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补肾活血方联合甲钴胺治疗腰椎间盘突出症术后患者的效果

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目的:观察补肾活血方联合甲钴胺治疗腰椎间盘突出症(LDH)术后患者的效果.方法:回顾性分析2020年1月至2023年4 月该院收治的 98 例LDH术后患者的临床资料,按照治疗方法不同将其分为对照组和观察组各 49 例.对照组予以甲钴胺治疗,观察组在对照组基础上联合补肾活血方治疗,两组均连续治疗1个月.比较两组临床疗效,治疗前后中医证候积分、疼痛[视觉模拟评分法(VAS)]评分、腰椎功能[日本骨科协会评估治疗分数(JOA)]评分,以及不良反应发生率.结果:观察组治疗总有效率为 87.76%(43/49),高于对照组的 63.27%(31/49),差异有统计学意义(P<0.05);治疗后 1 个月,观察组主症、次症等中医证候积分均低于对照组,差异有统计学意义(P<0.05);治疗后 1 周和 1 个月,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);治疗后 1、3 个月,观察组JOA评分均高于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:补肾活血方联合甲钴胺治疗LDH术后患者可提高治疗总有效率,降低中医证候积分和疼痛评分,提高腰椎功能评分,效果优于单纯甲钴胺治疗.
Effects of Bushen Huoxue decoction combined with Mecobalamin in treatment of postoperative patients with lumbar disc herniation
Objective:To observe effects of Bushen Huoxue decoction combined with Mecobalamin in treatment of postoperative patients with lumbar disc herniation(LDH).Methods:The clinical data of 98 postoperative patients with LDH admitted to this hospital from January 2020 to April 2023 were retrospectively analyzed.According to different postoperative treatment methods,they were divided into control group and observation group,49 cases in each group.The control group was treated with Mecobalamin,while the observation group was treated with Bushen Huoxue decoction on the basis of that of the control group.Both groups were treated continuously for 1 month.The clinical efficacy,the TCM syndrome score,the pain[visual analogue scale(VAS)]score,the lumbar function[Japanese Orthopaedic Association(JOA)score]score,and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 87.76%(43/49),which was higher than 63.27%(31/49)of the control group,and the difference was statistically significant(P<0.05).1 month after treatment,the scores of TCM syndromes such as main symptoms and secondary symptoms in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).1 week and 1 month after the treatment,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).1 and 3 months after treatment,the JOA scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Bushen Huoxue decoction combined with Mecobalamin in the treatment of the postoperative patients with LDH can improve the total effective rate of treatment,reduce the TCM syndrome scores and the pain scores,and improve the lumbar function scores.Moreover,it is superior to simple Mecobalamin treatment.

Lumbar disc herniationPostoperativeBushen Huoxue decoctionMecobalaminTCM syndrome scoreLumbar functionPain

刘青月

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商丘市立医院骨科,河南 商丘 476100

腰椎间盘突出症 术后 补肾活血方 甲钴胺 中医证候积分 腰椎功能 疼痛

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)
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