|
|
Clinical effect of Buqi Huoxue Decoction combined with electroacupuncture on postoperative syndrome of lumbar disc herniation |
SHANG Rongan HU Di WANG Shaofei CHAO Jianhu LIU Dongqian |
Department of Orthopedics, Baoji Traditional Chinese Medicine Hospital, Shaanxi Province, Baoji 721000, China |
|
|
Abstract Objeetive To observe the clinical effect of Buqi Huoxue Decoction combined with electroacupuncture on postoperative syndrome of lumbar disc herniation. Methods From August 2015 to April 2019, 50 patients with postoperative syndrome of lumbar disc herniation in the Department of Orthopedics, Baoji Traditional Chinese Medicine Hospital, Shaanxi Province were selected, and they were divided into control group (25 cases) and treatment group (25 cases) by random number table method. The treatment group was treated with Buqi Huoxue Decoction and electroacupuncture, while the control group received Mecobalamin Tablets. Both groups were treated for 4 weeks. The clinical efficacy between the two groups were compared, visual analogue scale (VAS) score, Japanese orthopaedic association evaluated treatment (JOA) score and adverse events were observed before and after treatment. Results The total effective rate of the treatment group was significantly higher than that of the control group (P < 0.05). Compared with before treatment, VAS scores of both groups were significantly reduced, JOA scores were significantly increased, with statistically significant differences (P < 0.05), VAS score of the treatment group was significantly lower than that of the control group, JOA score was higher than that of the control group, with statistically significant differences (all P < 0.05). Conclusion Buqi Huoxue Decoction combined with electroacupuncture can improve the postoperative syndrome of lumbar disc herniation and promote the recovery of patients with remarkable effect.
|
|
|
|
|
[1] 詹红生.中医筋伤学[M].上海:上海科学技术出版社,2012.
[2] Qureshi A,Sell P. Cauda epuia treated by surgical decompression,the influence of timing on surgical outcome [J]. E Spine J,2007,16(12):2143-2151.
[3] 鲍自立,朱金华,周国柱,等.五物五苓汤加减治疗腰椎间盘突出症术后残留症疗效分析[J].中国中医骨伤科杂志,2011,19(10):60-61.
[4] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:201-202.
[5] 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.
[6] Hida S,Naito M,Kubo M. Intraoperative measurements of nerve root blood flow during discectomy for lumbar disc herniation [J]. Spine(Phila Pa 1976),2003,28(1):85-90.
[7] 刘洋,贾宇涛,田融,等.腰椎术后综合征的危险因素及防治措施分析[J].解放军医药杂志,2016,28(9):78-81.
[8] Chan CW,Peng P. Failed back surgery syndrome [J]. Pain Med,2011,12(4):577-606.
[9] 梁柱,唐汉武.腰椎间盘突出症术后综合征的研究现状[J].颈腰痛杂志,2012,33(5):379-381.
[10] 张卫东,李俊莲,高丽娜,等.调神、温经、通督综合疗法治疗腰椎间盘突出症31例临床观察[J].中医杂志,2015, 56(8):672-675.
[11] 尚荣安,王少飞,晁建虎,等.自拟补气活血汤治疗腰椎间盘突出症术后综合征的效果[J].中国医药导报,2019, 16(6):151-153,158.
[12] 陈军红,叶亚云.早期康复训练对腰椎间盘突出症术后患者腰椎功能康复及生活质量的影响[J].中国现代医生,2019,57(1):75-78.
[13] 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(3):527-528.
[14] 王雷,付晓芳,李无阴,等.中医综合治疗腰椎间盘突出症术后综合征的临床研究[J].中国中医急症,2018,27(3):449-452.
[15] 张坚强.电针结合中药熏蒸治疗腰椎间盘突出症术后麻木综合征临床观察[J].新中医,2015,47(1):204-205.
[16] 唐汉武,黄承军,徐敏,等.电针治疗对腰椎间盘突出症术后综合征神经电生理作用观察[J].长春中医药大学学报,2013,29(3):411-412.
[17] 竺永达,张峻峰.导气针法配合电针治疗腰突症术后顽固性腰痛疗效观察及红外热像变化[J].上海针灸杂志,2016,35(3):311-313.
[18] 阮慧红,赵云芳,郑光宪.针灸配合骶管封闭治疗腰椎间盘突出症术后腰腿痛[J].针灸临床杂志,2007,23(6):7.
[19] 顾健华.腰椎间盘突出症的针灸治疗研究[J].长春中医药大学学报,2011,27(5):754-756.
[20] 颜学军.温针灸联合电针治疗腰椎间盘突出症31例疗效观察[J].湖南中医杂志,2014,30(7):103-104.
[21] 金蓉,顾一煌.近10年针灸治疗腰椎间盘突出症临床研究概述[J].江西中医药,2008,39(11):74-76.
[22] 宋芙蓉.温肾蠲痹汤联合温针灸治疗寒湿型腰椎间盘突出临床疗效观察[J].中医药学报,2014,42(3):190-192.
[23] 陈为坚,陈奕雄.委中刺络放血对腰椎间盘突出症术后综合征的疗效及对凝血的影响[J].世界中医药,2018, 13(5):1238-1241.
[24] 陈滨.针刺改善腰椎间盘突出症患者疼痛及外周血炎性指标水平临床研究[J].临床军医杂志,2017,45(1):98-99. |
|
|
|