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目的探讨中西医结合保守治疗腰椎间盘突出症的疗效。方法主要通过从2005年6月-2010年6月治疗的腰椎间盘突出症患者中随机抽取500例,采用活血化淤、消炎止痛、营养神经、脱水减轻水肿等药品治疗;采用多功能、微波或超短波、频谱等治疗仪对突出的椎间盘周围进行热疗、磁疗等治疗;采用三维多功能牵引床对脊柱进行牵引治疗;采用多种中草药对突出的椎间盘周围进行熏蒸疗法;采用推拿疗法;采用针刀、针灸、拔火罐以及封闭等中西结合的各种保守治疗方法,各种治疗方法在不同时期相互配合应用。并对治疗患者随访6～12个月时间以观疗效。结果治愈462例(占92.4%);有效20例(占4%);好转13例(占2.6%);无效5例(占1%);总有效率占96.4%。通过6～12个月对治疗有效患者的随访,复发患者18例,复发率约占3.7%。结论采用中西医结合保守治疗腰椎间盘突出症,微创伤,弥补采用单一保守治疗方法的缺陷,相互补充不足,疗效显著,且大大降低患者的经济负担。
Objective To investigate the curative effect of conservative treatment of lumbar disc herniation by integrated traditional Chinese and western medicine. Methods: The patients were randomly selected from 500 patients with lumbar disc herniation treated from June 2005 to June 2010 with drugs such as blood stasis, anti-inflammatory and analgesic, nutritional nerves and dehydration to reduce edema; Ultra-shortwave, spectrum and other treatment of the prominent disc around the hyperthermia, magnetic therapy and other treatment; the use of three-dimensional multi-function traction bed traction treatment of the spine; using a variety of herbs on the prominent disc around the fumigation therapy; the use of massage therapy; Acupuncture, acupuncture, cupping, and closed with a variety of conservative treatment of traditional Chinese and Western methods, a variety of treatments at different times with each other. And the treatment of patients followed up 6 to 12 months to observe the effect. Results 462 cases were cured (92.4%), 20 cases were effective (4%), 13 cases were improved (2.6%), 5 cases were ineffective (1%), and the total effective rate was 96.4%. After 6 to 12 months on the treatment of patients with effective follow-up, 18 patients relapsed, the recurrence rate of about 3.7%. Conclusion The conservative treatment of lumbar disc herniation with traditional Chinese and Western medicine, minimally invasive, make up for the use of a single conservative treatment of defects, lack of complementarity, the effect is significant, and greatly reduce the financial burden on patients.