中医“治未病”思想在腰椎病后期康复治疗中的应用

The Application of the Idea of “Curing the Disease” in the Rehabilitation Treatment of Lumbar Disease

摘要: 分析腰椎病后期康复治疗期间中医“治未病”思想的临床指导意义。方法：纳入174例于2020年1月到2021年6月来门诊就诊的腰椎患者进行对照研究，采用随机数表法将患者分入Y组和C组。采用中医综合疗法为两组施治，待患者病情改善后，C组延用综合疗法，Y组以中医“治未病”为中医康复疗法的指导理念，统计两组整体治疗效果、中医症状积分及随访半年期内疾病复发情况。结果：Y组治疗有效者合计82例(94.25%)，C组治疗有效者合计69例(79.31%)，Y组整体治疗效果明显优于C组(P < 0.05)；随访期间，Y组疾病复发者合计6例(6.89%)，C组疾病复发者合计18例(20.69%)，Y组疾病复发率明显低于C组(P < 0.05)。Y组患者治疗前后中医症状积分改善幅度明显高于C组(P < 0.05)。结论：中医“治未病”理念指导下的中医康复疗法有利于强化腰椎病康复治疗效果，减少疾病的复发，对改善患者预后和生存质量意义重大，值得借鉴。

Abstract: Objective: To analyze the clinical significance of the thought of “curing the disease” in TCM during the rehabilitation of lumbar disease. Methods: 174 lumbar spine patients who visited the outpatient department between January 2020 and June 2021 were enrolled in a controlled study. The patients were divided into Y group and C group using an odd-even random number table. The two groups were treated with comprehensive TCM therapy. After the patients’ condition improved, the C group was continued with comprehensive therapy, and the Y group took TCM “cure without disease” as the guiding concept of TCM rehabilitation therapy. The overall therapeutic effect, TCM symptom score and disease recurrence in the follow-up period of six months were counted in the two groups. Results: A total of 82 cases (94.25%) were effective in Y group and 70 cases (80.46%) were effective in C group. The overall therapeutic effect of Y group was significantly better than that of C group (P < 0.05). During the follow-up period, there were 6 (6.89%) patients in group Y with disease recurrence, and 18 (20.69%) patients in group C with disease recurrence. The disease recurrence rate in group Y was significantly lower than that in group C (P < 0.05). The improvement of TCM symptom score before and after treatment in group Y was significantly higher than that in group C (P < 0.05). Conclusion: TCM rehabilitation therapy under the guidance of the concept of “curing the disease” is beneficial to enhance the effect of rehabilitation treatment of lumbar disease, reduce the recurrence of the disease, and is of great significance to improve the prognosis and quality of life of patients, which is worthy of reference.