本文選題：腰椎術(shù)后 + 腰痛��； 參考：《遼寧中醫(yī)藥大學》2016年碩士論文

【摘要】：目的:通過觀察獨活寄生湯加減聯(lián)合腰背肌功能鍛煉對腰椎減壓術(shù)術(shù)后腰痛在VAS、ODI方面與對照組之間的差異性,探討獨活寄生湯加減對腰椎減壓術(shù)術(shù)后腰痛的防治作用。研究方法:臨床資料來源于2013年5月至2016年1月在我院骨一科住院并行腰椎間盤突出癥開窗式髓核摘除術(shù)或腰椎管狹窄癥椎板切除(或合并髓核摘除)椎管擴大成形術(shù)的患者。納入研究患者分為觀察組和對照組,采用視覺模擬評分系統(tǒng)評分和腰痛自我功能障礙評分系統(tǒng)進行評分,并分析兩組在性別、年齡、位置(單側(cè)或雙側(cè))、節(jié)段、術(shù)式(是否行椎管擴大成形術(shù))、術(shù)前VAS及ODI的均衡性,同時評價所有患者手術(shù)治療的有效性。最終確定可比性,比較兩組術(shù)后各觀察時間在VAS及ODI方面的組間差異。結(jié)果:在影響因素均衡性方面,兩組間均無統(tǒng)計學差異,兩組具有可比性;所有患者術(shù)前VAS及術(shù)后2周VAS之間有顯著性差異,說明本研究手術(shù)方案對患者腰腿疼痛的治療有確切療效;兩組在拆線后1個月及拆線后3個月兩次觀察時間的VAS及ODI方面均有明顯統(tǒng)計學意義,觀察組(?)±s明顯優(yōu)于對照組可以看出在術(shù)后拆線后1個月及3個月患者腰痛癥狀明顯改善及提高。結(jié)論:通過臨床研究我們觀察到手術(shù)對腰椎疾病所導致的腰腿痛的治療療效確切,而獨活寄生湯加減能明顯改善腰椎減壓術(shù)術(shù)后患者殘留或繼發(fā)腰痛癥狀,且顯著提高腰椎手術(shù)的療效。
[Abstract]:Objective: to investigate the effect of Duhuzheng decoction (DWJD) combined with lumbar dorsalis muscle function exercise on the prevention and treatment of low back pain after lumbar decompression in patients with low back pain after lumbar decompression. Methods: from May 2013 to January 2016, patients with lumbar disc herniation underwent fenestration of nucleus pulposus or laminectomy of lumbar spinal stenosis (or combined with excision of nucleus pulposus) in our hospital from May 2013 to January 2016. The subjects were divided into two groups: the observation group and the control group. The patients were assessed by visual analogue scoring system and low back pain self-dysfunction score system, and the gender, age, location (unilateral or bilateral, segmental) of the two groups were analyzed. Surgical procedures (whether or not to perform enlarged laminoplasty, preoperative VAS and ODI balance, and evaluate the effectiveness of surgical treatment in all patients. The comparison was made between the two groups in VAS and ODI. Results: there was no statistical difference between the two groups in the balance of influencing factors, and there was significant difference between the two groups in VAS before operation and 2 weeks after operation. The results showed that the treatment of lumbar and leg pain was effective and the VAS and ODI of the two groups were significantly higher than that of the control group in 1 month and 3 months after the removal of thread, and there was a significant difference in VAS and ODI between the two groups. ) 鹵s in the observation group was significantly better than that in the control group. It was found that the symptoms of low back pain in the observation group were significantly improved at 1 month and 3 months after the removal of the thread. Conclusion: through clinical study, we observed that the operation is effective in the treatment of lumbago and leg pain caused by lumbar vertebrae disease, but Duhuzhongtang can obviously improve the residual or secondary low back pain symptoms after lumbar decompression. The curative effect of lumbar vertebra operation was improved significantly.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R274.9

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