文章摘要
郭伟俊,蔡东岭,曾巧,陈晓峰.消淤止痛散外敷结合电磁波对腰椎间盘突出症术后功能恢复的影响[J].,2017,(07):116-119
消淤止痛散外敷结合电磁波对腰椎间盘突出症术后功能恢复的影响
Clinical Observation of the External Application of XIAOYUZHITONG Powder Combined with TDP Therapy on Lumbar Postoperative Rehabilitation
  
DOI:
中文关键词: 【关键词】腰椎间盘突出症术后  消瘀止痛散  电磁波谱  JOA评分  功能恢复
英文关键词: Keywords:PostoperativeLumbar  ExternalApplicationofTCM  TDP  JOAScore  Recovery
基金项目:广东省中医药管理局科研课题(课题编号20131009)。
作者单位E-mail
郭伟俊,蔡东岭,曾巧,陈晓峰 广州市番禺区中医院 remainfancy@163.com 
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中文摘要:
      【摘 要】目的:对消瘀止痛散外敷结合特定电磁波(TDP) 治疗腰椎间盘突出症(LDH) 术后患者减轻下腰痛、促进功能恢复的有效性进行评定。方法:将90例LDH术后患者纳入本研究。随机分为对照组和观察组各45例,对照组予术后常规处理,观察组予术后常规处理加消瘀止痛散外敷结合TDP治疗。在术后2周、4周、6个月及1年,比较两组VAS评分及下腰痛JOA评分,并在术后4周,比较其优良率。结果:85例患者得到随访,术后随访结果显示观察组下腰痛JOA评分及VAS评分均优于对照组(P<0.05)。术后4周观察组优良率81.39%高于对照组59.52%,差异具有统计学意义(P<0.05)。两组无明显不良反应发生。结论:消瘀止痛散外敷结合TDP治疗可减轻LDH术后疼痛,促进功能恢复,值得临床推广。
英文摘要:
      Abstract:ObjectiveThepurposeofthisstudywastoexaminetheeffectofexternalapplicationofXIAOYUZHITONGpowdercombinedwithTDPonrecoveryafterthesurgeryoflumbardischerniation(LDH).Methods90patientsundergoingLDHsurgerywereenrolledinthistrial,whowererandomlyandaveragelyassignedinto2groups:WetreatedControlledgroupwithconventionaladministration.TreatmentgroupwastreatedwithconventionaladministrationandunderwenttreatmentofexternalapplicationofXIAOYUZHITONGpowdercombinedwithTDP.TheJapaneseOrthopedicAssociationsevaluationsystem forlowerbackpainsyndrome(JOAscore)andVisualAnalogueScale(VAS)wereadministeredbeforetreatmentandat2weeks,4weeks,6monthsand12monthsaftersurgerytoassesstheclinicalresults.ResultsOfthe90subjects,85(94.4%) accomplishedtheresearch.TheoutcomesoftreatmentgroupweresuperiortothecontrolgroupinthescoresofVASandJOAat2weeks,4weeks,6monthsand12monthsaftersurgery(P<0.05).Inaddition,themomentthatthe4weekobservationcametoanend,theexcellentandgoodratesoftreatmentgroupwasobservablybetterthanthecontrolone(P<0.05).ConclusioExternalapplicationofXIAOYUZHITONGpowdercombinedwithTDPresultssignificantlybetterinpainreliefandmoreprominentfunctionrecoveryafterthesurgery.
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