身痛逐瘀汤加减结合中医定向透药疗法治疗腰椎间盘突出症的临床观察

Clinical observation on addition and subtraction of Shentong Zhuyu decoction and traditional Chinese medicine directional penetration therapy in the treatment of lumbar disc herniation

目的分析身痛逐瘀汤联合中医定向透药疗法治疗腰椎间盘突出症患者的临床效果。方法 196例腰椎间盘突出症患者作为研究对象,随机分为治疗组(117例)和对照组(79例)。对照组患者采用常规治疗,治疗组患者在对照组常规治疗的基础上采用身痛逐瘀汤配合中医定向透药疗法治疗。比较两组患者的临床疗效,观察两组患者治疗前后的临床症状及腰痛缓解情况[参照日本骨科学会(JOA)腰痛疾患疗效评定表进行综合评定],采用视觉模拟评分法(VAS)评分对患者的腰椎疼痛程度进行评估。结果经治疗后,治疗组总有效率为98.29%(115/117),显著高于对照组的75.95%(60/79),差异有统计学意义(χ2=24.605, P=0.000<0.05)。两组患者治疗前的JOA评分、VAS评分比较差异均无统计学意义(P>0.05)。两组患者治疗后的JOA评分均明显高于治疗前、VAS评分均明显低于治疗前,且治疗组的JOA评分明显高于对照组、VAS评分明显低于对照组,差异均有统计学意义(P<0.05)。结论采用身痛逐瘀汤加减结合中医定向透药疗法治疗腰椎间盘突出症患者的临床疗效显著,能够明显减轻患者的临床症状,改善局部血液循环,安全性较高,显著缓解患者的腰腿部疼痛,有助于提高其生活质量,具有良好的预后效果,适合在日后的临床有关治疗中借鉴和参考。

Objective To analyze the clinical effect of addition and subtraction of Shentong Zhuyu decoction and traditional Chinese medicine directional penetration therapy in the treatment of patients with lumbar disc herniation. Methods A total of 196 patients with lumbar disc herniation as study subjects were randomly divided into treatment group(117 cases) and control group(79 cases). The control group received conventional therapy, and the treatment group received Shentong Zhuyu decoction and traditional Chinese medicine directional penetration therapy on the basis of conventional therapy in the control group. The clinical effects of the two groups were compared, and the clinical symptoms and the relief of low back pain referring to the Japanese OrthopaedicAssociation(JOA) efficacy evaluation table before and after treatment were observed. In addition, visual analogue scale(VAS) was used to evaluate the degree of lumbar pain. Results After treatment, the treatment group had significantly higher total effective rate as 98.29%(115/117) than 75.95%(60/79) in the control group, and the difference was statistically significant(χ2=24.605, P=0.000<0.05). Both groups had no statistically significant difference in JOA score and VAS score before treatment(P>0.05). Both groups had obviously higher JOA score after treatment than those before treatment, and obviously lower VAS score than those before treatment. The treatment group had obviously higher JOA score than the control group, and obviously lower VAS score than the control group. Their difference was statistically significant(P<0.05). Conclusion Combination of addition and subtraction of Shentong Zhuyu decoction and traditional Chinese medicine directional penetration therapy shows remarkable efficacy in the treatment of lumbar disc herniation, and it can obviously alleviate the clinical symptoms, improve local blood circulation with high safety, significantly alleviate the pain of the patients’ waist and leg, help to improve their quality of life, with good prognostic effect. It is suitable for reference in future clinical treatment.