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目的分析并评价中西医结合疗法对腰椎间盘突出症的临床疗效。方法将2009年12月至2011年6月收治的141例腰椎间盘突出症病人按随机数字表法分成2组,其中对照组54例对其硬膜外进行填充、牵引骨盆并给予推拿及按摩治疗;观察组87例在对照组治疗的基础上再加用壮腰活血散进行外敷治疗。结果观察组总有效率为95.4%,对照组为83.3%,观察组总有效率明显高于对照组(χ2=4.57,P<0.05);观察组的疼痛减轻时间为(4.31±1.23)d,对照组为(3.95±1.16)d,2组比较差异无统计学意义(P>0.05);观察组的临床治愈时间为(21.1±2.92)d,对照组为(28.96±4.29)d,观察组显著短于对照组(P<0.01);观察组复发率为2.3%,对照组复发率为16.7%,2组比较差异有统计学意义(P<0.05)。结论采用中西医结合疗法治疗患有腰椎间盘突出症病人具有疗效确切及巩固,能够快速缓解疼痛,其复发率较低,治疗方法安全可靠以及无不良反应等优点。
Objective To analyze and evaluate the clinical effect of integrated traditional Chinese and western medicine on lumbar disc herniation. Methods A total of 141 patients with lumbar disc herniation treated from December 2009 to June 2011 were randomly divided into two groups according to random number table. Among them, 54 cases in the control group were filled with epidural, the pelvis was pulled and massage and massage were given ; Observation group 87 cases in the control group based on the treatment plus Zhuoshuang Huoxue San for external application. Results The total effective rate was 95.4% in the observation group and 83.3% in the control group. The total effective rate in the observation group was significantly higher than that in the control group (χ2 = 4.57, P <0.05). The pain relief time in the observation group was (4.31 ± 1.23) (3.95 ± 1.16) d in the control group, there was no significant difference between the two groups (P> 0.05). The clinical cure time in the observation group was (21.1 ± 2.92) days and in the control group was (28.96 ± 4.29) days. The observation group (P <0.01). The recurrence rate was 2.3% in the observation group and 16.7% in the control group. There was significant difference between the two groups (P <0.05). Conclusion Integrative treatment of patients with lumbar disc herniation has the exact effect and consolidation, can quickly relieve pain, the recurrence rate is low, the treatment is safe and reliable and no adverse reactions and so on.