中药熏蒸治疗腰椎间盘突出症临床观察.docVIP

中药熏蒸治疗腰椎间盘突出症的临床观察 　　[摘要] 目的 观察经验方熏洗1号熏蒸治疗腰椎间盘突出症的临床效果。 方法 收集2017年1～8月中国中医科学院广安门医院南区收治的诊腰椎间盘突出症患者60例，按随机数字表法分为两组，每组各30例。熏蒸组采用熏洗1号熏蒸，每日1次，每日1剂，每次30 min；寒痛乐组采用寒痛乐熨剂外用，每日1次，每日1贴。两组患者均持续治疗2周。比较两组不良反应、VAS疼痛评分、JOA评分和疗效。 结果 熏蒸组未见明显不良反应发生，寒痛乐组有1例出现烫伤。熏蒸组疗效优于寒痛乐组（P 0.01）。治疗后，两组VAS评分均显著下降，JOA评分均显著升高，且熏蒸组改善更加显著（P 0.01）。 结论 熏洗1号熏蒸治疗腰椎间盘突出症能显著减轻腰腿痛症状，明显改善腰椎功能，有较好的临床效果。 　　[关键词] 中药熏蒸；腰椎间盘突出症；临床疗效；VAS评分；JOA评分 　　[中图分类号] R274 [文献标识码] A [文章编号] 1673-7210（2017）12（b）-0172-04 　　[Abstract] Objective To observe clinical effect of Xunxi NO.1 empirical formula of Chinese medicine fumigation on the patients with lumbar disc herniation （LDH）. Methods Sixty patients with LDH treated in South Campus of Guang′anmen Hospital， China Academy of Chinese Medical Sciences， from January to August in 2017 were selected as the study subjects， and they were divided into two groups by random number table， with 30 cases in each group. The fumigation group was treated with Xunxi NO.1 Chinese medicine fumigation， 1 time per day， one dose a day， 30 minutes each time. The Hantongle group was treated with Hantongle Compression Formula， 1 times per day， one stick a day for 2 weeks. The adverse reaction， VAS score， JOA score and clinical effective of the two groups were compared. Results No obvious adverse reaction occurred in treatment group， 1 case appeared ambustion in the Hantongle group. The clinical effect of the fumigation group was better than that of the Hantongle group （P 0.01）. After treatment， in the two groups， the VAS scores were decreased， and the JOA scores were increased， and the improvement of the fumigation group was markedly better than that of the Hantongle group （P 0.01）. Conclusion Xunxi NO.1 of Chinese medicine fumigation can effectively relieve the lumbago and leg pains of patients with LDH， improve the lumbar function， and has significantly therapeutic effect to LDH. 　　[Key words] Lumbar disc herniation； Chinese medicine fumigation； Clinical effect； VAS score； JOA score 　　腰椎?g盘突出