摘要
目的:研究探讨手法加牵引治疗巨大型腰椎间盘突出症的疗效。方法:随机选取2002年8月-2010年8月收入汕头市中医院的确诊为巨大型腰椎间盘突出症的30例患者作为研究对象。以推拿整脊、牵引下手法复位为主,配合功能锻炼等其他的中医疗法对患者进行治疗。记录治疗后和随访时的临床指标,并进行相关指标研究和统计学分析。结果:治疗前后VAS和JOA评分比较,差异均有统计学意义(P<0.05)。改善率为(73.26%±20.36%)、(42.38%±26.65%),与随访后值相比差异无统计学意义(P>0.05)。比较治疗前后JOA评分的总有效率可知:明显有效25例(83.33%)、有效3例(10.00%)、无效2例(6.67%),总有效率达93.33%;治疗前屈伸活动度、侧肌活动度、旋转活动度分别为(52.41°±10.14°)、(40.64°±15.53°)、(39.98°±16.26°),同治疗后(71.52°±14.45°)、(48.56°±12.23°)、(46.65°±16.58°),治疗前后比较差异有统计学意义(P<0.01),与治疗后VAS和JOA评分比较,差异均无统计学意义(P>0.05),随访时与治疗后各活动度比较,差异均无统计学意义(P>0.05)。结论:进行手法加牵引治疗巨大型腰椎间盘突出症效果显著,近期内效果稳定,应在临床推广应用。
Objective：To explore the effect of Chinese massage with elastic traction in the treatment of large lumbar disc herniation.Method：Randomly selected 30 patients diagnosed with large lumbar disc herniation were treated by Chinese massage with elastic traction.Recording and analyzing the clinical indexes to assess the therapeutic effect.Result：After treatment,VAS score and JOA score were significantly different from ones before treatment（P0.05）. Improving the overall efficacy rate by JOA designated,which markedly effective in 25 cases（83.33%）,effective accounted for 3 cases（10.00%）,ineffective in 2 cases（6.67%）,the total effective rate was 93.33%.Before treatment,the activity of the whole range of cases：flexion and extension（52.41°±10.14°）,lateral bending（40.64°±15.53°）,rotation（39.98°±16.26°）,Activity after treatment were：flexion and extension（71.52°±14.45°）,lateral bending（48.56°±12.23°）, rotation（46.65°±16.58°）,it was significantly different comparing with ones before treatment（P0.05）.Conclusion：Effect of Chinese massage with elastic traction in the treatment of large lumbar disc herniation is significant and stable.
出处
《中外医学研究》
2013年第25期5-6,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
