[1]董洪伟,吴小辉△,卢水生.补阳还五汤治疗腰椎间盘突出症椎间孔镜术后残留症状的临床疗效[J].中国中医骨伤科杂志,2025,33(01):48-51.[doi:10.20085/j.cnki.issn1005-0205.250110]
 DONG Hongwei,WU Xiaohui,LU Shuisheng.Clinical Efficacy of Buyang Huanwu Decoction on the Treatment of Residual Symptoms after Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(01):48-51.[doi:10.20085/j.cnki.issn1005-0205.250110]
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补阳还五汤治疗腰椎间盘突出症椎间孔镜术后残留症状的临床疗效()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年01期
页码:
48-51
栏目:
临床研究
出版日期:
2025-01-15

文章信息/Info

Title:
Clinical Efficacy of Buyang Huanwu Decoction on the Treatment of Residual Symptoms after Transforaminal Endoscopic Discectomy for Lumbar Disc Herniation
文章编号:
1005-0205(2025)01-0048-04
作者:
董洪伟1吴小辉1△卢水生1
1景德镇市中医医院(江西 景德镇,333000)
Author(s):
DONG Hongwei1WU Xiaohui1△LU Shuisheng1
1Jingdezhen Hospital of Traditional Chinese Medicine,Jingdezhen 333000,Jiangxi China.
关键词:
补阳还五汤 腰椎间盘突出症 经皮椎间孔镜 术后残留症状
Keywords:
Buyang Huanwu decoction lumbar disc herniation percutaneous transforaminal endoscopic discectomy residual postoperative symptoms
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250110
文献标志码:
A
摘要:
目的:观察补阳还五汤治疗腰椎间盘突出症椎间孔镜术后残留症状的临床疗效。方法:选取腰椎间盘突出症行经皮椎间孔镜手术、术后出现残留症状的60例患者,根据随机数字分组法分成观察组和对照组。于术前、术后1 d、术后1个月及3个月进行视觉模拟量表(VAS)评分及Oswestry功能障碍指数(ODI)评分评估,术后1个月和3个月行改良MacNab疗效评定标准评判。结果:经为期28 d的补阳还五汤治疗,观察组患者VAS评分及ODI评分明显改善,改良MacNab疗效评定标准疗效明显提高。结论:补阳还五汤可以缓解腰椎间盘突出症椎间孔镜术后残留症状。
Abstract:
Objective:To observe the clinical efficacy of Buyang Huanwu decoction on the treatment of residual symptoms after transforaminal endoscopic discectomy for lumbar disc herniation.Methods:A total of 60 patients with lumbar disc herniation who had residual symptoms after percutaneous transforaminal endoscopic surgery were selected and divided into observation group and control group according to random number table method.Visual analogue scale(VAS)and Oswestry disability index(ODI)scores were evaluated before operation,1 d after operation,1 month and 3 months after operation,and modified MacNab was used to evaluate the efficacy 1 month and 3 months after operation.Results:After 28 d of Buyang Huanwu decoction treatment,VAS score,ODI score and modified MacNab efficacy in observation group patients were significantly improved.Conclusion:Buyang Huanwu decoction can relieve the residual symptoms of lumbar disc herniation after transforaminal endoscopic discectomy.

参考文献/References:

[1] ZHOU G,LIANG Z,GAO F,et al.Percutaneous endoscopic lumbar discectomy for calcified lumbar disc herniation:a retrospective cohort study,systematic review and meta-analysis[J].Pain Physician,2024,27(1):E1-E15.
[2] 国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:185.
[3] 陈孝平,汪建平.外科学[M].北京:人民卫生出版社,2018:753.
[4] 周鑫,赵雄,曹奔,等.腰椎间盘突出症患者坐立过程的动力学特征[J].医用生物力学,2024,39(2):258-264.
[5] 邱洪波,唐乐,何甜,等.椎间孔镜治疗腰椎间盘突出症患者术后复发的个体化预警模型的建立[J].西安交通大学学报(医学版),2021,42(6):817-822.
[6] DEYO R A,MIRZA S K.Herniated lumbar intervertebral disk[J].N Engl J Med,2016,374(18):1763-1772.
[7] 中华医学会疼痛学分会脊柱源性疼痛学组.腰椎间盘突出症诊疗中国疼痛专家共识[J].中国疼痛医学杂志,2020,26(1):2-6.
[8] 崔学军,梁倩倩.腰椎间盘突出症中西医结合诊疗专家共识[J].世界中医药,2023,18(7):945-952.
[9] 栾静,王琦,吕丹,等.经椎间孔入路脊柱内镜治疗老年腰椎间盘突出症的疗效分析[J].中国疼痛医学杂志,2021,27(10):750-756.
[10] 庄俊杰,祝斌,刘晓光.脊柱内镜与开放减压融合术对年轻肥胖腰椎间盘突出症病人的疗效对照研究[J].中国疼痛医学杂志,2021,27(1):53-59.
[11] LIU X,PENG Y.A novel foraminoplasty technique for posterolateral percutaneous transforaminal endoscopic lumbar surgery[J].Oper Neurosurg(Hagerstown),2020,19(1):E11-E18.
[12] 杨坤,陈子龙,陈衍熙,等.腰椎间盘突出症经椎间孔镜治疗术后残留腰腿痛的分子机制研究[J].中国骨伤,2024,37(2):159-165.
[13] YOSHIKANE K,KIKUCHI K,OKAZAKI K.Posterolateral transforaminal full-endoscopic lumbar discectomy for foraminal or extraforaminal lumbar disc herniations[J].World Neurosurg,2021,146:e1278-e1286.
[14] 李俊杰,梁舒涵,吴从俊,等.壮腰祛瘀方治疗腰椎间盘突出症术后残留症状的临床研究[J].中国中医骨伤科杂志,2020,28(2):24-28.
[15] 李慧辉,鲁光钱.加减五福饮辅治腰椎间盘突出症术后残留腰腿痛临床疗效[J].浙江中西医结合杂志,2022,32(8):730-732.
[16] 柴坤,秦合伟,刘建东,等.身痛逐瘀汤治疗腰椎间盘突出症术后残留神经症状临床观察[J].实用中医药杂志,2024,40(3):411-413.
[17] 赵光辉,董唐博,廖承友,等.地龙舒腰汤治疗腰椎间盘突出症椎间孔镜术后残留症状的临床观察[J].云南中医中药杂志,2024,45(5):40-44.
[18] CHO J Y,LEE S H,LEE H Y.Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation:floating retraction technique[J].Minim Invasive Neurosurg,2011,54(5/6):214-220.
[19] 席富强,常昕,董向力.急性缺血性脑卒中伴发下肢深静脉血栓应用低分子肝素钙治疗的效果评估[J].中国实用医药,2024,19(11):100-103.
[20] 曾朝辉,何林,赵金亮,等.强腰祛痛汤联合西药治疗腰椎间盘突出症经皮椎间孔镜髓核摘除术后残留神经症状疗效观察[J].湖南中医药大学学报,2019,39(12):1521-1524.
[21] 郭文娟,张红珍,李艳花,等.补阳还五汤促进中枢神经再生作用研究进展[J].中国中医基础医学杂志,2016,22(3):434-436.
[22] 秦德芳,李丽,张泽舜,等.补阳还五汤加快椎管内肿瘤术后功能恢复随机对照研究[J].中国中西医结合杂志,2021,41(9):1073-1079.

备注/Memo

备注/Memo:
基金项目:江西省中医药管理局科技计划项目(2023B0327)
通信作者 E-mail:270148972@qq.com
更新日期/Last Update: 2025-01-15