段勇明 李路明

【摘要】目的 探讨分析中西医结合治疗腰椎间盘突出症的临床效果。方法 选取我院2015年1月～2017年6月疼痛康复科收治的腰椎间盘突出症患者140例作为研究对象，分为观察组和对照组，两组患者均接受常规西药治疗，观察组在此基础上加用推拿按摩和身痛逐淤汤加减治疗，分析比较两组患者的临床疗效。结果 观察组治愈19例，显效33例，有效12例，总有效率为91.43%；对照组治愈9例，显效25例，有效25例，总有效率为84.29%；观察组患者的总有效率显著高于对照组，且差异明显；差异有统计学意义（P<0.05）。结论 中西医结合治疗腰椎间盘突出症的临床效果显著，可明显改善患者的腰椎功能，值得临床推广应用。

【关键词】中西医结合；腰椎间盘突出症；临床效果

【中图分类号】R68 【文献标识码】A 【文章编号】ISSN.2095-6681.2017.36..02

【Abstract】Objective To investigate the analysis of combining traditional Chinese and western medicine treatment of the clinical effect of lumbar disc prolapse.Methods Our hospital pain rehabilitation branch treated patients，140 cases of lumbar intervertebral disc protrusion as the research object，is divided into observation group and control group，two groups of patients were treated with routine western medicine，the observation group based on the massage with massage and body pain by silt tonga subtraction treatment，compared the clinical efficacy of two groups of patients.Results 19 cases cured，observing group，33 cases had marked effect，12 cases were effectively，the total effective rate was 91.43%；Control group cure 9 cases，25 cases had marked effect，25 effective，the total effective rate was 84.29%；Observation group of patients with total effective rate significantly higher than that of control group， and significant difference （P<0.05）.Conclusion The clinical effect of combining traditional Chinese and western medicine treatment of lumbar intervertebral disc protrusion，can obviously improve the function of patients with lumbar spine，worthy of clinical popularization and application.

【Key words】Combine traditional Chinese and western medicine.Lumbar disc disease；Clinical effect

腰椎間盘突出症是骨科临床上最为常见的骨关节病，同时也是脊柱外科中发病率最高的一类疾病[1]。腰椎间盘突出症的发病机制主要在于[2]椎间盘变形，或由于受到外力的作用，导致纤维环破裂，髓核突出压迫或刺激马尾神经、神经根等。该病主要临床表现为[3]腰腿疼痛、腰部活动障碍、麻木，部分患者伴有下肢放射性疼痛，在很大程度上影响了人们的正常生活和工作。目前，腰椎间盘突出症的临床治疗主要以外科手术和保守治疗为主，随着近年来中西医结合技术的不断应用，其在腰椎间盘突出症的治疗中也取得了一定临床疗效，本文将对此进行探讨分析，旨在为临床应用提供参考。现报告如下。

1 资料与方法

1.1 一般资料

选取我院2015年1月～2017年6月疼痛康复科收治的腰椎间盘突出症患者140例作为研究对象，其中，男89例，女51例，年龄25～64岁，平均（45.8±5.2）岁；……