目的:观察中西医结合治疗腰椎间盘突出的临床疗效。方法:选择2015年3—10月就诊于本院的腰椎间盘突出患者116例,经过伦理审查委员会的批准同意及患者本人和家属的知情同意之后,按照随机数字表法分为对照组和治疗组,每组58例。对照组给予常规西药结合牵引治疗,治疗组在对照组治疗的基础上给予独活寄生汤加减治疗。结果:对照组有效率为60.34%,治疗组有效率81.03%,治疗组优于对照组(P〈0.05);采用多重线性回归分析发现,年龄、病程、椎间盘突出程度、运动锻炼及治疗依从性与患者临床疗效密切相关(P〈0.05)。结论:中西医结合治疗腰椎间盘突出疗效显著。
Objective :To observe the clinical effects of integrative Chinese and western medicine on lumbar intervertebral disc protrusion (LRDP). Methods :Totally 116 patients with LRDP treated in this hospital between March 2015 and October 2015 ratified by the ethic committee and informed consent by the patients and their household were randomly divided into treatment group and control group,with 58 cases in each group. Control group were simply given conventional western medicine treatment combined with traction treatment while treatment group were added with Modified Pubescent Angelica and Mistletoe Decoction. Results:The effective rate was 60.34% in (;ontrol group and 81.03% in treatment group;treatment group were better than control group ( P 〈 0.05 ). It was found that age,course of the disease,degree of the LRDP, physical exercise and treatment compliance have close relationship with the clinical therapeutic effects (P 〈 0.05). Conclusion: Integrative Chinese and western medicine treatment has significant therapeutic effects on LRDP.