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目的:探讨在LDH(腰椎间盘突出症)行开窗髓核摘除术后,中西医结合治疗非物理性因素腰腿痛的临床疗效。方法:选取于我院行LDH开窗髓核摘除术后非物理性因素腰腿痛患者60例,随机分为对照组(30例)和观察组(30例),给予对照组患者单纯西药治疗,在对照组患者治疗基础上给予观察组患者龙马汤配合治疗,观察两组患者治疗前、后直观疼痛模拟量表(VAS)评分及症状分级量化评分系统评分,并进行对比分析。结果:两组患者VAS评分、症状分级量化评分均明显低于其治疗前相应指标,差异均在统计学上有意义(P<0.05);观察组治疗后VAS评分(1.08±0.71)与对照组治疗后VAS评分(1.15±0.54)差异不明显(P>0.05),无统计学意义;观察组症状分级量化评分(7.53±1.92)明显高于对照组(15.23±2.38),组间差异具有统计学意义(P<0.05)。结论:与单纯西药治疗非物理性腰腿痛相比,中西医结合治疗临床疗效佳,更经济、安全、有效,副作用更小,值得推广。
Objective: To investigate the clinical efficacy of combining traditional Chinese and western medicine in the treatment of non-physical factors of low back pain after LDH (lumbar disc herniation) open fenestration. Methods: Sixty patients with low back pain who were nonphysical factors after LDH fenestration in our hospital were randomly divided into control group (30 cases) and observation group (30 cases). Patients in the control group were treated with western medicine alone The patients in the control group were treated with the combination of Longma Tang and observation group. Visual acuity analog scale (VAS) score and symptom grading quantitative scoring system score were observed before and after treatment in the two groups and compared. Results: The scores of VAS score and symptom grade in both groups were significantly lower than those before treatment, the difference was statistically significant (P <0.05). The VAS score (1.08 ± 0.71) in the observation group was significantly lower than that in the control group There was no significant difference in the VAS score (1.15 ± 0.54) between the two groups (P> 0.05). The symptom score quantification score (7.53 ± 1.92) in the observation group was significantly higher than that in the control group (15.23 ± 2.38) Significance (P <0.05). Conclusion: Compared with the simple western medicine treatment of nonphysical lumbocrural pain, the combination of traditional Chinese and western medicine has a good clinical curative effect, is more economical, safe and effective with less side effects and is worth popularizing.