自拟补气活血汤治疗腰椎间盘突出症术后综合征的效果
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摘要
目的观察自拟补气活血汤治疗腰椎间盘突出症术后综合征的临床效果。方法选取2014年7月～2017年6月陕西省宝鸡市中医医院50例腰椎间盘突出症术后综合征患者,采用随机数字表法分为对照组(23例)和治疗组(27例),治疗组服用补气活血汤,对照组服用甲钴胺片治疗,两组共治疗4周。治疗前后对两组视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)及不良反应进行比较。结果治疗后两组VAS评分与ODI指数均明显低于本组治疗前(P <0.01),治疗后治疗组VAS评分与ODI指数低于对照组(P <0.01)。两组均无明显不良反应。结论应用补气活血汤治疗腰椎间盘突出症术后综合征可以取得满意效果,值得临床推广。
Objective To observe clinical effect of self-made Buqi Huoxue Decoction on postoperative syndrome of lumbar disc herniation. Methods From July 2014 to June 2017, 50 patients with postoperative lumbar disc herniation syndrome treated in Baoji Hospital of Chinese Medicine were selected, and they were randomly divided into control group(23 cases) and treatment group(27 cases). The treatment group was given Buqi Huoxue Decoction, while the control group was treated with Mecobalamin Tablets. Both groups were treated for 4 weeks. The visual analogue scale(VAS), Oswestry disability index(ODI) and the adverse events were compared between the two groups before and after treatment. Results The VAS scores and ODI indices of the two groups after treatment were significantly lower than those before treatment(P < 0.01). The VAS scores and ODI indices of the treatment group were lower than those of the control group(P < 0.01) at the same time. There was no adverse reactions in both groups. Conclusion The application of Buqi Huoxue Decoction in treating postoperative syndrome of lumbar disc herniation can achieve satisfactory results,which is worth promotion in clinic.
Objective To observe clinical effect of self-made Buqi Huoxue Decoction on postoperative syndrome of lumbar disc herniation. Methods From July 2014 to June 2017, 50 patients with postoperative lumbar disc herniation syndrome treated in Baoji Hospital of Chinese Medicine were selected, and they were randomly divided into control group(23 cases) and treatment group(27 cases). The treatment group was given Buqi Huoxue Decoction, while the control group was treated with Mecobalamin Tablets. Both groups were treated for 4 weeks. The visual analogue scale(VAS), Oswestry disability index(ODI) and the adverse events were compared between the two groups before and after treatment. Results The VAS scores and ODI indices of the two groups after treatment were significantly lower than those before treatment(P < 0.01). The VAS scores and ODI indices of the treatment group were lower than those of the control group(P < 0.01) at the same time. There was no adverse reactions in both groups. Conclusion The application of Buqi Huoxue Decoction in treating postoperative syndrome of lumbar disc herniation can achieve satisfactory results,which is worth promotion in clinic.
引文
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[20]李成付,王玖忠,边瑜健,等.牛膝醇提物促进兔骨关节炎软骨修复的作用及其机制的实验研究[J].中国临床研究,2015,28(7):844-847.
[21]李世杰.中药地龙的活性成分与药理作用研究[J].医药前沿,2016,6(7):25-26.
[2]鲍自立,朱金华,周国柱,等.五物五苓汤加减治疗腰椎间盘突出症术后残留症疗效分析[J].中国中医骨伤科杂志,2011,19(10):60-61.
[3]国家中医药管理局.中医病症诊断疗效标准[M].南京:中国医药科技出版社,2012:214.
[4]国家技术监督管理局.中华人民共和国标准:中医临床诊疗术语·症侯部分[M].北京:中国标准出版社,2000:78.
[5]Hida S,Naito M,Kubo M.Intraoperative measurements of nerve root blood flow during discectomy for lumbar disc herniation[J]Spine(Phila Pa 1976),2003,28(1):85-90.
[6]许斌,王与荣,赵建宁,等.ODI在腰椎间盘突出症手术疗效评价中的应用[J].颈腰痛杂志,2004,25(1):31-34.
[7]黄桂成,王拥军.中医骨伤科学[M].4版.中国中医药出版社,2016:278-283.
[8]王宏斌,张进城.腰椎间盘突出症的治疗进展[J].中华临床医师杂志:电子版,2016,10(4):1154-1155.
[9]梁柱,唐汉武.腰椎间盘突出症术后综合征的研究现状[J].颈腰痛杂志,2012,33(5):379-381.
[10]郑少伟,Shaikh AB,王健,等.益气活血补肾法对腰椎间盘突出症术后恢复的影响[J].南方医科大学学报,2015,35(1):137-140.
[11]李道通.针灸用于腰椎间盘突出症术后遗留疼痛临床疗效[J].光明中医,2012,27(3):527-528.
[12]张坚强.电针结合中药熏蒸治疗腰椎间盘突出症术后麻木综合征临床观察[J].新中医,2015,47(1):204-205.
[13]李玲,魏黎杰.论周围神经损伤病机之气血学说[J].中医研究,2011,24(6):13-14.
[14]尚荣安,胡迪,王少飞,等.补气活血汤治疗腰椎间盘突出症术后综合征的临床研究[J].现代中医药,2017,37(6):45-47.
[15]黄兆胜,施旭光,朱伟.黄芪桂枝五物汤及其配伍抗炎镇痛的比较研究[J].中药新药与临床药理,2005,16(2):93-96.
[16]施旭光,朱伟,黄兆胜.黄芪桂枝五物汤及其配伍对佐剂性关节炎大鼠的抗炎、抗氧化作用研究[J].中药药理与临床,2006,22(3):3-5.
[17]闫亚超,冷伟.白芍除痹止痛临床应用浅探[J].四川中医,2015,33(4):42-44.
[18]周鸿,黄含含,张静泽,等.川芎-当归药对研究进展[J].中成药,2015,37(1):184-188.
[19]孙智平.李彦民主任医师治疗腰椎间突突出症射频热凝术后麻木经验[J].现代中医药,2015,35(3):6-8.
[20]李成付,王玖忠,边瑜健,等.牛膝醇提物促进兔骨关节炎软骨修复的作用及其机制的实验研究[J].中国临床研究,2015,28(7):844-847.
[21]李世杰.中药地龙的活性成分与药理作用研究[J].医药前沿,2016,6(7):25-26.