[1]张喜林,沈国权△,金喜宏,等.分期综合治疗成年腰椎间盘突出症816例分析[J].中国中医骨伤科杂志,2015,23(06):14-17.
　ZHANG Xilin,SHEN Guoquan,JIN Xihong,et al.Analysis of Stage Comprehensive Treatment on Lumbar Disc Herniation of 816 Cases[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(06):14-17.
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分期综合治疗成年腰椎间盘突出症816例分析
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年06期
页码:
14-17
栏目:
临床研究
出版日期:
2015-06-15

文章信息/Info

Title:
Analysis of Stage Comprehensive Treatment on Lumbar Disc Herniation of 816 Cases
文章编号:
1005-0205(2015)06-0014-04
作者:
张喜林1;  沈国权1△;  金喜宏1;  张超1;  张树锋1;  孙武权1;  龚利1
1.上海中医药大学附属岳阳中西医结合医院(上海,200437)
△.通信作者 E-mail:13801716994@163.com
Author(s):
ZHANG Xilin1;  SHEN Guoquan1△;  JIN Xihong1;  ZHANG Chao1;  ZHANG Shufeng1;  SUN Wuquan1;  GONG Li1
1.Yueyang Hospital of Integrated Chinese and Western Medicine,Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China
关键词:
腰椎间盘突出症;  分期治疗;  临床观察
Keywords:
lumbar disc herniation;  stage treatment;  clinical observation
分类号:
R681.5
文献标志码:
A
摘要:
目的:分析分期综合治疗腰椎间盘突出症的临床效果、治疗机理。方法:816例腰椎间盘突出症患者,根据症状、体征分期,急性期采用静脉滴注、椎管内注射等方法消肿止痛,手法松筋止痛; 缓解期中药活血通络,以三维牵引和调整手法正骨理筋止痛; 康复期手法舒筋通络止痛止痹,功能训练以增强腰椎稳定性。结果:816例患者中治愈179例,好转561例,未愈76例,治愈率21.94%,总有效率90.69%.结论:分期综合治疗腰椎间盘突出症具有针对性强、见效快、治愈率高的特点,值得临床推广应用。
Abstract:
Objective:To observe the curative effect and analyses therapeutic mechanism of stage comprehensive therapy on lumbar disc herniation(LDH).Methods:All 816 cases with LDH were treated based on different stages.During acute inflammation stage,the intravenous drip of mannitol plus intraspinal anti-inflammatory dehydration and with relax manual therapy were used.During remission stage,the three-dimensional lumbar traction,adjust manipulation,and promoting qi to activate blood medicine methods were used.During rehabilitation stage,the mannual therapy and abdominal muscle exercise were used to enhance the stability of the lumbar spine.Results:179 cases were cured,561 cases were improved,and 76 cases were unhealed.The cure rate was 21.94%,and the total efficiency was 90.69%.Conclusion:Stage comprehensive therapy for LDH with advantages of strong pertinence,quick effect,high cure rate,is worthy of clinical application.

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备注/Memo

备注/Memo:
收稿日期:2015-01-02
基金项目:国家自然科学基金项目(81173358)
上海市自然科学基金项目(13ZR1442900)
2014年上海市教委创新课题(自然科学类)
国家中医药管理局国家中医重点专科(ZK0901TN007)
上海市中医药事业发展三年行动计划(海派中医流派 传承工程ZYSNXD-CC-HPGC-JD-011)
更新日期/Last Update: 2015-06-10