本文選題：腰椎術(shù)后綜合征 + 獨(dú)活寄生湯��； 參考：《福建中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察獨(dú)活寄生湯結(jié)合腰背肌功能鍛煉對(duì)腰椎術(shù)后綜合征的療效,為腰椎術(shù)后綜合征的治療提供參考。方法:自2015年3月至2016年6月門診連續(xù)收集60例診斷明確的腰椎后綜合征患者,根據(jù)順序隨機(jī)分A組(對(duì)照組)和B組(試驗(yàn)組)各30例,其中A組常規(guī)治療聯(lián)合腰背肌功能鍛煉治療,B組在此基礎(chǔ)上口服獨(dú)活寄生湯。4周一個(gè)療程,共2個(gè)療程,記錄并分析兩組患者治療前、治療后、治療后3個(gè)月及治療后6個(gè)月時(shí)的VAS評(píng)分、JOA評(píng)分變化情況。治療前及治療后6個(gè)Roland-Morrise評(píng)分的變化情況。結(jié)果:60例病例均獲得隨訪7～15個(gè)月,平均隨訪11.2個(gè)月;所有符合標(biāo)準(zhǔn)患者術(shù)前病程、年齡、性別等基本資料無(wú)明顯統(tǒng)計(jì)學(xué)差異,VAS評(píng)分結(jié)果示,B組在治療后、治療后3個(gè)月及治療后6個(gè)月時(shí)的VAS評(píng)分(4.87 ± 1.63,3.60 ±1.33,2.07 ±1.05)均顯著低于A組(5.87 ± 1.50,4.97±1.62,3.10±1.21),兩組在治療后、治療后3個(gè)月及治療后6個(gè)月時(shí)隨訪的VAS評(píng)分有統(tǒng)計(jì)學(xué)差異(P0.05);JOA評(píng)分結(jié)果示,B組在治療后、治療后3個(gè)月及治療后6個(gè)月時(shí)的JOA評(píng)分(19.90± 1.42,24.77± 1.65,25.40± 1.25)均顯著高于 A 組(19.00±1.66、22.23± 1.70、23.77± 1.25),兩組在治療后、治療后3個(gè)月及治療后6個(gè)月時(shí)隨訪的JOA評(píng)分有統(tǒng)計(jì)學(xué)差異(P0.05);Roland-Morrise評(píng)分結(jié)果示,B組在治療后6個(gè)月時(shí)的Roland-Morrise評(píng)分均顯著低于A組,兩組在治療后6個(gè)月時(shí)隨訪的Roland-Morrise評(píng)分有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:1、獨(dú)活寄生湯結(jié)合腰背肌功能鍛煉治療腰椎術(shù)后綜合征可有效改善術(shù)后的腰痛癥狀;2、獨(dú)活寄生湯結(jié)合腰背肌功能鍛煉改善患者腰椎活動(dòng)功能;3、獨(dú)活寄生湯結(jié)合腰背肌功能鍛煉能夠提高患者術(shù)后生活質(zhì)量。
[Abstract]:Objective: to observe the effect of Duhuzheng decoction combined with lumbar dorsalis muscle exercise on lumbar postoperative syndrome and provide reference for the treatment of lumbar postoperative syndrome. Methods: from March 2015 to June 2016, 60 consecutive patients with LRS were randomly divided into two groups: group A (control group) and group B (trial group). Group A was treated by routine therapy combined with psoas and dorsalis muscle function exercise. Group B took oral Duhuozhongtang for a course of 4 weeks for 2 courses on this basis, recorded and analyzed the two groups of patients before and after treatment. The changes of VAS scores were observed 3 months after treatment and 6 months after treatment. Changes of 6 Roland-Morrise scores before and after treatment. Results all the 60 cases were followed up for 7 ~ 15 months with an average of 11.2 months. There was no significant difference in the course of disease, age, sex and other basic data of all the patients who met the criteria before operation. The VAS scores showed that the patients in group B were treated with VAS. The VAS scores of 3 months after treatment and 6 months after treatment were significantly lower than those in group A (4.87 鹵1.63 鹵3.60 鹵1.33 鹵2.07 鹵1.05), which were significantly lower than those in group A (5.87 鹵1.50 鹵1.62 鹵3.10 鹵1.21). There were significant differences in VAS scores between 3 months after treatment and 6 months after treatment. The JOA scores of 3 months after treatment and 6 months after treatment were significantly higher than those in group A (19.90 鹵1.42n 24.77 鹵1.65v 25.40 鹵1.25), which were significantly higher than those in group A (19.00 鹵1.66n 22.23 鹵1.702.77 鹵1.25g). There were significant differences in JOA scores between the two groups at 3 months after treatment and 6 months after treatment. The results showed that the Roland-Morrise scores of group B were significantly lower than those of group A at 6 months after treatment, and the Roland-Morrise scores of group B were significantly lower than those of group A at 6 months after treatment (P 0.05). ConclusionTwo one, Duhuzheng decoction combined with lumbar dorsal muscle function exercise can effectively improve the symptoms of lumbar pain after lumbar surgery, Duhuzheng decoction combined with lumbar dorsal muscle function exercise to improve the lumbar motor function of patients, Duhuzhongtang knot. The functional exercise of psoas dorsalis muscle can improve the quality of life after operation.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R274.9

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