六味地黄丸联合中药涂擦对临床腰椎间盘突出症术后恢复的影响观察

摘要

Objective:To observe clinical influences of Liuwei Dihuang Pills combined Traditional Chinese Medicine (TCM) inunction on postoperative recovery of lumbar intervertebral disc protrusion, and provide theoretical basis for TCM combined with Western Medicine treatment in later periods.Method:From December 2013 to December 2014, 68 postoperative patients were selected with lumbar intervertebral disc protrusion admitted by the orthopedics department combining TCM and Western medicine, and they were divided into two groups depending on postoperative treatment, 34 patients in control group received conventional Western medicine treatment, and 34 patients in research group were treated combined therapy of TCM inunction and Liuwei Dihuang Pills. Clinical efficacy, JOA score, quality of life score, VAS pain score and adverse reactions of patients between the two groups were compared.Result:The total effective rate of the research group was relatively higher than that of the control group, but the rate of adverse reactions was lower, and the differences were statistically significant(P<0.05).The JOA scores of the research group were higher than those of the control group,the differences were statistically significant(P<0.05).The VAS score before and after treatment of the two groups showed statistically differences(P<0.05),and those of the research group after treatment were lower than those of the control group(P<0.05).After treatment,the QLO-C30 life quality scores of the research group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Liuwei Dihuang Pills combined TCM deliver great treatment efficacy for the treatment of postoperative lumbar disc protrusion when compared to conventional Western medicine treatment, improve postoperative pain and lumbar function of patients, and the patients quality of life, and impose low rate of adverse reactions, being worthy of clinically safe and effective way to promote.%目的：观察六味地黄丸联合中药擦涂对腰椎间盘突出症术后恢复的临床影响，为后期中医西医结合治疗提供理论依据。方法：2013年10月-2014年10月，选择中西医结合骨伤科的68例腰椎间盘突出症术后患者，根据术后治疗方式分为两组，对照组34例给予常规西医治疗，研究组34例给予六味地黄丸联合中药涂擦治疗。比较两组的临床效果、JOA评分、生活质量评分、VAS疼痛积分以及不良反应等。结果：研究组治疗后总有效率较对照组高，不良反应率较对照组低，比较差异均有统计学意义（P<0.05）。研究组各项JOA评分均高于对照组，比较差异均有统计学意义（P<0.05）。两组治疗前后VAS评分比较，差异均有统计学意义（P<0.05）；研究组治疗后VAS评分较对照组明显降低，比较差异均有统计学意义（P<0.05）。研究组治疗后QLO-C30生活质量评分均高于对照组，比较差异均有统计学意义（P<0.05）。结论：六味地黄丸联合中药擦洗对腰椎间盘突出症术后的治疗较传统西医治疗效果佳，明显改善患者术后疼痛及腰部功能，提高患者生活质量，不良反应率低，可作为临床安全有效的方式进行推广。