PLDD联合脊柱调衡手法及杜仲腰痛丸治疗腰椎间盘突出症的临床疗效观察

Observation on Clinical Efficacy of Treating Lumbar Disc Herniation with PLDD in Combination with Spinal Balancing Manipulation and Duzhong Yaotong Pill

为观察分析运用经皮激光汽化减压术(percutaneous lasers disk deoompression,PLDD)联合脊柱调衡手法及杜仲腰痛丸治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效,对2012年3月至2015年3月在甘肃省中医院脊柱骨科接受PLDD联合脊柱调衡手法及杜仲腰痛丸治疗的病例进行随访统计。按联合不同疗法进行分组,评价记录不同时间点VAS疼痛评分及1年后的疗效,分析各治疗手段的有效性。统计结果表明:在治疗后6个月内,PLDD联合不同手段治疗LDH的VAS疼痛评分变化无统计学意义;在治疗后6个月、12个月时,C组VAS疼痛评分与A、B两组比较,差异具有统计学意义;治疗后12个月,A、B、C三组治疗有效性无明显统计学意义,C组优良率达到83.8%,明显高于A、B两组。由此得知,运用PLDD联合脊柱调衡手法及杜仲腰痛丸治疗LDH具有明显的临床疗效,具有良好的应用价值。

To observe and to analyze the clinical efficacy of Percutaneous Lasers Disk DeoomPression(PLDD)combined with Spinal Balancing Manipulation and Duzhong Yaotong Pill in the treatment of Lumbar disc herniation(LDH);From Mar.2012 to Mar.2015,the cases in the spinal surgery of Gansu Provincial Hospital of TCM to accept PLDD combined with Spinal Balancing Manipulation and Duzhong Yaotong Pill were followed up statistics,and according to the combination of different treatments were categorized groups.The VAS scores at different time points and the clinical efficacy after 1years were recorded and evaluated,and the effectiveness of each treatment method was analyzed.Results:the VAS scores of PLDD combined with different treatments for LDH was not statistical significance within 6months after treatment(P>0.05),while the VAS scores of group C was remarkably different from that of group A and B at 6months and 12months after treatment(P<0.05);the therapeutic evaluationtion of the each group showed that the effective rate of group A,B,and C was not statistical significance in 12 months after treatment,The excellent rate of group C was reached 83.8%,which was apparently higher than that of group A and B.Conclusion:The use of PLDD combined with Spinal Balancing Manipulation and Duzhong Yaotong Pill is effective in treating LDH and has good application value.