[1]郑晓静,司晓一.应用治未病理论治疗腰椎间盘突出症的临床研究[J].中医正骨,2012,24(06):23-25.
　ZHENG Xiao-jing*,SI Xiao-yi.*.Clinical study on the application of the theory of Treat before sick in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(06):23-25.
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应用治未病理论治疗腰椎间盘突出症的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年06期
页码:
23-25
栏目:
腰椎间盘突出症
出版日期:
2012-06-30

文章信息/Info

Title:
Clinical study on the application of the theory of Treat before sick in the treatment of lumbar disc herniation
作者:
郑晓静; 司晓一
广东省深圳平乐骨伤科医院，广东深圳518010
Author(s):
ZHENG Xiao-jing*; SI Xiao-yi.*
Shenzhen Pingle Orthopaedic Hospital,Shenzhen 518010,Guangdong,China
关键词:
椎间盘移位　腰椎　上工治未病　治疗; 临床研究性
Keywords:
Intervertebral disk displacement; Lumbar vertebrae; Superior treat before sick; Therapies;  investigational
摘要:
目的：观察应用治未病理论治疗腰椎间盘突出症的临床疗效。方法：回顾性分析2009年4月至2010年5月深圳平乐骨伤科医 院门诊治疗的41例腰椎间盘突出症患者的病例资料，其中对21例患者（治疗组）在采用传统中医疗法治疗的同时，依照治未病 理论进行干预；另外20例患者（对照组）单纯采用传统中医疗法治疗。分别采用“症状自我评价表”和“患者生存质量测定量 表简表”于治疗前、治疗后6个月以及末次随访时对2组患者进行症状和生存质量评分。结果：①症状评分。2组患者不同时点症 状评分不同（F=256 213.000，P=0.000）；2组间症状评分总体有差别（F=6 542.234，P=0.000），治疗组治疗后6个 月及末次随访时症状评分均大于对照组（F=118.568，P=0.000；F=86.525，P=0.000），治疗前2组患者症状评分比较，差 异无统计学意义（F=2.004，P=0.165）；时间因素与分组因素存在交互作用（F=466.410，P=0.000）。②生存质量评 分。2组患者不同时点生存质量评分不同（F=2 736 312.000，P=0.000）；2组间生存质量评分总体有差别（F=2 907.334 ，P=0.000），治疗组治疗后6个月及末次随访时生存质量评分均大于对照组（F=7 018.962，P=0.000；F=6 202.932， P=0.000），治疗前2组患者生存质量评分比较，差异无统计学意义（F=1.939，P=0.000）；时间因素与分组因素存在交 互作用（F=93 193.313，P=0.000）。结论：应用治未病理论治疗腰椎间盘突出症疗效显著，值得临床推广应用。
Abstract:
Objective:To observe the clinical curative effect of applying the theory of Treat before sick in the treatment of lumbar disc herniation(LDH).Methods:The medical records of 41 LDH patients selected from the outpatient department of Pingle Orthopaedic Hospital from April 2009 to May 2010 were analyzed retrospectively.Twenty-one patients(treatment group)were administrated with traditional Chinese medicine(TCM) therapy and were intervened according to the theory of Treat before sick,while the others(control group) were administrated with TCM therapy only.The symptoms and life qualities of patients were scored in accordance with self-evaluation form of symptoms and Quality of Life-BREF of patients before treatment,6 months after treatment and at last follow-up respectively.Results:There was statistical difference in symptom scores among different time points(F=256 213.000,P=0.000);there was statistical difference in symptom scores between the 2 groups(F=6 542.234,P=0.000).The symptom scores of treatment group were larger than those of control group 6 months after treatment and at last follow-up(F=118.568,P=0.000;F=86.525,P=0.000).There was no statistical difference between the 2 groups before the treatment(F=2.004,P=0.165).There was interaction between time factors and grouping factors(F=466.410,P=0.000).There was statistical difference in scores of life qualities among different time points(F=2 736 312.000,P=0.000);there was statistical difference in scores of life qualities between the 2 groups(F=2 907.334,P=0.000).Scores of life qualities of treatment group were larger than those of control group 6 months after treatment and at last follow-up (F=7 018.962,P=0.000;F=6 202.932,P=0.000).There was no statistical difference between the 2 groups before the treatment(F=1.939,P=0.000).There was interaction between time factors and grouping factors(F=93 193.313,P =0.000).Conclusion:Application of the theory of Treat before sick performs well in the treatment of LDH,and it is worth popularizing in the clinic.

参考文献/References:

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备注/Memo

备注/Memo:
2011-09-06收稿2012-02-06修回
基金项目：广东省中医药局基金资助项目（20111031）
更新日期/Last Update: 2012-06-30