[1]孟兰萱,周峻,王姣姣,等.责任节段融合术联合补阳还五汤治疗老年多节段腰椎管狭窄症的临床研究[J].中国中医骨伤科杂志,2022,30(10):18-22.
　MENG Lanxuan,ZHOU Jun,WANG Jiaojiao,et al.Clinical Study of Responsible Segment Fusion Combined with Buyang Huanwu Decoction on the Treatment of Multi-Segment Lumbar Spinal Stenosis in Elderly Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(10):18-22.
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责任节段融合术联合补阳还五汤治疗老年多节段腰椎管狭窄症的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年10期
页码:
18-22
栏目:
临床研究
出版日期:
2022-10-15

文章信息/Info

Title:
Clinical Study of Responsible Segment Fusion Combined with Buyang Huanwu Decoction on the Treatment of Multi-Segment Lumbar Spinal Stenosis in Elderly Patients
文章编号:
1005-0205(2022)10-0018-05
作者:
孟兰萱1; 周峻2; 王姣姣1; 燕文海1; 唐向盛3; 杨峰3; 麻昊宁3; 谭明生3△
1北京中医药大学研究生院(北京,100029)
2北京中医药大学第三附属医院
3中日友好医院骨科
Author(s):
MENG Lanxuan1; ZHOU Jun2; WANG Jiaojiao1; YAN Wenhai1; TANG Xiangsheng3; YANG Feng3; MA Haoning3; TAN Mingsheng3△
1Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;
2The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;
3Department of Orthopedics,China-Japan Friendship Hospital,Beijing 100029,China.
关键词:
腰椎管狭窄症;  责任节段融合术;  补阳还五汤;  老年患者
Keywords:
lumbar spinal stenosis;  responsible segment fusion;  Buyang Huanwu decoction;  elderly patients
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨补阳还五汤治疗老年多节段腰椎管狭窄症责任节段腰椎融合术后诸证的应用价值。方法:通过对既往收治的患者病历及其资料进行整理,选取2016年1月至2020年6月收治的具有两个或两个以上退行性腰椎管狭窄在减压术后仅行责任节段融合的病例,共收集了78例符合条件的老年患者资料,依据单纯手术治疗与术后辅助中药治疗分为两组,进行回顾性分析。比较两组基线资料、围手术期、随访阶段的病历及相关评分量表等资料。结果:观察组并发症出现率略低于对照组,两组患者间差异无统计学意义(P>0.05)。术后1年对照组与观察组的VAS评分及ODI评分均明显降低,而JOA评分明显增加,不同时间点之间差异有统计学意义(P<0.05); 相同时间点,观察组与对照组之间VAS、ODI和JOA评分的差异均无统计学意义(P>0.05)。截至最后一次随访时,两组患者较术前均得到明显改善,行走、活动、劳动质量有所提高。结论:补阳还五汤联合责任节段融合术治疗老年多节段腰椎管狭窄症能促进患者术后康复,改善并且提高老年患者生活质量。
Abstract:
Objective:To investigate the application value of Buyang Huanwu decoction on the treatment of all the postoperative syndromes after responsible segmental lumbar fusion for multi-segmental lumbar spinal stenosis in the elderly patients.Methods:By collating the medical records and data of patients,78 eligible elderly patients with two or more degenerative lumbar spinal stenosis who underwent only fusion of the responsible segment after decompression surgery were selected from January 2016 to June 2020,and were divided into two groups based on surgical treatment alone and postoperative adjuvant herbal treatment.All data were retrospectively analyzed and counted.The study was performed retrospectively.The baseline data,perioperative and follow-up medical records and related scales were compared between two groups.Results:The complication rate of control group was slightly lower than that of the observation group,but there were no statistical differences between the two groups(P>0.05).The VAS scores and ODI indices of two groups were significantly lower than that before treatment,and the JOA scores were significantly higher in both groups one year after surgery.There was a statistical difference in the data at different time points(P<0.05); the differences in VAS,ODI and JOA scores between the observation group and the control group at the same time points were not statistically different(P>0.05).By the time of the last follow-up,patients in both groups had improved significantly compared with the preoperative period,and the quality of walking,activity,and labor had improved.Conclusion:The Buyang Huanwu decoction combined with responsible segmental fusion in treating multi-segmental lumbar spinal stenosis in the elderly patients can effectively reduce the incidence of postoperative complications,promote postoperative recovery,and improve and enhance the quality of life of elderly patients.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金面上项目(81873141)
孟兰萱和周峻为并列第一作者
△通信作者 E-mail:zrtanms@sina.com
更新日期/Last Update: 2022-10-10