椎间盘突出症术后综合征患者50例,采用随机数字表法分为对照组(25例)和治疗组(25例),治疗组服用补气活血汤配合电针治疗,对照组服用甲钴胺片,两组均治疗4周。比较两组临床疗效及治疗前后对疼痛视觉模拟(VAS)评分、日本骨科协会评估治疗(JOA)下腰痛评分及不良事件进行观察。结果治疗组总有效率显著高于对照组,差异有统计学意义(P <0.05)。与治疗前比较,两组VAS评分均明显降低,JOA评分明显升高,差异有统计学意义(P <0.05),且治疗组VAS评分显著低于对照组,JOA评分高于对照组,差异均有统计学意义(均P <0.05)。结论补气活血汤联合电针能改善腰椎间盘突出症术后综合征,促进患者康复,效果显著。

Objeetive To observe the clinical effect of Buqi Huoxue Decoction combined with electroacupuncture on postoperative syndrome of lumbar disc herniation.Methods From August 2015 to April 2019,50 patients with postoperative syndrome of lumbar disc herniation in the Department of Orthopedics,Baoji Traditional Chinese Medicine Hospital,Shaanxi Province were selected,and they were divided into control group(25 cases)and treatment group(25 cases)by random number table method.The treatment group was treated with Buqi Huoxue Decoction and electroacupuncture,while the control group received Mecobalamin Tablets.Both groups were treated for 4 weeks.The clinical efficacy between the two groups were compared,visual analogue scale(VAS)score,Japanese orthopaedic association evaluated treatment(JOA)score and adverse events were observed before and after treatment.Results The total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).Compared with before treatment,VAS scores of both groups were significantly reduced,JOA scores were significantly increased,with statistically significant differences(P<0.05),VAS score of the treatment group was significantly lower than that of the control group,JOA score was higher than that of the control group,with statistically significant differences(all P<0.05).Conclusion Buqi Huoxue Decoction combined with electroacupuncture can improve the postoperative syndrome of lumbar disc herniation and promote the recovery of patients with remarkable effect.