1. 天津中医药大学第一附属医院
2. 长春中医药大学附属医院
3. 上海中医药大学附属岳阳中西医结合医院
4. 新疆医科大学附属中医医院
5. 天津市北辰区中医医院
6. 天津市武清区中医医院
纸质出版:2015
移动端阅览
[1]李华南,王金贵,丛德毓,孙武权,王新军,陈国华,刁殿军,张玮.中医综合治疗方案治疗腰椎间盘突出症多中心随机对照研究[J].中医杂志,2015,56(21):1840-1844.
LI Huanan, WANG Jingui, CONG Deyu, et al. Multi-centered,Randomized Controlled Trial of Chinese Medicine Integrated Scheme in Treating Protrusion of Lumbar Intervertebral Disc[J]. Journal of Traditional Chinese Medicine2015, 56(21): 1840-1844.
[1]李华南,王金贵,丛德毓,孙武权,王新军,陈国华,刁殿军,张玮.中医综合治疗方案治疗腰椎间盘突出症多中心随机对照研究[J].中医杂志,2015,56(21):1840-1844. DOI: 10.13288/j.11-2166/r.2015.21.011.
LI Huanan, WANG Jingui, CONG Deyu, et al. Multi-centered,Randomized Controlled Trial of Chinese Medicine Integrated Scheme in Treating Protrusion of Lumbar Intervertebral Disc[J]. Journal of Traditional Chinese Medicine2015, 56(21): 1840-1844. DOI: 10.13288/j.11-2166/r.2015.21.011.
目的评价中医综合治疗方案治疗腰椎间盘突出症的临床疗效及安全性。方法将来自6家医院的500例腰椎间盘突出症患者随机分为试验组和对照组各250例。试验组采用腰椎间盘突症辨证分期为特色的中医综合治疗方案治疗
对照组采用传统推拿法配合牵引治疗
均治疗30天。分别于治疗第10、20、30天以及治疗结束后6个月评价两组患者日本骨科学会下腰痛评分量表(JOA)评分、改良中文版Oswestry腰痛评分(ODI)、疼痛视觉模拟评分法(VAS)评分。于治疗30天评价两组临床疗效及不良反应
并于治疗结束后6个月观察腰痛复发率。结果试验组临床疗效总有效率为97.9%
愈显率为92.0%;对照组总有效率为88.3%
愈显率为70.4%
试验组均优于对照组(P<0.05)。两组患者治疗后及随访6个月时JOA评分较治疗前显著上升
ODI、VAS评分较治疗前显著下降
各方向腰椎活动度均较治疗前显著改善(P<0.05)
且试验组优于对照组(P<0.05)。结论中医综合治疗方案治疗腰椎间盘突出症可提高临床疗效及降低复发率
均优于传统推拿手法
安全性好。
Objective To evaluate the clinical effect and safety of Chinese medicine integrated scheme in treating protrusion of lumbar intervertebral disc. Methods Totally 500 cases of patients with protrusion of lumbar intervertebral disc from 6 hospitals were randomly divided into test group and control group with 250 cases in each.Test group adopted Chinese medicine integrated scheme for treatment
featuring syndrome differentiation by stages of protrusion of lumbar intervertebral disc. Control group adopted traditional manipulation with traction treatment. Both followed treatment for 30 days. Respectively evaluated scores of Japanese Orthopedic Association( JOA) low back pain rating scale
Oswestry back pain scores of modified Chinese version( ODI) and visual analogue scale( VAS)scores of two groups on the 10 th
20th
30 th day and 6 months after finishing treatment. Evaluated the clinical effect and the adverse effect of the two groups in the 30 th day during treatment. Observed back pain recurrence rate 6months after finishing treatment. Results Total effective rate of test group was 97. 0%
cure-remarkable-effectiveness rate was 92. 0%; Total effective rate of control group was 88. 3%
cure-remarkable-effectiveness rate was70. 4%. Test group was superior to the control group( P < 0. 05). JOA score of patients in two groups after treatment and follow up 6 month remarkably increased compared with that before treatment. ODI
VAS scores remarkably decreased compared with that before treatment. Lumbar motilities in all directions all remarkably improved compared with that before treatment( P < 0. 05). Test group was superior to the control group( P < 0. 05). Conclusion Chinese medicine integrated scheme treating protrusion of lumbar intervertebral disc could improve clinical effect and decrease recurrence rate
superior to traditional manipulation.
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