内服中药配合经皮激光椎间盘减压术治疗腰椎间盘突出症

Efficacy of Chinese Medicine Combined with Percutaneous Laser Disc Decompression for Treatment of Lumbar Disc Herniation

摘要:

目的: 探讨内服中药配合经皮激光椎间盘减压术(PLDD)治疗腰椎间盘突出症的疗效。 方法: 64腰椎间盘突出症患者随机分为治疗组和对照组各32例,两组均采用PLDD治疗,并于术后进行康复训练,治疗组于术后开始服用自拟中药,疗程8周。以视觉模拟评分(VAS)记录术后疼痛情况,采用日本腰背痛手术评分(JOA)评价疗效。 结果: 治疗组在术后1周及术后2周VAS评分均明显低于对照组(P<0.01);术后1个月,术后3个月及术后6个月,治疗组优良率均明显高于对照组,差异显著(P<0.05)。 结论: 中药内服配合PLDD治疗腰椎间盘突出症能有效缓解患者疼痛,并提高临床疗效,值得临床推广使用。

Abstract:

Objective:To investigate the clinical efficacy of traditional Chinese medicine combined with percutaneous laser disc decompression (PLDD) for lumbar disc herniation (LDH). Method: Sixty-four patients of LDH were randomly divided into study group and control group, 32 cases in each group. The study group was treated with use of PLDD and Chinese traditional drug (oral administration for 8 weeks), while the control group patients were treated by PLDD. All patients were followed up and the efficacy was evaluated by Japanese low back pain surgery score (JOA) and visual analog scale (VAS). Result: Compared with the controls, the study group showed decreased VAS in the first and second week after treatment significantly (P<0.01). After PLDD 1 month, 2months and 3 months, the study group still showed superior therapeutic effect than the control group (P<0.05). Conclusion: Traditional Chinese medicine combined with PLDD for treatment of LDH can release pain, elevate therapeutic effect, and is worthy of clinical application.