[1]赵红云 唐德志 李群 薛纯纯 曹慧娟 金镇雄 李晓锋△.中药熏蒸配合主动直腿抬高锻炼治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2019,27(06):18-22.
　ZHAO Hongyun TANG Dezhi LI Qun XUE Chunchun CAO Huijuan JIN Zhenxiong LI Xiaofeng.Clinical Study of Chinese Herbal Fumigation Combined with Active Straight Leg Raising Exercise on Lumbar Intervertebral Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(06):18-22.
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中药熏蒸配合主动直腿抬高锻炼治疗腰椎间盘突出症的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年06期
页码:
18-22
栏目:
临床研究
出版日期:
2019-06-04

文章信息/Info

Title:
Clinical Study of Chinese Herbal Fumigation Combined with Active Straight Leg Raising Exercise on Lumbar Intervertebral Disc Herniation
文章编号:
1005-0205(2019)06-0018-05
作者:
赵红云1 唐德志2 李群1 薛纯纯3 曹慧娟1 金镇雄2 李晓锋1△
1上海中医药大学附属龙华医院骨伤科(上海,200032) 2上海中医药大学脊柱病研究所 3上海中医药大学附属市中医医院疼痛科
Author(s):
ZHAO Hongyun1 TANG Dezhi2 LI Qun1 XUE Chunchun3 CAO Huijuan1 JIN Zhenxiong2 LI Xiaofeng1△
1Department of Traumatology and Orthopedics,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China; 2Spine Research Institute,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China; 3Pain Management Center,Shanghai Hospital of Traditional Chinese Medicine,Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China.
关键词:
腰椎间盘突出症;  中药熏蒸;  直腿抬高;  疼痛
Keywords:
lumbar disc herniation;  fumigation with Chinese medicine;  straight leg raising;  pain
分类号:
R681.5
文献标志码:
A
摘要:
目的:评价中药熏蒸配合主动直腿抬高锻炼治疗腰椎间盘突出症的安全性及疗效,并探讨中药熏蒸配合主动直腿抬高功能锻炼的最佳时机。方法:选取腰椎间盘突出症患者90例,采用数字表法随机分为3组,对照组30例,实验A组30例,实验B组30例。对照组仅给予中药熏蒸干预,实验A组为中药熏蒸时配合主动直腿抬高锻炼,实验B组为中药熏蒸结束后进行主动直腿抬高锻炼。三组其余治疗方案均相同。治疗一个疗程后采用VAS疼痛评分、腰椎JOA评分及生活质量评分评价其疗效。结果:3组患者治疗前一般情况比较差异无统计学意义; 3组患者干预后VAS疼痛评分、JOA评分及生活质量评分差异均有统计学意义(P<0.05); 3组之间VAS评分差异无统计学意义,与对照组比较,实验A组的JOA和生活治疗评分均增加,且差异有统计学意义(P<0.05),而实验B组虽然JOA评分有所增加,但差异无统计学意义,仅生活质量评分差异有统计学意义(P<0.05)。结论:中药熏蒸时配合主动直腿抬高锻炼可有效改善腰椎间盘突出症患者的疼痛症状,提高腰椎功能和生活质量,疗效优于单纯的中药熏蒸及中药熏蒸结束后进行主动直腿抬高锻炼,值得推广应用。
Abstract:
Objective:To evaluate the safety and the curative effect of traditional Chinese medicine fumigation combined with active straight leg raising exercise in the treatment of lumbar disc herniation and to explore the best opportunity of traditional Chinese medicine fumigation combined with active straight leg raising functional exercise. Methods:A total of 90 patients with lumbar disc herniation were selected and randomly assigned into 3 groups using the numerical table method,including 30 patients in the control group,30 patients in the experimental group A and 30 patients in the experimental group B. The control group was treated with Chinese medicine fumigation intervention only,experimental group A with Chinese medicine fumigation and active straight leg lifting exercise simultaneously,experimental group B with Chinese medicine fumigation followed by active straight leg lifting exercise. The rest of the treatment was the same in all three groups. VAS pain score,lumbar JOA score and quality of life score were used to assess the efficacy after one course of treatment. Results:There was no statistically significant difference in the general conditions before treatment among the three groups.There were significant differences in VAS pain score,JOA score and quality of life score among the three groups after intervention(P<0.05).There was no statistical significance in the VAS scores among the three groups. Compared with the control group,JOA and life treatment scores of the experimental group A statistically significantly increased(P<0.05),while JOA scores of the experimental group B increased,but without statistical significance,only the quality of life score was statistically significant(P<0.05). Conclusion:Chinese medicine fumigation combined with active straight leg lifting exercise simultaneously can effectively improve the pain symptoms of patients with lumbar intervertebral disc herniation and improve the function and quality of life of the lumbar spine. Its curative effect is better than the simple Chinese medicine fumigation and Chinese medicine fumigation followed by active straight leg raising exercise; it is worthwhile for promotion and application.

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备注/Memo

备注/Memo:
基金项目:上海市卫生计生系统优秀青年医学人才培养计划 项目(2018YQ27) 上海市护理学会青年科研课题(2016QN-B01) 国家自然科学基金青年基金项目(81503590) 上海中医药大学杏林中青年人才培养体系-杏林青 年学者项目(RC-2017-02-01) 上海中医药大学附属龙华医院龙医学者育苗计划项目 (LYTD38)
△通信作者 E-mail:lixiaofeng0409@163.com
更新日期/Last Update: 2019-06-04