腰椎间盘突出症术后患者应用益气活血补肾法对患者功能活动及生活质量的影响

摘要

目的 探讨腰椎间盘突出症术后应用益气活血补肾法治疗对患者功能活动以及生活质量的影响.方法 选取2015年11月~2016年10月在杭州市富阳中医骨伤医院行手术治疗的腰椎间盘突出症患者92例,采用随机数表法将患者分为观察组和对照组,每组各46例,观察组患者给予益气活血补肾法治疗,对照组患者给予常规西医治疗,观察比较2组患者治疗后VAS评分、JOA评分以及WHQOL-BREF评分改善情况,同时比较2组患者治疗后的临床效果以及不良反应发生率.结果 治疗后,2组患者的VAS评分都有所下降,观察组(1.85±0.43)分低于对照组(2.97±0.69)分,2组比较差异有统计学意义(P<0.05);治疗后,2组患者的JOA评分都有所升高,观察组(25.78±5.89)分高于对照组(20.45±4.82)分,2组比较差异有统计学意义(P<0.05);治疗后,观察组患者的总有效率为93.48%高于对照组76.09%,2组比较差异有统计学意义(P<0.05);2组患者治疗前WHOQOL-BREF评分比较,差异无统计学意义;治疗后,2组患者的WHOQOL-BREF评分都有所上升,观察组高于对照组,2组比较差异具有统计学意义(P<0.05),2组患者治疗后并发症发生率比较差异无统计学意义.结论 腰椎间盘突出症术后给予患者益气活血补肾法治疗,能够有效帮助患者恢复,改善患者疼痛感受,提高患者的功能活动以及生活质量,效果显著.%Objective To investigate the effect of Supplementing Qi and activating blood and tonifying kidney therapy on the function and quality of life in patients with prolapse of lumbar intervertebral disc after operation.Methods92 cases of lumbar disc herniation treated in Fuyang Hangzhou Hospital of traditional Chinese Medicine hospital from November 2015 to October 2016 were selected,divided into observation group and control group, there were 46 cases in each group, the observation group were treated with Supplementing Qi and activating blood and tonifying kidney therapy,the control group were given conventional western medicine treatment, the improvement of VAS score, JOA score and WHQOL-BREF score were compared between the two groups after treatment, and the clinical effects were compared between the two groups after treatment and the incidence of adverse reaction.ResultsAfter treatment,the VAS scores of the two groups were decreased, the observation group (1.85±0.43) is lower than the control group (2.97±0.69), the difference between the two groups was statistically significant(P<0.05);After treatment, patients withthe JOA scores of the two groups were increased, the observation group (25.78±5.89) higher than the control group (20.45±4.82), the difference between the two groups was statistically significant(P<0.05);After treatment, the total efficiency of observation group was 93.48% higher than 76.09% in the control group, the difference between the two groups was statistically significant(P<0.05);There was no significant difference in WHOQOL-BREF scores between the two groups before treatment;After treatment, the WHOQOL-BREF scores of the two groups were increased, the observation group was higher than the control group, the difference between the two groups was statistically significant(P<0.05), there was no significant difference in the incidence rate of complications between the two groups after treatment.ConclusionThe patients with lumbar disc herniation after operation to give Supplementing Qi and activating blood and tonifying kidney therapy,can effectively helpe patients to recover, improve the pain of patients, improve the patient's functional activities and quality of life, the effect is significant.