脊髓损伤应用补阳还五汤加味麝香治疗临床疗效分析.docVIP

脊髓损伤应用补阳还五汤加味麝香治疗临床疗效分析 　　[摘要] 目的 对脊髓损伤应用补阳还五汤加味麝香治疗的临床疗效进行分析。方法 资料选自2009年10月―2012年8月在该院诊治脊髓损伤的患者118例，将其分为两组，各59例，治疗组在常规治疗的基础上应用补阳还五汤加味麝香进行治疗，对照组在常规治疗的基础上加用大活络丸治疗，观察两组患者脊髓损伤治疗前后的脊髓神经功能评分情况。结果 比较治疗组和对照组患者治疗后的感觉评分，治疗组的明显高于对照组，差异有统计学意义（P0.05）；治疗组的运动评分也比对照组高，两组差异有统计学意义（P0.05）。结论 补阳还五汤加味麝香可促进脊髓损伤后的神经恢复，治疗效果比较明显，中药学上合理用药可减轻患者的痛苦，提高其生活质量，帮助患者早日康复，值得推广应用。 　　[关键词] 脊髓损伤；补阳还五汤；麝香；疗效 　　[中图分类号] R274 [文献标识码] A [文章编号] 1674-0742（2014）04（b）-0012-02 　　[Abstract] Objective To analyze the clinical efficacy of buyang huanwu decoction plus musk in the treatment of spinal cord injury. Methods The data of 118 cases of patients with spinal cord injury diagnosed and treated in our hospital from October， 2009 to August， 2012 were selected and divided into two groups， each of 59 cases. On the basis of conventional treatment， the treatment group was given buyang huanwu decoction plus musk for treatment， and the control group was given dahuoluo pill. The spinal cord injury neurological scores before and after treatment of two groups were observed. Results The sensory scores of the treatment group were obviously higher than those of the control group， the difference was statistically significant（P0.05） ； the sport scores of the treatment group were higher than those of the control group， too， the difference was statistically significant （P0.05）. Conclusion Buyang huanwu decoction plus musk can promote nerve recovery after spinal cord injury with significant effect. Rational use of traditional Chinese medicine can relieve the pain of the patients， improve the quality of life of them and help the patients recover earlier， which is worthy of popularization and application. 　　[Key words] Spinal cord injury； BYHWD； Musk； Efficacy 　　脊髓与神经根出现损伤，一般将只是患者的神经功能性出现严重障碍，致使瘫痪，影响患者的身心健康。一般采取整复骨折、脱位和稳定脊柱等的常规治疗方法，可减除对其的神经压迫，再联合脱水剂、激素类药物治疗，但是由于治疗容易并发感染、深静脉的血栓等疾病，治疗效果不甚理想。目前，随着脊髓损伤临床治疗实践的不断深入研究发现，脊髓损伤属于中医学“痿?”范畴。因此治疗应遵循理气通络、活血化瘀、补益肝肾等原则，将中药补阳还五汤加味麝香应用于临床治疗中，效果良好。为对脊髓损伤应用补阳还五汤加味麝香治疗的临床疗效进行分析。现该研究对2009年10月―201