[1]郑杨,汪丽佩,黄杰烽,等.口服补阳还五汤联合功能锻炼治疗后纵韧带破裂型腰椎间盘突出症[J].中医正骨,2016,28(07):49-52.
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口服补阳还五汤联合功能锻炼治疗后纵韧带破裂型腰椎间盘突出症()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年07期
页码:
49-52
栏目:
临床报道
出版日期:
2016-07-20

文章信息/Info

作者:
郑杨1汪丽佩2黄杰烽1赵凯1陈俊杰1童培建1
1.浙江省中医院,浙江 杭州 310006; 2.浙江中医药大学,浙江 杭州 310053
关键词:
椎间盘移位 腰椎 纵韧带 重吸收 补阳还五汤 功能锻炼
摘要:
目的:观察口服补阳还五汤联合功能锻炼治疗后纵韧带破裂型腰椎间盘突出症的临床疗效。方法:2013年8月至2015年6月,采用口服补阳还五汤等药物联合功能锻炼治疗后纵韧带破裂型腰椎间盘突出症患者19例,男8例、女11例。年龄22~61岁,中位数40岁。按照腰椎间盘突出症的Macnab分型,TE型14例、SQ型5例。病程15 d至3年,中位数8个月。记录并比较治疗前和治疗结束后6个月的日本骨科协会(Japanese orthopaedic association,JOA)评分及腰椎间盘突出率,计算腰椎间盘吸收率,并采用JOA腰痛疾患疗效评定标准评价疗效。结果:治疗结束后6个月,JOA评分高于治疗前[(12.947±4.327)分,(21.105±4.496)分,t=5.699,P=0.006]; 腰椎间盘突出率低于治疗前[(43.911±6.286)%,(24.667±13.824)%,t=5.800,P=0.002]; 突出髓核组织完全吸收2例,明显吸收3例,部分吸收4例,几乎不变9例,增大1例; 按照JOA腰痛疾患疗效评定标准评价疗效,治愈3例、显效7例、有效8例、无效1例。结论:采用口服补阳还五汤联合功能锻炼治疗后纵韧带破裂型腰椎间盘突出症,能够促进突出髓核组织重吸收,改善患者的临床症状和体征,有利于腰椎功能的恢复,值得临床推广应用。

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备注/Memo

备注/Memo:
2016-05-07收稿 2016-06-08修回
基金项目:浙江省中医药科学研究基金项目(2016ZA078)
汪丽佩 E-mail:wanglipei@gmail.com

更新日期/Last Update: 1900-01-01