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目的:观察中西医结合治疗腰椎间盘突出症患者的临床疗效。方法:选取70例腰椎间盘突出症患者,采用随机数字法分对照组和研究组各35例。2组均予神经根阻滞治疗,研究组再予针刺治疗配合中药汤剂治疗。观察2组治疗前后疼痛视觉模拟评分法(VAS)评分及Oswestry腰椎功能障碍指数(ODI)的变化。结果:总有效率研究组97.1%,对照组82.9%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组VAS评分、ODI均较治疗前降低(P<0.01);研究组治疗1周、治疗2周、治疗4周的VAS评分、ODI均低于对照组(P<0.01)。结论:中西医结合治疗腰椎间盘突出症疗效确切,能有效改善患者的腰椎活动功能及减轻疼痛。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of patients with lumbar disc herniation. Methods: Seventy patients with lumbar disc herniation were selected and randomly divided into control group and study group (n = 35). 2 groups were given nerve root block treatment, the study group and acupuncture treatment with Chinese medicine decoction. The changes of visual analog scale (VAS) and Oswestry lumbar dysfunction index (ODI) before and after treatment were observed in two groups. Results: The total effective rate was 97.1% in the study group and 82.9% in the control group. There was significant difference between the two groups (P <0.05). After treatment, the VAS score and ODI in both groups were significantly lower than those before treatment (P <0.01). The VAS scores and ODI in the study group were lower than those in the control group (P <0.01) after 1 week of treatment, 2 weeks of treatment and 4 weeks of treatment. Conclusion: Integrative treatment of lumbar disc herniation curative effect is exact, can effectively improve the patients lumbar activity and reduce pain.