一次性大推拿配合针灸及中医辨证治疗腰椎间盘突出症140例临床观察

目的观察一次性大推拿配合针灸及中医辨证治疗腰椎间盘突出症的疗效。方法将280例患者随机分为两组,对照组140例,采用中医辨证用药治疗;治疗组140例,采用一次性大推拿结合针灸中医辨证用药治疗。1个疗程后观察疗效。结果治疗组总有效率为98.33%,对照组总有效率为92.50%。两组比较,差异有显著意义(P<0.01)。治疗组疗效明显优于对照组。结论一次性大推拿、针灸结合中医辨证用药治疗腰椎间症盘突出症有良好的临床疗效。

大推拿配合中药内服治疗腰椎间盘突出症100例

目的:观察一次性大推拿配合中医辨证治疗腰椎间盘突出症的疗效。方法:200例患者随机分为两组。对照组100例,采用中医辨证用药治疗;治疗组100例,采用大推拿结合中药内服治疗。1个疗程后观察疗效。结果:治疗组总有效率为99.0%,对照组总有效率为93.0%。两组比较,差异有显著意义(P<0.01)。治疗组疗效明显优于对照组。结论:一次性大推拿结合中医辨证用药治疗腰椎间症盘突出症有良好的临床疗效。

推拿治疗腰椎间盘突出症52例临床观察

目的:观察中医推拿治疗腰椎间盘突出症的疗效。方法:回顾性分析我院2007年2月～2008年3月采用推拿手法治疗腰椎间盘突出症52例的临床资料。结果:治疗的总有效率为92.3%,显示出了极好的临床疗效。结论:推拿治疗腰椎间症盘突出症有良好的临床疗效,值得临床推广。

Epidural fat distribution patterns in patients with lumbar intervertebral disc protrusion

Objective： To investigate epidural fat distribution patterns in patients with lumbar intervertebral disc protrusion. Methods： Medical records were selected randomly from 30 patients whose diagnoses were consistent with the inclusion criteria of the study. Thickness of bilateral fat, the longest length of posterior fat, thickness of bilateral yellow ligament and the hernial distance of lumbar discs were measured by MRI at L3/L4, L4/L5 and L5/S 1 levels. According to clinical symptoms of lumbar intervertebral disc protrusion, the patients were divided into two groups at all space levels. All data were analyzed by statistical software. Results： The longest length of posterior epidural fat at the symptomatic levels was shorter than that at the non-symptomatic levels in each disc space. The symptomatic levels had no effect on the whole thickness of the lateral fat and lateral yellow ligaments. Conclusion： Epidural fat distribution in patients with lumbar intcrvertebral disc protrusion is different from that in normal adults. It is affected by the hernial distance of lumbar discs. The diagnostic criteria for spinal epidural lipomatosis in normal adults may therefore prove to be inappropriate for patients with lumbar intervertebral disc protrusion.

Anti-inflammatory and analgesic effects of Yaotuitong Capsules in experimental rats with chemically induced radicular neuritis

OBJECTIVE:The aims of this study were to determine the anti-inflammatory and analgesic effects of Yaotuitong(translation:low back and leg pain) capsules,a Chinese herbal preparation,and the histological changes it induces in experimental rats with chemically induced radicular neuritis.METHODS:Wistar rats were randomly divided into normal,model,Western medicine,and traditional Chinese medicine groups(n=24 per group).We surgically duplicated a chemical radicular neuritis model to simulate lumbar intervertebral disc protrusion.Granuloma formation was measured on postoperative days(PODs) 3,7,14,and 21.Prostaglandin E 2 and 5-hydroxytryptamine(inflammation mediators) levels in the surrounding tissue and the histology of the nerve root were determined on PODs 7 and 14.RESULTS:Yaotuitong capsules significantly reduced prostaglandin E 2(P<0.01) and 5-hydroxytryptamine(P<0.01)levels in tissue surrounding the nerve root.It also inhibited granuloma formation(P<0.05).CONCLUSION:Yaotuitong capsules have anti-in-flammatory and analgesic effects that can alleviate the discomfort of lumbar intervertebral disc protrusion.