【作者】 黄奎麟；

【导师】 曾一林；

【作者基本信息】 成都中医药大学 ， 中医骨伤科学， 2009， 硕士

【摘要】 目的：观察中药内服治疗腰椎间盘突出症的临床疗效。方法：随机将80例腰椎间盘突出症患者分成两组,即用温肾壮筋法指导中药内服治疗的治疗组和传统的腰椎牵引治疗的对照组(各40例)。均于4周后观察比较两组患者治疗前后临床症状与体征、疼痛程度、以及影像学的变化,进行疗效评定。治疗后3、6、9个月随访观察症状复发情况。结果：(1)治疗组的治愈率、显效率和有效率分别为37.5%、72.5%和95%，而对照组分别为22.5%、50%和87.5%,经比较说明治疗组的总体临床疗效优于对照组(P<0.05),且治愈率与显效率均高于对照组(P<0.05)；而有效率比较则无明显差异(P>0.05)；治疗组在缓解症状与体征、疼痛方面疗效优于对照组(P<0.05)。(2)治疗后3个月两组的复发率分别为2.63%和11.43%,无显著性差异(P>0.05)；治疗后6、9个月两组的复发率分别为7.89%和25.71%、13.16%和40%,有显著性差异(P<0.05)。说明治疗组在防止复发、巩固疗效方面优于对照组。(3)腰椎CT片椎间盘突出征象改善情况方面,两组的改善率分别为34.37%和45.71%,两组治疗前、后分别比较无显著差异(P>0.05),两组间改善率比较也无显著性差异(P>0.05)。结论：中药内服是治疗腰椎间盘突出症的一种疗效显著、复发率低、安全可靠的治疗方法。更多还原

【Abstract】 Objective:To observe the clinical therapeutic effects of curing the lumbar disc herniation by Chinese herbal oral administration.Methods:80 cases of lumbar disc herniation patients were divided stochastic into two groups:therapeutic group with 40 cases was treated with the Chinese herbal oral administration and the traditional group with 40 cases was treated with lumbar traction. After 4 weeks treatment, these patients’clinical symptom and physical sign, pain degrees, and image were compared with before and after treatment and each other to observe the therapeutic effects. Post-treatment 3,6,9 months, to observe the symptom recurrence condition after follow-up visit.Results:(1) The cure rate, the marked effective rate and the defective rate were 37.5%,72.5% and 95% in therapeutic group, and they were 22.5%, 50% and 87.5% in control group. The total therapeutic effects, cure rate and marked effective rate of therapeutic group was significantly higher than control group (P<0.05). But there was no significant difference in the effective rate between them (P>0.05).The therapeutic effects of relieve symptom and physical sign of therapeutic group was significantly higher than control group (P<0.05). (2) Post-treatment 3 months, the recurrence rates of two groups were 2.63% and 11.43%, there was no significant difference between them (P>0.05). But post-treatment 6,9 months, the recurrence rates of two groups were 7.89% and 25.71%, 13.16% and 40%, there was significant difference between them (P<0.05). The result suggested that therapeutic group was more outweigh than control group in preventing the symptom recurrence and securing the therapeutic effects. (3) The improvement rates of two groups were 34.37% and 45.71% in lumbar CT herniation symptom. There was no significant difference between before and after treatment in two groups (P>0.05). There was also no significant difference between the improvement rates of two groups (P>0.05).Conclusions:The Chinese herbal oral administration was a treatment which had marked therapeutic effects, low recurrence rate and safely to cure lumbar disc herniation.更多还原