中药热奄包配合正脊手法治疗腰椎间盘突出症临床研究.docVIP

中药热奄包配合正脊手法治疗腰椎间盘突出症的临床研究 　　[摘要]目的 观察中药热奄包配合正脊手法治疗腰椎间盘突出症的临床效果。方法 选取2013年12月～2015年2月就诊于江西中医学院附属医院的腰椎间盘突出症患者80例，将其随机分为两组，每组40例。治疗组：热奄包+正脊手法；对照组：传统骨盆牵引+口服塞来昔布。采用视觉模拟评分法（VAS）评价疼痛程度，观察两组的临床疗效。结果 治疗组的总有效率为92.75%，显著高于对照组（82.75%）（P0.05）。治疗组治疗后的VAS评分低于对照组，差异有统计学意义（P0.05）。结论 中药热奄包配合正脊手法治疗腰椎间盘突出症，能够减轻患者的疼痛程度，提高临床效果。 　　[关键词]中药热奄包；正脊手法；腰椎间盘突出症 　　[中图分类号] R681.5+3 [文献标识码] A [文章编号] 1674-4721（2017）12（c）-0114-03 　　[Abstract]Objective To observe the clinical effect of Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation.Methods Eighty patients with lumbar disc herniation treated in Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine from December 2013 to February 2015 were selected and they were randomly divided into the two groups，and there were 40 cases in each group.The treatment group was given Reyanbao+chiropractic manipulation；the control group：traditional pelvic traction+oral Celecoxib.The visual analogue score （VAS） was used to evaluate the pain degree，and the clinical efficacy of the two groups was observed.Results The effective rate was 92.75% in the treatment group，which was higher than that of the control group （82.75%）.VAS score in the treatment group after treatment was lower than that of the control group，and there was a statistical difference （P0.05）.Conclusion Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation can relieve the pain degree of patients，improve the clinical curative effect. 　　[Key words]Reyanbao of traditional Chinese medicine；Chiropractic manipulation；Lumbar disc herniation 　　腰椎间盘突出症（lumbar disc herniation，LDH）具有发病率高、发病过程长、治疗痊愈慢、容易复发等特点，多见于青壮年，多数伴有明显疼痛感，严重者甚至可放射至臀部及下肢，在腹压增加（如咳嗽、打喷嚏）状态下愈加严重，部分伴有功能受限，对患者的正常生活和工作造成严重影响[1]。以往多?挡捎帽Ｊ刂瘟频姆椒?进行治疗，但其治疗效果不理想，有研究显示，中药辅助治疗腰椎间盘突出症可取得较好的效果[2]，因此，本研究通过比较中药热奄包配合正脊手法及常规治疗腰椎间盘突出症的临床效果，探讨中药热奄包配合正脊手法的临床应用价值。 　　1资料与方法 　　1.1一般资料 　　选取在2013年12月～2015年2月就诊于江西中医学院附属医院的腰椎间盘突出症患者80例，将其随机分为两组。治疗组40例，其中男22例，女18例；年龄26～56岁，平均（42.81±3.84）岁；病程