中药汤剂为主综合治疗腰椎间盘突出症的临床研究

【作者】 张晓；

【导师】 黄桂成；

【作者基本信息】 南京中医药大学 ， 中医骨伤科学， 2004， 硕士

【摘要】 本论文包括文献研究和临床研究两部分。第一部分文献研究系统回顾了腰椎间盘突出症(LIDP)的发病机理、分型、诊断、治疗等方面的国内外研究成果，并进行了总结和分析，尤其对中药疗法、牵引疗法进行了较深入的探讨。 临床研究部分，目的：作者为了观察中药疗法在腰椎间盘突出症非手术治疗中的作用，并试图寻求非手术治疗腰椎间盘突出症较有效的方法。方法：把35例腰椎间盘突出症住院病人随机分成两组，治疗组20例，对照组15例，制定临床观察表，进行疗效的综合评分。治疗组治以自拟活血通络汤内服配合骨盆牵引及中频电疗，对照组为骨盆牵引配合中频电疗，两组均要求患者绝对卧床休息。结果：经治疗后疗效综合评分的平均积分，治疗组明显高于对照组(p＜0.05)，治疗前后平均积分改善率，治疗组为(79.8±9.6)％，对照组为(69.7±9.5)％，两组有极显著差异(p＜0.01)，总有效率治疗组为100％，对照组为93.3％，优良率治疗组为80.0％，对照组为46.7％，均有明显差异。结论：中药疗法是一种有效的腰椎间盘突出症非手术疗法，腰椎问盘突出症的非手术治疗应发挥中西医各自的优势，采取综合治疗的方法。更多还原

【Abstract】 This article includes two part, the first part reviewed the headway of lumber intervertebral disc prolapse research up to now, including the pathogeny , etiology ,diagnose, therapeutics and typology, and had a systematical analysis on it ,especially presented a deep discussion about the Chinese traditional medicine therapeutics and the traction therapeutics.The second part is clinical research. Objective : to investigate the curative effect of the Chinese traditional medicine ,and try to find out the effective therapeutics of LIDP. Methods: 35 hospitalers of LIDP were divided into two groups ,20 patients were treated by Chinese traditional medicine ,pelvis traction and physical therapy ,15 patients ,as the control group ,were treated by pelvis traction and physical therapy only ,all the patients were required to keep the bed absolutely .Result:The general scores after treatment of two groups had significant difference, the scores of the treatment group were higher than the control group (p<0.05), the improvement rate of the scores between before treatment and after treatment of the two groups had highly remarkable difference (p<0. 01) , the treatment group was (79.8 + 9. 6) %, but the control group was (69.7 9. 5) %,and the total clinical effective rate of the former was 100%, but the latter was 93.3%. Conclusion: Chinese traditional medicine therapeutics is a effective non-surgical therapeutics of LIDP , the non-surgical therapeutics of LIDP should use synthetical therapeutics, including Chinese traditional medicine, traction ,physical therapy ,modern medicine and so on .更多还原