中西医结合非手术治疗腰椎间盘突出症疗效观察.docVIP

中西医结合非手术治疗腰椎间盘突出症疗效观察【摘要】 目的 回顾性观察分析中西医结合非手术治疗腰椎间盘突出症的疗效。方法 2005年7月至2009年5月因腰椎间盘突出症在我院接受中西医结合非手术治疗的患者309例,采取门诊复诊、电话或信函随访的方式获得完整资料者194例,其中男104例,占53.6%,女90例,占46.4%;年龄25～76岁,平均年龄49.8岁;30～60岁者最多,为126例,占64.9%。依据中华医学会骨科分会脊柱学组制定的腰背痛治疗评定标准对治疗疗效进行评估。 结果 依据中华医学会骨科分会脊柱学组制定的腰背痛治疗评定标准对本组194例腰椎间盘突出症患者进行疗效评估,优102例,占52.6%;良70例,占36.1%;可7例,占7.2%;差4例,占4.1%;总优良率88.7%。 结论 只要准确掌握适应症,运用积极、正规、系统和足时的中西医结合方法非手术治疗腰椎间盘突出症是确切有效的。 【中图分类号】R681.5+3 【文献标识码】 B 【文章编号】1005-0515(2010)008-009-04 The curative effect of lumbar disc herniation with integrated traditional and western non-surgical treatment. 【Abstract】 Objective:To retrospective analysis the clinical effect of lumbar disc herniation with integrated traditional and western non-surgical treatment. Method:309 patients of lumbar disc herniation with integrative medicine non-surgical treatment are included in our hospital from July 2005 to May 2009 .Select 194 cases of them with complete information by the way of out-patient referral, telephone or letter follow-up.104 cases are male, accounting for 53.6% and female 90 cases, 46.4%; aged 25 to 76,with an average 49.8 years; 126 cases from 30 to 60 years old, accounting for 64.9%.Assessment of the efficacy according to the standard treatment of low back pain by the Branch of the Chinese Medical Association Orthopaedic Spine Study Group. Results:Based on the the treatment assessment standard of low back pain by the Branch of the Chinese Medical Association Orthopaedic Spine Study Group.Excellent, 102 cases, 52.6%;Good,70 Cases,accounting for 36.1%; in,7 cases,7.2%; poor, 4 cases, 4.1%;the total excellent and good rate is 88.7%. Conclusion:With accurate knowledge of indications, the treatment of Lumbar disc herniation combined with traditional Chinese non-surgical treatment in active, formal, systematic and adequate way is effective 腰椎间盘突出症(Lumbar disc herniation,LDH)是腰腿痛的重要原发病,各种非手术治疗是该病临床治疗的首选,其临床疗效也得到认可。但目前对于非手术治疗腰椎间盘突出症的有效性并未得到客观评价方法的证实,对于其临床适应症的选择、疗效机制的认识、治疗原则和方法等方面都存在着不同的认识。 目前,临