[1]朱峰峰 董博** 李小群 袁普卫 杨锋.经皮椎间孔镜下髓核摘除术联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症临床研究[J].陕西中医药大学学报,2021,44(02):087-92.[doi:10.13424/j.cnki.jsctcm.2021.02.018]
 ZHU Feng - feng,DONG Bo,LI Xiao - qun,et al.Clinical Observation of Percutaneous Transforaminal Endoscopic Discectomy Combined with Shentong Zhuyu Decoction in The Treatment of Lumbar Disc Herniation of Qi Stagnation and Blood Stasis Type[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,44(02):087-92.[doi:10.13424/j.cnki.jsctcm.2021.02.018]
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经皮椎间孔镜下髓核摘除术联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症临床研究
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
44
期数:
2021年02期
页码:
087-92
栏目:
出版日期:
2021-03-20

文章信息/Info

Title:
Clinical Observation of Percutaneous Transforaminal Endoscopic Discectomy Combined with Shentong Zhuyu Decoction in The Treatment of Lumbar Disc Herniation of Qi Stagnation and Blood Stasis Type
文章编号:
2096-1340(2021)02-0087-06
作者:
朱峰峰 董博** 李小群 袁普卫 杨锋
陕西中医药大学附属医院,陕西 咸阳 712000
Author(s):
ZHU Feng - feng DONG Bo LI Xiao - qun YUAN Pu - Wei YANG Feng
Affiliated Hospital of Shaanxi University of traditional Chinese medicine, Shaanxi Xianyang 712000,China
关键词:
经皮椎间孔镜下髓核摘除术身痛逐瘀汤气滞血瘀型腰椎间盘突出症临床研究
Keywords:
Percutaneous transforaminal endoscopic discectomy Shentong Zhuyu Decoction Qi stagnation and blood stasis type Lumbar disc herniation Clinical research
分类号:
R681.5+3
DOI:
10.13424/j.cnki.jsctcm.2021.02.018
文献标志码:
A
摘要:
目的 观察经皮椎间孔镜下髓核摘除术联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症的临床疗效。 方法 70 例腰椎间盘突出症患者按就诊顺序分为治疗组和对照组,每组各 35 例,治疗组选用经皮椎间孔镜下髓核摘除术 + 身痛逐瘀汤口服治疗,对照组选用单纯的经皮椎间孔镜下髓核摘除术治疗,观察两组患者治疗1 个月、3 个月后的 VAS 评分、JOA 评分及中医证候改善情况并进行统计学分析。 结果 治疗前两组患者的一般资料、VAS 评分、JOA 评分均无明显差异(P >0. 05);治疗 1 个月后,两组患者的 VAS 评分、JOA 评分均较治疗前明显改善(P <0. 05),且治疗组改善更明显,差异具有统计学意义(P <0. 05);治疗 3 个月后,治疗组与对照组的VAS 评分比较无明显差异(P >0. 05),而 JOA 评分比较有差异(P <0. 05),治疗组 JOA 评分改善情况仍优于对照组(P <0. 05)。 经治疗后的中医证候改善情况总有效率:治疗组为94. 29%、对照组为85. 71%,两组比较具有显著差异 (P <0. 05)。 结论 经皮椎间孔镜下髓核摘除术联合身痛逐瘀汤治疗气滞血瘀型腰椎间盘突出症在减轻患者疼痛、改善临床症状、提高术后功能恢复等方面均明显于单纯的经皮椎间孔镜下髓核摘除术,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of percutaneous transforaminal endoscopic discectomy combined with Shentong Zhuyu Decoction in the treatment of lumbar disc herniation of Qi stagnation and blood stasis type. Methods 70 patients with lumbar disc herniation were divided into treatment group and control group according to the order of treat-ment, 35 cases in each group. The treatment group was treated with percutaneous transforaminal endoscopic discectomy + Shentong Zhuyu Decoction, while the control group was treated with simple percutaneous transforaminal endoscopic discectomy. The VAS score, JOA score and TCM Syndrome improvement of the two groups were observed and compared after 1 month and 3 months of treatment statistical analysis. Results Before treatment, there was no significant difference in general information, VAS score and JOA score between the two groups (P > 0. 05); after 1 month of treatment, the VAS score and JOA score of the two groups were significantly improved (P < 0. 05), and the improvement of the treat-ment group was more obvious, the difference was statistically significant (P < 0. 05); after 3 months of treatment, there was no significant difference in VAS score between the treatment group and the control group (P > 0. 05), but the JOA score was significantly higher . The improvement of JOA score in the treatment group was still better than that in the con-trol group (P < 0. 05). After treatment, the total effective rate of TCM syndrome improvement was 94. 29% in the treat-ment group and 85. 71% in the control group, with significant difference between the two groups ( P < 0. 05). Conclusion Percutaneous transforaminal endoscopic discectomy combined with Shentong Zhuyu Decoction in the treatment of lumbar disc herniation of Qi stagnation and blood stasis type is significantly better than simple percutaneous transforami-nal endoscopic discectomy in relieving pain, improving clinical symptoms and improving postoperative functional recovery,which is worthy of clinical application.Objective To observe the clinical efficacy of percutaneous transforaminal endoscopic discectomy combined with Shentong Zhuyu Decoction in the treatment of lumbar disc herniation of Qi stagnation and blood stasis type. Methods 70 patients with lumbar disc herniation were divided into treatment group and control group according to the order of treat-ment, 35 cases in each group. The treatment group was treated with percutaneous transforaminal endoscopic discectomy + Shentong Zhuyu Decoction, while the control group was treated with simple percutaneous transforaminal endoscopic discectomy. The VAS score, JOA score and TCM Syndrome improvement of the two groups were observed and compared after 1 month and 3 months of treatment statistical analysis. Results Before treatment, there was no significant difference in general information, VAS score and JOA score between the two groups (P > 0. 05); after 1 month of treatment, the VAS score and JOA score of the two groups were significantly improved (P < 0. 05), and the improvement of the treat-ment group was more obvious, the difference was statistically significant (P < 0. 05); after 3 months of treatment, there was no significant difference in VAS score between the treatment group and the control group (P > 0. 05), but the JOA score was significantly higher . The improvement of JOA score in the treatment group was still better than that in the con-trol group (P < 0. 05). After treatment, the total effective rate of TCM syndrome improvement was 94. 29% in the treat-ment group and 85. 71% in the control group, with significant difference between the two groups ( P < 0. 05). Conclusion Percutaneous transforaminal endoscopic discectomy combined with Shentong Zhuyu Decoction in the treatment of lumbar disc herniation of Qi stagnation and blood stasis type is significantly better than simple percutaneous transforami-nal endoscopic discectomy in relieving pain, improving clinical symptoms and improving postoperative functional recovery,which is worthy of clinical application.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81574006);国家中管局科研专项(JDZX2015280);陕西省自然科学计划项目(2018JM7132);陕西省重点科技创新团队项目(2013KJT -26); 陕西省三秦学者创新团队支持计划;刘德玉名老中医药专家传承工作室项目;关中李氏骨伤流派传承工作室项目
通讯作者:董博,主任医师。 E - mail:297065203@ qq. Com
更新日期/Last Update: 2021-03-29