文档介绍:脊愈汤在腰椎间盘突出髓核摘除植骨融合术后的应用
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[摘要]目的 探讨脊愈汤在腰椎间盘突出髓核摘除植骨融合术后的临床应用价值。方法 选取2018年1月~2019年3月我院收治的80例腰椎間盘突症患者作为研究对象,按照随机数字表法将其分为观察组(40例)和对照组(40例)。对照组患者实施髓核摘除植骨融合内固定术,观察组在对照组的基础上联合使用脊愈汤治疗。随访6个月,比较两组患者下肢美国脊髓损伤学会(ASIA)评分,记录两组治疗前后生活质量(QOL)评分,观察两组的骨密度、骨降钙素及植骨融合情况。结果 治疗6个月后,观察组患者的运动与感觉功能评分均高于对照组,差异有统计学意义(P<)。治疗后,两组患者的QOL评分均高于治疗前,且观察组患者治疗后的QOL评分高于对照组,差异有统计学意义(P<)。治疗6个月后,观察组患者的骨密度值及骨降钙素水平均高于对照组,差异有统计学意义(P<)。观察组患者术后1、6个月的植骨融合比例均高于对照组,差异有统计学意义(P<)。结论 对于腰椎间盘突出症实施髓核摘除植骨融合术,术后联合脊愈汤,能有效改善下肢功能恢复,提高生活能力,促进骨质愈合。
[关键词]脊愈汤;腰椎间盘突出;髓核摘除;植骨融合;术后应用
[Abstract] Objective To explore the clinical application value of Jiyu Decoction in bone graft fusion after removal of nucleus pulposus in lumbar disc herniation. Methods A total of 80 patients with lumbar disc herniation treated in our hospital from January 2018 to March 2019 were selected as the research subjects. They were divided into observation group (40 cases) and control group (40 cases) according to the random number table method. In the control group, internal fixation of bone graft fusion and removal of nucleus pulposus was used, while in the observation group, Jiyu Decoction was added on the basis of the control group. They were followed up for 6 months. The American Spinal Injury Association (ASIA) scores of the lower limbs of the two groups were compared and the quality of life (QOL) scores before and after treatment were recorded. The bone mineral density, bone calcitonin, and bone graft fusion of the two groups were observed. Results After 6 months of treatment, the motor and sensory function scores of the observation group were higher than those of the control group, and the differences were statistically significant (P<). After treatment, the QOL scores of the two groups were higher than those before the treatment, and the QOL score of the observa