维吾尔医治疗1072例腰椎间盘突出症回顾性调查研究分析

Retrospective investigation and analysis of 1072 cases of lumbar disc herniation treated by Uighur medicine

目的:通过回顾性调查制定及优化腰突病(腰椎间盘突出)维吾尔医治疗方案。方法:回顾性调查新疆维吾尔自治区维吾尔医医院2013年1月至2017年6月期间确诊为腰突病的1 072例患者病历并提取患者基本信息、病因、疗效等数据资料进行统计分析。结果:1 072例患者基本信息(年龄、性别、生活环境、职业)之间无明显差异。致病体液主要由异常黏液质、异常胆液质和异常脾液质引起,治疗后痊愈21例(2.0%),显效745例(69.5%),有效288例(26.9%),无效18例(1.7%),总有效率达到98.3%(1 054/1 072)。异常黏液质中石膏状黏液质的显效率较其他型略高,但与其他不同异常体液分型的疗效无显著性差异。结论:本研究结果为腰突病维吾尔医综合诊疗方案的优化提供可靠的参考依据。

Objective: To formulate and optimize the Uyghur medical treatment plan for lumbar herniation(lumbar disc herniation) through retrospective investigation. Methods: The medical records of 1 072 patients with lumbar process disease diagnosed in Traditional Uygur Medical Hospital of Xinjiang Uyghur Autonomous Region from January 2013 to June 2017 were retrospectively investigated, and the data were extracted for statistical analysis. Results: There was no significant difference in the basic information(age, sex, living environment, occupation) of 1 072 patients. The pathogenic body fluid was mainly caused by abnormal mucus, abnormal bile fluid and abnormal spleen fluid. After treatment, 21 cases(2.0%) were cured, 745 cases(69.5%)were significantly effective, 288 cases(26.9%) were effective, and 18 cases(1.7%) were ineffective. The total effective rate reached 98.3%(1 054/1 072). The effective rate of gypsum like mucus in abnormal mucus was slightly higher than that of other types, but there was no significant difference with other types of abnormal humus. Conclusion: The results of this study provide a reliable reference for the optimization of Uygur medical comprehensive diagnosis and treatment scheme of lumbar herniation.