身痛逐瘀汤配合斜扳法治疗腰椎间盘突出症(1)
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[摘要] 目的：观察身痛逐瘀汤配合斜扳法治疗腰椎间盘突出症的临床疗效。方法：将本院128例腰椎间盘突出症患者随机分为治疗组(76例)和对照组(52例)，治疗组采用口服身痛逐瘀汤配合斜扳法，对照组采用斜扳法治疗。观察两组治疗后的临床疗效。结果：治疗2个疗程后两组临床疗效比较，治疗组总有效率为97.4%，对照组为86.5%，治疗组优于对照组，差异有统计学意义(P<0.05)。结论：身痛逐瘀汤配合斜扳法治疗腰椎间盘突出症是一种较为理想的方法。
[关键词] 腰椎间盘突出症；身痛逐瘀汤；斜扳法；临床观察
[中图分类号] R2 [文献标识码] B [文章编号] 1674-4721(2011)12(b)-112-02
Clinical observation on the Shentongzhuyu Decoction combined with inclined move method in the treatment of prolapse of lumbar intervertebral disc
LI Ping1, ZHANG Qicheng2
1.Department of TCM Orthopaedics, Shuguang Hospital of Nanguan District, Jilin Province, Changchun 130041, China; 2. Department of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Jilin Province, Changchun 130041, China
[Abstract] Objective: To observe the clinical effect of the Shentongzhuyu Decoction combined with inclined move method in the treatment of prolapse of lumbar intervertebral disc (PLID). Methods: One hundred and twenty-eight cases of PLID patients of our hospital were selected and divided into treatment group (76 cases) and control group (52 cases). The patients of treatment group were given Shentongzhuyu Decoction combined with inclined move method, control group were given inclined move method only. The clinical effects of two groups were observed after treatment. Results: After 2 course of treatment, the total effect rate of treatment group was 97.4% while that of the control group was 86.5%, the clinical effect of treatment was better than control group, difference was significant (P<0.05). Conclusion: Shentongzhuyu Decoction combined with inclined move method in the treatment of PLID is a more perfect method.
[Key words] Prolapse of lumbar intervertebral disc; Shentongzhuyu Decoction; Inclined move method; Clinical observation
腰椎间盘突出症主要由于椎间盘发生退行性变，在外力作用下纤维环破裂、髓核突出，刺激或压迫神经根的疾病所引起的一种综合征。临床以腰腿部疼痛、麻木及活动障碍为主要症状，是骨科临床上的常见病和多发病之一。笔者于2008年9月～2010年5月对128例腰椎间盘突出症患者进行口服身痛逐瘀汤配合手法治疗，取得了较为满意的疗效。现报道如下：
1 资料与方法
1.1 一般资料
将我院确诊的128例腰椎间盘突出症患者，随机分为治疗组(76例)和对照组(52例)。治疗组中，男44例，女32例；年龄23～72岁；病程1个月～7年；左侧型突出38例，右侧型突出30例，中央型突出8例；对照组中，男30例，女22例；年龄21～70岁；病程20 d～8年；左侧型突出28例，右侧型突出24例。所有患者均经腰椎X线片、CT检查、磁共振和临床症状确诊为腰椎间盘突出症。两组患者在性别、年龄、病程、病情等一般资料比较，差异无统计学意义(P>0.05)，具有可比性 ......
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