搜络逐瘀法治疗腰椎间盘突出症临床观察

目的:探讨搜络逐瘀法治疗腰椎间盘突出症的临床疗效。方法:120例腰椎间盘突出症患者,按随机数字表法分为对照组和观察组各60例,对照组采取双氯芬酸钠双释放肠溶胶囊及甲钴胺片治疗,观察组用肾痹汤治疗,服药3周,所有患者均经3个月随访,观察比较两组治疗前后疼痛视觉模拟评分(VAS)、日本骨科协会(JOA)评分、临床疗效及不良反应发生率。结果:两组治疗后及末次随访时两组VAS及JOA评分均较治疗前显著改善(P<0.05),观察组在治疗后及末次随访时VAS及JOA评分均较对照组改善明显(P<0.05);治疗后观察组临床疗效与对照组比较差异无统计学意义(P>0.05),末次随访时观察组临床疗效明显优于对照组(P<0.05)。结论:搜络逐瘀法治疗腰椎间盘突出症能够缓解腰椎间盘突出引起的症状和体征。

Clinical Observation on Searching Collaterals to Expel Blood Stasis Method in Treating Lumbar Disc Herniation

Objective:To investigate the clinical effects of searching the collaterals to expel blood stasis methods for treating lumbar disc herniation. Methods:Total 120 patients with lumbar disc herniation(LDH)were selected and divided into two groups according to random number table,60 cases in each gruop,the control group treated with diclofenac sodium double release intestine-sol capsules and mecobalamin tablets,while the observation group treated with Shenbi Decoction for 3 weeks. After 3 monthes follow-up visit,VAS and JOA scores,curative effects of the two groups were recorded and compared. Results:The VAS and JOA scores of the two groups after treatment and the last follow-up visit were both improved significantly(P< 0.05)compared with those before treatment,and the improvement in the observation group was significantly better than the control group(P< 0.05). After treatment,there were no statistical significance of the clinical efficacy between the observation group and control group(P> 0.05). The clinical efficacy of the observation group was better than that of the control group during the last follow up visit(P< 0.05). Conclusion :Searching the collaterals to expel blood stasis method could improve the clinical symptoms and signs caused by lumbar disc herniation.