牵引配合中药疗法治疗腰椎间盘突出症的临床研究
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摘要
目的：腰椎间盘突出症是以腰腿痛为主要临床表现的常见疾病。现代医
学研究表明：腰椎间盘突出症引起的腰腿痛除髓核突出机械性压迫外，神经
根及其周围的炎性改变，是引起疼痛的重要原因，西医对本病的保守治疗缺
少方法，而本病的绝大多数则可经非手术疗法达到治愈或控制。因此，中医
药对本病的治疗就显得格外重要。作者正是针对这一认识，而运用牵引的物
理作用使腰椎间隙增宽，缓解神经根受压所致的疼痛；配合中药治疗，具有
抗炎、抗过敏、改善微循环、减少渗出的药理作用，从而，消除或减少神经
根周围的炎症，减少局部致痛的代谢物质对神经根的刺激，并可增强自身免
疫功能，二法合用，相得益彰，从而提高疗效。方法：采用骨盆牵引配合中
药疗法（治疗组）和单纯骨盆牵引疗法（对照组）分别临床治疗观察腰椎间
盘突出症70例和32例。结果：治疗组：痊愈21例，显效38例，好转8例，
无效3例。总有效率为95.7％，对照组：痊愈2例，显效8例，好转16例，
无效9例。总有效率为74.3％。结论：P＜0.05，两组临床疗效有显著性差异。
说明牵引配合中药疗法综合治疗腰椎间盘突出症的疗效较单纯牵引疗法疗效
佳。
另外，论文系统地回顾了腰椎间盘突出症的中西医有关文献研究，其中
包括生物学基础、病因病机、诊断、治疗等方面的认识。
Objective: Prolapse of lumbar intervertebral disc (PLID) is a common disease of which
pain in waist and legs is the main clinical manifestation. Modem medicine research declares:
The main factor to leading the pain is inflammatory change Surronding the nerves roots,
besides the mechanical pressure by the nucleus pulposus. And in western medicine ,the
conservative treatment is in short of good methods . But the majority of this affection can be
cured, or controlled , through non-operation treatment ,thus the treatment of this affection with
TCM is of extraordinary importance. According to this fact, the author selects the traction
method and wide the length between lumbar vertebral and reduce pain by pressing against the
nerves roots with physical function . On the other hand ,the chinese material medica has
anti-inflammatory, anti-seusitization, improving micro-circulation.and reducing exudation
pharmacological function. Therefore, this medicine can remove or reduce the inflammation
surrounding the nerves roots and reduce the Stimulation of the local algogenic metabolic
substance to the nerves roots, and it can also enhance autoimmune function. Two method help
each other and promote effective. Method: A clinical observation analysis of PLID treatment
between 70 cases and 32 cases with combination therapentic method of traction and chinese
materal medica (treating group)and with traction (control group). Result: Treating group:
21 cases were cured, 38cases showed considerable improvement, 8 cases improved, 3 cases
inefficacy , The tota(effective rate was 95. 7 %). In Control group: 2cases were cured, 8 cases
showed, considerable improvement, 16 cases improved, 9 cases inefficacy. The treatment
courses of two groups had noted differences (p(0.05)and it shown that the treatment of PLID
with combination therapeutic method of traction and chinese material medica were more
effectively than traction method.
On the other hand, the thesis has reviewed sy stematieally the literature of 1CM and
western medicine, including Basic biological Etiology ,Pathogenesis Diagnosis Therapy that
concerned with prolapse of lumbar intervertebral disc.
学研究表明：腰椎间盘突出症引起的腰腿痛除髓核突出机械性压迫外，神经
根及其周围的炎性改变，是引起疼痛的重要原因，西医对本病的保守治疗缺
少方法，而本病的绝大多数则可经非手术疗法达到治愈或控制。因此，中医
药对本病的治疗就显得格外重要。作者正是针对这一认识，而运用牵引的物
理作用使腰椎间隙增宽，缓解神经根受压所致的疼痛；配合中药治疗，具有
抗炎、抗过敏、改善微循环、减少渗出的药理作用，从而，消除或减少神经
根周围的炎症，减少局部致痛的代谢物质对神经根的刺激，并可增强自身免
疫功能，二法合用，相得益彰，从而提高疗效。方法：采用骨盆牵引配合中
药疗法（治疗组）和单纯骨盆牵引疗法（对照组）分别临床治疗观察腰椎间
盘突出症70例和32例。结果：治疗组：痊愈21例，显效38例，好转8例，
无效3例。总有效率为95.7％，对照组：痊愈2例，显效8例，好转16例，
无效9例。总有效率为74.3％。结论：P＜0.05，两组临床疗效有显著性差异。
说明牵引配合中药疗法综合治疗腰椎间盘突出症的疗效较单纯牵引疗法疗效
佳。
另外，论文系统地回顾了腰椎间盘突出症的中西医有关文献研究，其中
包括生物学基础、病因病机、诊断、治疗等方面的认识。
Objective: Prolapse of lumbar intervertebral disc (PLID) is a common disease of which
pain in waist and legs is the main clinical manifestation. Modem medicine research declares:
The main factor to leading the pain is inflammatory change Surronding the nerves roots,
besides the mechanical pressure by the nucleus pulposus. And in western medicine ,the
conservative treatment is in short of good methods . But the majority of this affection can be
cured, or controlled , through non-operation treatment ,thus the treatment of this affection with
TCM is of extraordinary importance. According to this fact, the author selects the traction
method and wide the length between lumbar vertebral and reduce pain by pressing against the
nerves roots with physical function . On the other hand ,the chinese material medica has
anti-inflammatory, anti-seusitization, improving micro-circulation.and reducing exudation
pharmacological function. Therefore, this medicine can remove or reduce the inflammation
surrounding the nerves roots and reduce the Stimulation of the local algogenic metabolic
substance to the nerves roots, and it can also enhance autoimmune function. Two method help
each other and promote effective. Method: A clinical observation analysis of PLID treatment
between 70 cases and 32 cases with combination therapentic method of traction and chinese
materal medica (treating group)and with traction (control group). Result: Treating group:
21 cases were cured, 38cases showed considerable improvement, 8 cases improved, 3 cases
inefficacy , The tota(effective rate was 95. 7 %). In Control group: 2cases were cured, 8 cases
showed, considerable improvement, 16 cases improved, 9 cases inefficacy. The treatment
courses of two groups had noted differences (p(0.05)and it shown that the treatment of PLID
with combination therapeutic method of traction and chinese material medica were more
effectively than traction method.
On the other hand, the thesis has reviewed sy stematieally the literature of 1CM and
western medicine, including Basic biological Etiology ,Pathogenesis Diagnosis Therapy that
concerned with prolapse of lumbar intervertebral disc.
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120、叶希肾 腰椎间盘纤维环破裂症治疗方法的商榷，天津医药骨科附刊 1962；(2)：30
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