李音飞

【摘 要】 目的：观察腰椎间盘突出症术后采用补肾活血方辅助治疗的效果。方法：选择78例腰椎间盘突出症患者的临床资料进行分析。根据治疗方法不同分为对照组和观察组。对照组术后给予常规康复训练;观察组在对照组基础上给予补肾活血方辅助治疗。比较两组治疗前后的腰椎功能、疼痛程度、生活质量及治疗效果。结果：观察组治疗后的JOA评分低于对照组（P<0.05）。观察组的治疗效果优于对照组（P<0.05）。观察组治疗后的SF-3评分优于对照组，其VAS评分低于对照组（P<0.05）。结论：腰椎间盘突出症术后采用补肾活血方辅助治疗的效果较好，值得临床推广。

【关键词】 腰椎间盘突出症;补肾活血方;腰椎功能;疼痛程度;生活质量

【中图分类号】R681.5+3   【文献标志码】 A    【文章编号】1007-8517（2021）12-0104-03

Abstract：Objective Analyze the effect of supplementary treatment with Bushen Huoxue Decoction for lumbar disc herniation after operation. Methods The clinical data of 78 patients with lumbar disc herniation admitted to our hospital were selected for analysis. According to the treatment method，they are divided into observation group and control group. The control group was given routine rehabilitation training after operation，and the observation group was given supplementary treatment with Bushen Huoxue Decoction on this basis. The lumbar spine function，pain degree，quality of life and treatment effect were compared between the two groups before and after treatment.Results The JOA score of the observation group after treatment was lower than that of the control group （P<0.05）. The treatment effect of the observation group was higher than that of the control group （P<0.05）. The SF-3 score of the observation group after treatment was higher than that of the control group，and its VAS score was lower than that of the control group（P<0.05）.Conclusion The effect of supplementary treatment of lumbar intervertebral disc herniation with Bushen Huoxue Decoction is ideal and worthy of promotion.

Keywords：Lumbar Disc Herniation; Bushen Huoxue Prescription;Lumbar Function; Pain Degree; Quality of Life

腰椎間盘突出症是指因各种因素导致腰椎间盘向后突出，压迫神经根，进而出现为腰背疼痛、坐骨神经痛等临床表现，发病初期，经手术或非手术手段治疗后，症状可治愈或缓解[1]。手术适用于病史超过3个月，经严格保守治疗无效或首次发作疼痛剧烈影响日常行动者。可减轻神经根压迫，松解神经和组织黏连。但术后仍有少部分患者存在腰痛、日常活动受限等情况，预后较差[2]。因此，笔者分析腰椎间盘突出症术后采用补肾活血方辅助治疗的效果，现报道如下。

1 资料与方法

1.1 一般资料 选择我院2018年1月至2019年11月收治的78例腰椎间盘突出症患者的临床资料进行分析。根据治疗方法不同，分为对照组和观察组，每组39例。对照组：男21例，女18例，年龄42～63岁，平均（50.33±4.89）岁。病程0.7～8年，平均（3.46±0.87）年;观察组：男22例，女17例，年龄43～68岁，平均（50.75±4.62）岁。病程0.8～9年，平均（3.77±0.59）年。两组一般资料对比，差异无统计学意义（P>0.05）。

1.2 诊断标准[3] 腰痛和坐骨神经痛、马尾综合征、麻木，腹股沟区或大腿内侧痛、尾骨疼痛等;CT检查：椎间盘后缘变形突出、硬脊膜囊受压变形、硬膜外脂肪移位、硬膜外间隙中软组织密度影及神经根鞘受压移位等。