独活寄生汤结合康复训练治疗腰椎间盘突出症患者的效果观察

Effect observation of Duhuo Jisheng Decoction combined with rehabilitation training in treatment of patients with lumbar disc herniation

  • 摘要: 目的 探讨独活寄生汤结合康复训练对腰椎间盘突出症患者的治疗效果。 方法 选取90例腰椎间盘突出症患者,随机分为对照组(采用洛索洛芬钠分散片联合常规干预治疗)与观察组(采用独活寄生汤结合康复训练治疗),每组45例。比较2组患者治疗前后疼痛程度、腰椎功能。 结果 2组治疗后中医症候评分、视觉模拟评分量表(VAS)评分均较治疗前降低,日本骨科协会评估治疗(JOA评分)较治疗前升高,且观察组上述评分结果均优于对照组,差异有统计学意义(P<0.05)。2组未出现肝肾异常、出血事件,对照组不良反应发生率为15.56%, 显著高于观察组的2.22%(P<0.05)。 结论 独活寄生汤结合康复训练可提高腰椎间盘突出症患者的腰椎功能,减轻腰腿疼痛程度。

     

    Abstract: Objective To explore the therapeutic effect of Duhuo Jisheng Decoction combined with rehabilitation training in treatment of patients with lumbar disc herniation. Methods Ninety patients with lumbar disc herniation were selected and randomly divided into two groups, with 45 cases in each group. Control group was treated with losoprofen sodium dispersible tablets and routine intervention, while observation group was treated with Duhuo Jisheng Decoction and rehabilitation training. The pain degree and lumbar function before and after treatment were compared between two groups. Results After treatment, the scores of traditional Chinese medicine syndrome and Visual Analogue Scale(VAS)in both groups were significantly lower than those before treatment, the score of Japanese Orthopedic Association Assessment was significantly higher than that before treatment, and the scores of above indexes in the observation group were significantly better than those in the control group(P<0.05). There were no abnormal function in liver and kidney, and no bleeding was observed in both groups. The incidence of adverse reactions in the control group was 15.56%, which was significantly higher than 2.22% in the observation group(P<0.05). Conclusion Duhuo Jisheng Decoction combined with rehabilitation training can improve the lumbar function of patients with lumbar disc herniation and reduce the degree of pain in the lower back and legs.

     

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