English
Deutsch中西医结合治疗腰椎间盘突出症100例
Traditional Chinese medicine (Acupuncture) and western medicine combined to treat 100 patients with Lumbar Intervertebral Disc Herniation and Protrusion
Dr. Xiu Wei
摘要 Abstract
腰椎间盘突出症是腰腿痛最常见的原因之一。亦属中医“痹症”范畴
Lumbar Intervertebral Disc Herniation and Protrusion is one of the most common causes of low back and lower extremities pain. L4-5, L5-S1 are the highest incidence of lumbar disc herniation and protusion, and accounted for a more than 90%. The multiple Intervertebral gap incidence, onlyabout 20%. Currently, the treatment of this disease is mainly non-surgical treatment and surgical treatment. I use traditional Chinese acupuncture(akupunktura) and acupunctural injection with medical drugs, also let the patients to do medical gymnastics etc, to treat 100 cases of lumbar disc herniation and protrusion to achieve satisfactory effect, the total effective rate of 92%. Report as following.
临床资料
本组100例中男性68例,女性32例;年龄最小者1 9岁,最大者80岁;病程最长者1 2年,最短者半个月。病史长、年龄长者多伴有椎管狭窄。超过70
Clinical data
The group of 100 patients with 68 cases of males, 32 females; the youngest patient was 19 years old, the oldest was 80 years old; The longest history was 12 years, the shortest was two weeks. Long history with old ages usually associated with spinal stenosis. Over 70% of patients who came to me already had traditional Western medical treatment from a few weeks to a few months, but had no obvious effects. Also about 10% of patients after only having acupuncture treatments, but had no significant effect who come to my office. All patients had lumbar and leg pain, many patients hadnumbness in their leg or foot, all patients were examined by CT or MRI to confirm the diagnosis.
治疗方法
Method
治疗效果
疗效评定标准:
临床治愈: 腰腿痛症状消失，腰部活动正常，直腿抬高70°以上，,能够进行
好转：腰腿痛明显减轻，腰部活动功能改善；
无效：症状、体征无改善。
治疗后随访的患者2个月-3年。 本组治愈77例,占77% ,好转15例,占15% ,无效8例,占8%。总有效率92%，一般经1.5～2个疗程即
治疗无效的病人主要原因是腰间盘突出的过大，
Result
Evaluation standard:
Excellent: low back and extremities pain disappear, the normal body activities, Lasegue sign more than 70 degree, be able to do the normal work and activities.
Better: low back and extremities pain are reduced, body activities are improved.
No effective: nearly no improvement in symptoms and signs.
Follow-up after treatment of patients 2 months to 3 years. 77 cases were cured, 77%, improved in 15 cases (15%), 8 cases (8%).Total efficiency of 92%, one of the most courses can be cured, individual 1.5-2 courses.
For the patients with no effective the main reason are the lumbar disc herniation is too large, or the older patient with long history associated with severe spinal stenosis. Except approximately 10% of patients required surgical treatment, A lof of Clinical practice and experience confirmed that, the treatment methods of using traditional Chinese medicine (acupuncture) and Western medicine achieved very good clinical results.
典型病例
男性患者，33岁，牙科医生。因左侧腰4-5间盘脱出，腰5骶1
Case report
Male patient, 33-year-old dentist. The left L 4-5 intervertebral disc herniation, L5-S1 disc protrusion(MRI confirmed), left low back and leg pain with cruris and foot numbness, traditional western medical treatment 1 and a half months, a slight effect. He still has pain only can stand a few minutes, walking few steps, unable to drive car, Of course, unable to work. Only has to lying in the bed at home. Come to my office for medical treatment. After 6-7 times treatment, the symptoms significantly reduced, he began to return to the work for a few hours a day, continue to treat 3-4 times, totally about one and half months treatment, the pain disappeared, numbness was almost disappeared, he returns to work.
讨论
腰椎间盘突出症是腰椎间盘变性，纤维环破坏，髓核突出，
腰椎间盘突出症属中医学痹证范畴，系风、寒、湿三气杂至而成。
Disscusion
Lumbar disc herniation and protrusion is intervertebral disc degeneration, the fibrous annulus destructed and the nucleus herniated or the intact fibrous annulus with nucleus protruded and oppression or stimulate the nerve root and soft tissue induced inflammation, edema, adhesions, resulting in lower back and lower extremity radiating pain or numbness. In general, about 80 – 90% of patients with satisfactory results can be treated with non-surgical treatment, only 10 -15% of patients required surgical treatment.
Lumbar disc herniation and protrusion are belong to Arthralgia areas in traditional Chinese medicine, consist of 3 chi: wind, cold and wet. Cold chi belongs to yin, wet chi is heavy and muddy viscous, easily blocked human body meridian. When these bad chi invading the human body, the good chi(energy) can not go through in the meridian, then the meridian is blocked. When the meridian is blocked, the problems appear in the body, such as pain etc.. The acupuncture(akupunktura) stimulate the stations in the meridians, to solve the block and let the chi in meridians go through, then the people is healthy.
Acupunctural(akupunkturas) injection with medical drugs can make anti-inflammatory, reduce swelling, pain, dilate blood vessels, improve microcirculation and nutrition the nerves. The acupuncture and drugs injection together can significantly enhanced treatment result, thus in a short period of time shows analgesic effect. Combined by doing medical gymnastics and other traditional Western Medicine, using these methods to achieve better results.
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中西医结合治疗膝关节骨性关节炎
Traditional Chinese medicine and western medicine combined to treat osteoarthritis (OA)of the knee
Xiu Wei
Józsefvárosi Szakorvosi Rendelőintézet, Orthopédia
骨性关节炎（Osteoarthritis，OA），俗称“骨质
