身痛逐瘀汤治疗腰椎间盘突出症术后残留神经症状临床观察
柴坤 1秦合伟 2刘建东 1孔艳芳2
作者信息
- 1. 河南省驻马店市中医院康复科,河南驻马店 463000
- 2. 河南省中医院,河南郑州 450002
- 折叠
摘要
目的:观察身痛逐瘀汤治疗腰椎间盘突出症术后残留神经症状的疗效.方法:100例按照随机数字表法分为两组,对照组用神经妥乐平治疗,观察组用身痛逐瘀汤治疗.结果:治疗后两组VAS评分均降低(P＜0.05),且观察组低于对照组(P＜0.05).治疗后两组JOA评分均升高(P＜0.05),且观察组高于对照组(P＜0.05).治疗后两组尼龙绳评分均升高(P＜0.05),且观察组高于对照组(P＜0.05).治疗后两组hs-CRP、CPK和IL-6水平均降低,且观察组低于对照组(P＜0.05).治疗后两组血浆黏度、全血高切黏度、全血低切黏度、红细胞聚集指数水平均降低(P＜0.05),且观察组低于对照组(P＜0.05).观察组疼痛总有效率高于对照组(P＜0.05),麻木总有效率高于对照组(P＜0.05).结论:身痛逐瘀汤能够改善腰椎间盘突出症术后疼痛麻木等残留神经症状,改善肢体功能,改善血流变指标、降低血清炎性细胞因子水平.
Abstract
Objective:To observe the effect of General Pain Stasis-Expelling Decoction in the treatment of residual neurological symptoms after lumbar disc herniation.Methods:A total of 100 cases were divided into two groups according to the random number table method.The control group were treated with neurotropin while the observation group were treated with General Pain Stasis-Expelling Decoction.Results:After treatment,the VAS scores of the two groups decreased(P＜0.05),and the observation group was lower than the control group(P＜0.05).After treatment,the JOA scores of the two groups increased(P＜0.05),and the observation group was higher than the control group(P＜0.05).After treatment,the nylon rope scores of the two groups increased(P＜0.05),and the observation group was higher than the control group(P＜0.05).After treatment,the levels of hs-CRP,CPK and IL-6 in the two groups decreased,and those in the observation group were lower than the control group(P＜0.05).After treatment,the levels of plasma viscosity,whole blood high shear viscosity,whole blood low shear viscosity and erythrocyte aggregation index in the two groups decreased(P＜0.05),and those in the observation group were lower than the control group(P＜0.05).The total effective rate of pain in the observation group was higher than that in the control group(P＜0.05),and the total effective rate of numbness was higher than that in the control group(P＜0.05).Conclusion:General Pain Stasis-Expelling Decoction could improve residual neurological symptoms such as pain and numbness after lumbar disc herniation,improve limb function,improve hemorheological indexes and reduce serum inflammatory cytokine levels.
关键词
腰椎间盘突出症/术后/疼痛/麻木/身痛逐瘀汤Key words
Lumbar disc herniation/Post-operation/Pain/Numbness/General Pain Stasis-Expelling Decoction引用本文复制引用
基金项目
河南省中医药科学研究专项(TCM2020016)
中原英才计划中原青年拔尖人才项目(豫人才办[2021]1号)
河南省中医药拔尖人才培养项目(豫卫中医函[2021]15号)
出版年
2024
NETL
NSTL
万方数据