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加味桃红四物汤在腰椎退行性疾病OLIF后的应用

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目的:观察加味桃红四物汤在腰椎退行性疾病斜外侧入路腰椎椎间融合术(oblique lateral interbody fusion,OLIF)后的应用。方法:选取 2019 年 1 月—2023 年 3 月广西中医药大学附属国际壮医医院收治的 50 例腰椎退行性疾病OLIF后患者为研究对象。根据随机数表法将其分为试验组和对照组,各25例。两组均行OLIF。两组术后均给予常规治疗,试验组在上述基础上给予加味桃红四物汤。比较两组术前、术后1周、2周、1个月疼痛情况、腰椎功能,临床疗效。结果:术后 2 周、1 个月,试验组视觉模拟评分法(visual analogue scale,VAS)评分低于对照组,差异有统计学意义(P<0。05)。术后2 周、1 个月,试验组Oswestry功能障碍指数(Oswestry disability index,ODI)评分低于对照组,差异有统计学意义(P<0。05)。试验组总有效率显著高于对照组,差异有统计学意义(P<0。05)。结论:加味桃红四物汤能够改善腰椎退行性疾病OLIF后患者疼痛情况,能够加快患者的康复进程。
Application of Modified Taohong Siwu Decoction in the Lumbar Degenerative Disease after OLIF
Objective:To observe the application of modified Taohong Siwu Decoction in the lumbar degenerative disease after oblique lateral interbody fusion(OLIF).Method:Fifty patients with lumbar degenerative diseases after OLIF admitted to International Zhuang Medicine Hospital Affiliated to Guangxi University of Chinese Medicine from January 2019 to March 2023 were selected as the study objects.According to the random number table method,they were divided into an experimental group and a control group,with 25 cases in each group.Both groups were treated with OLIF.Both groups were given conventional treatment after operation,and the experimental group was given modified Taohong Siwu Decoction on the basis of above.The pain condition,lumbar function before surgery,1 week,2 weeks and 1 month after operation and clinical efficacy of the two groups were compared.Result:At 2 weeks and 1 month after operation,visual analogue scale(VAS)score of experimental group was lower than that of control group,and the difference was statistically significant(P<0.05).At 2 weeks and 1 month after operation,the Oswestry disability index(ODI)score of experimental group was lower than that of control group,and the difference was statistically significant(P<0.05).The total effective rate of experimental group was significantly higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion:Modified Taohong Siwu Decoction can improve the pain of patients with lumbar degenerative disease after OLIF,and can speed up the rehabilitation process of patients.

Lumbar degenerative diseasesModified Taohong Siwu DecoctionOblique lateral interbody fusion

赵云、张文捷、张勇

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广西中医药大学 广西 南宁 530200

广西中医药大学附属国际壮医医院

腰椎退行性疾病 加味桃红四物汤 斜外侧入路腰椎椎间融合术

广西壮族自治区卫生健康委员会自筹经费科研课题项目广西医疗卫生适宜技术开发与推广项目

Z20211994S2022058

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(19)