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Clinical Observation on treatmentof lumbar disc herniation by Buqihuoxue Decoction combined with percutaneous endoscopic lumbar discectomy |
SHANG Rong′an1 YU Hongchao2 WANG Shaofei1 CHAO Jianhu1 LIU Dongqian1 FENG Wanli1 |
1.Department of Orthopedics, Baoji Hospital of Chinese Medicine, Shaanxi Province, Baoji 721000, China;
2.Department of Orthopaedics, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China |
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Abstract Objeetive To observe clinical effect of Buqihuoxue Decoction and percutaneous endoscopic lumbar discectomy on lumbar disc herniation. Methods From April 2015 to March 2017, in Department of Orthopedics, Baoji Hospital of Chinese Medicine, 50 patients with lumbar intervertebral disc herniation were divided into control group 25 cases (given percutaneous intervertebral endoscopy) and treatment group 25 cases (given Buqihuoxue Decoction and percutaneous intervertebral endoscopy). The visual analogue score (VAS score) and Oswestry disability index (ODI index) were compared the preoperation, 1 week, 1 month, and 6 months after surgery. During treatment, the function of liver and kidney, adverse drug reactions were monitored regularly. Results After treatment, the VAS score and ODI index in two groups were improved than before treatment, the differences were statistically significant (P < 0.05); the VAS score and ODI index in the treatment group were significantly lower than the control group on 1 week, 1 month, and 6 months, the differences were statistically significant (P < 0.05). There was no drug-related gastrointestinal reaction and general discomfort in all patients. Conclusion Buqihuoxue Decoction combined with percutaneous transforaminal endoscope for the treatment of lumbar disc herniation is safe and effective. The combination of Chinese and Western medicine has achieved good results.
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[1] 黄桂成,王拥军.中医骨伤科学[M].上海:中国中医药出版社,2016:278-283.
[2] 胡有谷.腰椎间盘突出症[M].3版.北京:人民卫生出版社,2004:632.
[3] Hoogland T,Schubert M,Miklitz B,et al. Transforaminal posterolateralendoscpic discectomy with or without the combination of a low-dose chymopapain:a prospective randomized study in 280 consecutive cases [J]. Spine,2006, 31(24):890.
[4] 宋科冉,李振奋,侯树励,等.经皮椎间孔镜入路全内窥镜技术治疗腰椎间盘突出症[J].中国骨与关节杂志,2013,3(8):626.
[5] 杨五洲,曹奇,杨铁军,等.经皮椎间孔镜治疗腰椎间盘突出症的临床应用[J].实用医学杂志,2016,32(4):633-635.
[6] 国家中医药更管理局.中医病症诊断疗效标准[M].南京:中国医药科技出版社,2012:214.
[7] Majani G,Tiengo M,Giardini A,et al. Relationship between MPQ and VAS in 962 patients.A rationale for their use [J]. Minerva Anestesiol,2003,69(12):67-73.
[8] 许斌,王与荣,赵建宁,等.ODI在腰椎间盘突出症手术疗效评价中的应用[J].颈腰痛杂志,2004,25(1):31-34.
[9] 徐仲林,蒋赞利.经皮椎间孔镜技术的发展、治疗范围、并发症及特点[J].东南大学学报:医学版,2015,34(3):452-455.
[10] 何升华,赖居易,冯华龙.脊康方在经皮腰椎间孔镜围手术期运用的临床研究[J].中国骨与关节杂志,2018, 25(2):18-22.
[11] Ahn Y,Jang I,Kim WK,et al. Transforaminal percutaneousendoscopic lumbar discectomy for very high-grade migrated disc herniation [J]. Clin Neurol Neurosurg,2016, 147:11-17.
[12] 方卫军,李章华.经皮椎间孔镜技术治疗腰椎间盘突症的进展[J].中国医药导报,2016,13(32):34-37.
[13] 黄晓琴,唐如翠.38例侧卧位经皮椎间孔镜手术配合体会[J].检验医学与临床,2011,8(4):490-491.
[14] 楚磊,晏锋剑,陈亮,等.不同体位下经皮椎间孔镜手术治疗腰椎间盘突出症的比较[J].中国脊柱脊髓杂志,2011, 21(2):166-167.
[15] 张宇,简伟,许学猛,脊柱经皮侧后路椎间孔镜配以中药熨敷治疗腰椎间盘突出症的临床疗效分析[J].中医药信息,2015,32(4):119-121.
[16] 孙凤龙,章耀华,李强,等.经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效观察[J].中国临床医学杂志,2016, 44(2):75-78.
[17] 刘秀华,张军.椎间孔镜联合中药治疗腰椎间盘突出症临床观察[J].光明中医,2017,32(4):564-565.
[18] 王建华,夏虹.显微镜下经椎间孔腰椎融合术治疗复发性腰椎间盘突出症效果观察[J].中华医师杂志,2012,6(7):1920-1921.
[19] 李道通.针灸用于腰椎间盘突出症术后遗留疼痛临床疗效[J].光明中医,2012,27(03):527-528.
[20] 张华,贾龙,徐斌.腰椎间盘突出症不同证型的手法治疗时间与临床疗效的相关性研究[J].中国中医骨伤科杂志,2017,28(8):25-28.
[21] 揭牧夫,欧冠周,祝最成,等.身痛逐瘀汤加减配合中医定向透药疗法治疗腰椎间盘突出症的临床观察[J].中国当代医药,2017,24(9):119-121.
[22] 尚荣安,胡迪,王少飞,等.补气活血汤治疗腰椎间盘突出症术后综合征的临床研究[J].现代中医药,2017,37(6):45-47. |
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