[1]古伟文 李荧婷 吴少鹏△.脊柱侧后路经皮椎间孔内镜联合补肾活血方治疗腰椎间盘突出症的疗效观察[J].中国中医骨伤科杂志,2019,27(12):38-41.
　GU Weiwen LI Yinting WU Shaopeng.Clinical Observation on the Treatment of Lumbar Disc Herniation by Percutaneous Transforaminal Endoscopic Lumbar Discectomy and Bushen Huoxue Prescription[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(12):38-41.
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脊柱侧后路经皮椎间孔内镜联合补肾活血方治疗腰椎间盘突出症的疗效观察()
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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12期
页码:
38-41
栏目:
临床研究
出版日期:
2019-12-04

文章信息/Info

Title:
Clinical Observation on the Treatment of Lumbar Disc Herniation by Percutaneous Transforaminal Endoscopic Lumbar Discectomy and Bushen Huoxue Prescription
文章编号:
1005-0205(2019)12-0038-04
作者:
古伟文1 李荧婷1 吴少鹏1△
1广东省第二中医院(广州,510095)
Author(s):
GU Weiwen1 LI Yinting1 WU Shaopeng1△
1Guangdong No.2 Hospital of Traditional Chinese Medicine,Guangzhou 510095,China.
关键词:
补肾活血方;  腰椎间盘突出症;  脊柱经皮侧后路椎间孔内镜;  中医药;  治疗
Keywords:
Bushen Huoxue prescription;  lumbar disc herniation;  percutaneous transforaminal endoscopic;  traditional Chinese medicine;  treatment
分类号:
R681.5
文献标志码:
A
摘要:
目的:运用脊柱侧后路经皮椎间孔内镜治疗腰椎间盘突出症,术后加用补肾活血方联合治疗,观察其临床疗效。方法:80例腰椎间盘突出症患者随机分为观察组和对照组,每组40例,所有患者均采用脊柱经皮侧后路椎间孔内镜术治疗,术后观察组给予补肾活血中药方联合治疗; 对照组术后给予甲钴胺片口服联合治疗。分别对术后两组患者的临床疗效进行分析比较,评价指标包括VSA评分、改良MacNab评分、疲劳量表-14(FS-14)评分,进行综合评定,对观察结果进行统计学分析。结果:两组治疗前积分的组间比较,差异无统计学意义(P>0.05); 在术后1个月,两组VAS评分均较治疗前降低,差异有统计学意义(P<0.05); 治疗后观察组VAS评分显著低于对照组,差异有统计学意义(P<0.05)。在改良MacNab评分方面,两组总的有效率比较无明显差别,两组差异无统计学意义(P>0.05)。术后1个月在优良率方面,观察组优于对照组,差异有统计学意义(P<0.05)。治疗1个月后,两组总疲劳评分较治疗前均降低,差异有统计学意义(P<0.05); 且治疗后观察组总疲劳评分显著低于对照组,差异有统计学意义(P<0.05)。结论:脊柱侧后路经皮椎间孔内镜联合运用补肾活血方可减轻术后患者的疼痛症状,改善患者疲劳状况。
Abstract:
Objective:To observe the clinical effect of the treatment of lumbar intervertebral disc herniation by posterior percutaneous transforaminal endoscopic lumbar discectomy with Bushen Huoxue Prescription after operation.Methods:Eighty cases of lumbar disc herniation were randomly divided into experimental group and control group,40 cases in each group,all patients were treated with percutaneous transforaminal endoscopic lumbar discectomy.The experimental group received the treatment of Bushen Huoxue Prescription after the operation,and the control group was given mecobalamin tablets oral combination therapy.The clinical efficacy of the two groups of patients were analyzed and compared,including VSA score and modified MacNab score,and the results were statistically analyzed.Results:There was no significant difference between the two groups before treatment(P>0.05).There was significant difference that the VAS scores of both groups were lower than before treatment(P<0.05).After treatment,the VAS score of the experimental group was significantly lower than that of the control group,and the statistical results were significant(P<0.05).There was no significant difference between the two groups in the improvement of MacNab score,the difference between the two groups was not statistically significant(P>0.05).There was significant difference in the excellent rate of 1 month after operation,the experimental group was superior to the control group(P<0.05).After 1 month of treatment the total fatigue scores of the two groups were lower than those before treatment,and the difference was significant(P<0.05).There was significant difference on the total fatigue score between two groups after treatment(P<0.05).Conclusion:Posterior percutaneous transforaminal endoscopic lumbar discectomy with Bushen Huoxue prescription can alleviate the pain symptoms of patients after surgery and improve the fatigue of patients.

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备注/Memo

备注/Memo:
△通信作者 E-mail:13925095771@139.com(收稿日期:2019-07-03)
更新日期/Last Update: 2019-12-04