活血接骨止痛膏联合萘丁美酮治疗腰椎间盘突出症临床观察.docVIP

活血接骨止痛膏联合萘丁美酮治疗腰椎间盘突出症临床观察 　　【摘 要】目的：观察平乐正骨传统膏药活血接骨止痛膏联合萘丁美酮治疗腰椎间盘突出症的临床疗效。方法：将100例腰椎间盘突出症患者随机分为治疗组和对照组，每组50例。对照组给予核心肌力训练及萘丁美酮胶囊口服治疗，治疗组在对照组治疗的基础上联合活血接骨止痛膏外敷。7 d为1个疗程，共3个疗程。治疗前后采用JOA下腰痛评分（JOA评分）、Oswestry腰背部功能障碍指数（ODI指数）进行评定，并比较两组临床疗效。结果：治疗组完成治疗41例，优5例，良23例，可8例，差5例，优良率为68.29%；对照组完成治疗42例，优2例，良15例，可11例，差14例，优良率为40.48%。两组比较，差异有统计学意义（P 0.05）。治疗后，两组JOA评分、ODI指数较治疗前均有明显改善（P 0.05）；且治疗组优于对照组（P 0.05）。结论：腰背肌肌力训练联合口服萘丁美酮胶囊对腰椎间盘突出症有一定疗效，辅以活血接骨止痛膏效果更加显著，活血接骨止痛膏外敷是腰椎间盘突出症保守治疗的有效辅助疗法。 　　【关键词】 腰椎间盘突出症；萘丁美酮；活血接骨止痛膏；腰背肌功能锻炼 　　doi：10.3969/j.issn.2095-4174.2015.12.004 　　【ABSTRACT】 Objective：To observe the clinical efficacy of Huoxue Jiegu Zhitong Gao （活血接骨止痛膏） combined with nabumetone in the treatment of lumbar disc herniation.Methods：One hundred cases of lumbar disc herniation were randomly divided into a treatment group and a control group，50 cases in each.The control group was given the core strength training and nabumetone capsule，while the treatment group was given external application of Huoxue Jiegu Zhitong Gao based on the treatment of the control group，7 days for 1 course and 　　3 courses altogether.Before and after the treatment，both groups were evaluated with JOA low back pain curative effect evaluation （JOA score） and Oswestry lumbar dysfunction index（ODI） and their clinical curative effects were compared.Results：In the treatment group，41 cases finished their treatment，among which 5 cases were excellent，23 cases were better，8 cases were good，and 5 cases were not good，the fineness rate being 68.29%；while in the control group，42 cases finished their treatment among which 2 cases were excellent，15 cases were better， 　　11 cases were good，and 14 cases were not good，the fineness rate being 40.48%.The difference between the two groups was statistically significant （P 0.05）.After treatment，the JOA score and ODI of the two groups were significantly improved compared with those before treatment （P 0.05），and the treatment group was better than the control group （P 0.05）.C