【作者】 尹世昌；

【导师】 徐展望；

【作者基本信息】 山东中医药大学 ， 中医骨伤科学， 2011， 硕士

【摘要】 目的:讨论经皮激光汽化术结合牵引治疗腰椎间盘突出症的疗效及相关的作用机制;总结腰椎间盘突出症在中西医中的不同认识和最新研究近况。方法:将日照市中医医院住院采集的43例患者,随机分为治疗组23例、对照组20例。治疗组(A组)采用经皮激光汽化椎间盘减压术结合腰椎牵引治疗,对照组(B组)只采用经皮激光汽化术治疗,对患者的症状、体征及疼痛程度等情况进行观察记录,利用临床观察量表,作治疗前、后JOA评分、VAS评分测定及临床疗效评定,比较两组在腰腿痛的综合评分及疼痛量化指标上的变化。结果:统计分析显示,A组JOA评分提高12.01士3.01,B组提高7.74士1.89,治疗后分数均较治疗前提高,A组优于B组;A组VAS评分下降4.94士0.79,B组评分下降3.45士0.79,优于B组;VAS分数治疗后有所下降,A组优于B组;临床疗效标准评定中,A组总有效率为95.7%;B组总有效率为80%;两组差异具有统计学意义(P<0.01),A组优于B组。结论:经皮激光汽化结合牵引对治疗腰椎间盘突出症,较单纯应用经皮激光汽化治疗,在减轻患者疼痛、改善症状、提高生活质量方面效果更好。更多还原

【Abstract】 Purpose: To review the recent studies and research progress in treating Lumbar Disc Herniations (LDH) with integrated traditional and western medicine;To investigate the curative effect and the possible therapeutic mechanism of percutaneous laser disc decompression (PLDD) in treatment of Lumbar Disc Herniations (LDH) with integrated percutaneous laser disc decompression (PLDD) and Lumbar vertebra traction;Method: 43 patients of our hospital were divided into two groups in randomly: control group (20 cases) and treatment group (23 cases);Patients in the treatment group were under a treatment of integrated percutaneous laser disc decompression(PLDD) and Lumbar vertebra traction while control group patients were treated with percutaneous laser disc decompression (PLDD) only; An inventory of clinical curative effect was set up,pain states and symptoms assessed with the Japanese Orthopaedic Association low back pain disorders evaluation standard(JOA) and Visual Analogue Scale (VAS) were exactly recorded before and after the treatments of both groups .Results: There are significant difference in JOA(the treatment group:12.01士3.01,the control group:7.74士1.89)(P<0.01)、VAS(the treatment group:4.94士0.79,the control group:3.45士0.79)(P<0.01)and effective rates(the treatment group:95.7%,the control group:80%)between the treatment group and the control group.Conclusion: Treatment of Integrated percutaneous laser disc decompression (PLDD) and Lumbar vertebra traction is more effective in improving the symptoms、relieving pain and improving the living quality .更多还原