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

【摘要】：目的:通過(guò)觀(guān)察獨(dú)活寄生湯加減聯(lián)合腰背肌功能鍛煉對(duì)腰椎減壓術(shù)術(shù)后腰痛在VAS、ODI方面與對(duì)照組之間的差異性,探討?yīng)毣罴纳鷾訙p對(duì)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(lái)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(pán)突出癥開(kāi)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(kuò)大成形術(shù)的患者。納入研究患者分為觀(guān)察組和對(duì)照組,采用視覺(jué)模擬評(píng)分系統(tǒng)評(píng)分和腰痛自我功能障礙評(píng)分系統(tǒng)進(jìn)行評(píng)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(kuò)大成形術(shù))、術(shù)前VAS及ODI的均衡性,同時(shí)評(píng)價(jià)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(guān)察時(shí)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(wú)統(tǒng)計(jì)學(xué)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(shuō)明本研究手術(shù)方案對(duì)患者腰腿疼痛的治療有確切療效;兩組在拆線(xiàn)后1個(gè)月及拆線(xiàn)后3個(gè)月兩次觀(guān)察時(shí)間的VAS及ODI方面均有明顯統(tǒng)計(jì)學(xué)意義,觀(guān)察組(?)±s明顯優(yōu)于對(duì)照組可以看出在術(shù)后拆線(xiàn)后1個(gè)月及3個(gè)月患者腰痛癥狀明顯改善及提高。結(jié)論:通過(guò)臨床研究我們觀(guān)察到手術(shù)對(duì)腰椎疾病所導(dǎo)致的腰腿痛的治療療效確切,而獨(dú)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(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R274.9

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 白秋萍;;獨(dú)活寄生湯加減治療膝關(guān)節(jié)骨性關(guān)節(jié)炎90例[J];中國(guó)民間療法;2007年05期

2 王萬(wàn)驥;王茂文;;獨(dú)活寄生湯加減治療退變性腰椎管狹窄癥55例[J];河南中醫(yī);2007年10期

3 陳廷學(xué);祝仁超;;獨(dú)活寄生湯加減治療膝關(guān)節(jié)骨性關(guān)節(jié)炎96例[J];實(shí)用中醫(yī)藥雜志;2008年02期

4 周勇軍;;獨(dú)活寄生湯加減治療原發(fā)性骨質(zhì)疏松癥40例療效觀(guān)察[J];中醫(yī)藥導(dǎo)報(bào);2009年05期

5 吳迪;崔明;陳云霞;代亞林;韓鎖柱;許麗娟;;獨(dú)活寄生湯加減治療膝關(guān)節(jié)骨性關(guān)節(jié)炎臨床研究[J];中醫(yī)藥學(xué)報(bào);2011年02期

6 高玉會(huì);;獨(dú)活寄生湯加減治療膝關(guān)節(jié)骨性關(guān)節(jié)炎臨床療效分析[J];基層醫(yī)學(xué)論壇;2013年07期

7 張杰;獨(dú)活寄生湯加減治療骨折并發(fā)腿痛80例[J];實(shí)用中醫(yī)藥雜志;2001年03期

8 周友連;;獨(dú)活寄生湯加減治療膝關(guān)節(jié)骨性關(guān)節(jié)炎116例療效觀(guān)察[J];浙江中醫(yī)雜志;2007年10期

9 賈福成;;獨(dú)活寄生湯加減治療女性絕育術(shù)后腰腹疼痛28例[J];科協(xié)論壇(下半月);2007年06期

10 高云;;獨(dú)活寄生湯加減治療膝關(guān)節(jié)骨性關(guān)節(jié)炎臨床療效分析[J];中國(guó)醫(yī)藥導(dǎo)報(bào);2010年20期

相關(guān)會(huì)議論文 前4條

1 吳國(guó)芬;黃挺;;獨(dú)活寄生湯加減內(nèi)服外洗治療膝關(guān)節(jié)骨性關(guān)節(jié)炎[A];第十六屆全國(guó)中西醫(yī)結(jié)合骨傷科學(xué)術(shù)研討會(huì)暨中西醫(yī)結(jié)合手法治療骨傷科疾病新進(jìn)展學(xué)習(xí)班論文匯編[C];2008年

2 吳國(guó)芬;黃挺;;獨(dú)活寄生湯加減內(nèi)服外洗治療膝關(guān)節(jié)骨性關(guān)節(jié)炎[A];浙江省中西醫(yī)結(jié)合學(xué)會(huì)骨傷科專(zhuān)業(yè)委員會(huì)第十二次學(xué)術(shù)年會(huì)、杭州市中醫(yī)藥協(xié)會(huì)骨傷科專(zhuān)業(yè)委員會(huì)第一次學(xué)術(shù)年會(huì)暨繼續(xù)教育學(xué)習(xí)班論文匯編[C];2006年

3 彭麗娜;李一超;蔡永燁;;獨(dú)活寄生湯加減結(jié)合小針刀治療腰三橫突綜合癥[A];浙江省中西醫(yī)結(jié)合學(xué)會(huì)骨傷科專(zhuān)業(yè)委員會(huì)第十二次學(xué)術(shù)年會(huì)、杭州市中醫(yī)藥協(xié)會(huì)骨傷科專(zhuān)業(yè)委員會(huì)第一次學(xué)術(shù)年會(huì)暨繼續(xù)教育學(xué)習(xí)班論文匯編[C];2006年

4 胡志傳;;骨盆牽引合獨(dú)活寄生湯加減治療腰椎間盤(pán)突出癥50例[A];跨世紀(jì)骨傷杰出人才科技成果薈萃[C];2004年

相關(guān)重要報(bào)紙文章 前1條

1 專(zhuān)言;奶牛風(fēng)濕病怎樣防治[N];山西科技報(bào);2004年

相關(guān)碩士學(xué)位論文 前4條

1 王禹;獨(dú)活寄生湯加減防治腰椎減壓術(shù)術(shù)后腰痛的臨床研究[D];遼寧中醫(yī)藥大學(xué);2016年

2 余俊;改良獨(dú)活寄生湯加減治療退行性腰椎管狹窄癥的臨床研究[D];湖北中醫(yī)藥大學(xué);2013年

3 解帥;補(bǔ)腎法為主綜合治療腰椎間盤(pán)突出癥手術(shù)后復(fù)發(fā)的療效觀(guān)察[D];遼寧中醫(yī)藥大學(xué);2013年

4 智猛;PKP聯(lián)合獨(dú)活寄生湯加減治療OVCF臨床療效觀(guān)察[D];遼寧中醫(yī)藥大學(xué);2014年

，

本文編號(hào)：2022900