摘要
目的观察宫廷正骨手法治疗腰椎间盘突出症急性期的临床疗效。方法将90例腰椎间盘突出症急性期患者按随机数字表法分为2组,对照组45例予腰椎牵引治疗,治疗组45例予宫廷正骨手法治疗。2组患者均治疗2周后统计疗效,比较2组治疗前、治疗1 d后及治疗2周后腰部疼痛视觉模拟评分(VAS)及日本骨科协会(JOA)下腰痛评分,生活质量采用简明健康状况调查表(SF-36)评分,比较2组治疗前及治疗2周后责任神经根根袖直径及直腿抬高试验角度变化情况。结果治疗组总有效率93.3%(42/45),对照组总有效率77.8%(35/45),治疗组疗效优于对照组。治疗组治疗1 d后及治疗2周后与本组治疗前比较疼痛VAS均明显降低(P<0.05),JOA下腰痛评分及SF-36评分均明显升高(P<0.05),对照组治疗2周后疼痛VAS、JOA下腰痛评分及SF-36评分与本组治疗前比较差异有统计学意义(P<0.05),且治疗组治疗1 d后及治疗2周后疼痛VAS、JOA下腰痛评分及SF-36评分改善均优于对照组(P<0.05)。2组治疗2周后与本组治疗前比较责任神经根根袖直径均明显变小(P<0.05),直腿抬高试验角度均明显变大(P<0.05),且治疗组治疗2周后责任神经根根袖直径及直腿抬高试验角度改善均优于对照组(P<0.05)。结论宫廷正骨手法治疗腰椎间盘突出症急性期疗效确切,可明显缓解患者疼痛症状,改善腰椎功能,提高生活质量,促进病情恢复,提高临床疗效,且见效快,操作简单方便。
Objective To observe the effect of palace bone setting manipulation in the treatment of acute lumbar disc herniation.Methods 90 patients with acute lumbar disc herniation were randomly divided into two groups according to the random number table method.45 cases in the control group were treated by lumbar traction.45 cases in the treatment group were treated by court bone setting manipulation.After 2 weeks of treatment,the curative effect was statistically analyzed in both groups.The visual analogue scale(VAS)and Japanese Orthopaedic Association(JOA)low back pain score were compared before treatment,1 day after treatment and 2 weeks after treatment.The quality of life was evaluated by brief health status questionnaire(SF-36).The changes of responsible nerve root sleeve diameter and straight leg elevation test angle were compared between the two groups before and 2 weeks after treatment.Results The total effective rate of the treatment group was 93.3%(42/45),and that of the control group was 77.8%(35/45).The clinical curative effect of the treatment group was better than that of the control group(P<0.05).After 1 day and 2 weeks of treatment,the VAS of pain in the treatment group was significantly lower than that before treatment(P<0.05),JOA low back pain score and SF-36 score were significantly increased(P<0.05).The VAS,JOA low back pain score and SF-36 score of the control group after 2 weeks of treatment were significantly different from those before treatment(P<0.05),and the improvement of pain VAS,JOA low back pain score and SF-36 score in the treatment group were better than those in the control group after 1 day and 2 weeks of treatment(P<0.05).After 2 weeks of treatment,the diameter of the root sleeve of the responsible nerve in both groups was significantly smaller than that before treatment(P<0.05),and the angle of straight leg elevation test was significantly larger(P<0.05).After 2 weeks of treatment,the diameter of responsible nerve root sleeve and the angle of straight leg elevation test in the treatmen
作者
赵环宇
王倩倩
甄朋超
戚晴雪
胡勇文
周乔
王磊
ZHAO Huanyu;WANG Qianqian;ZHEN Pengchao(Department of Orthopedics,Huguosi Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Traditional Chinese Medicine,Beijing 100035)
出处
《河北中医》
2020年第7期1065-1069,共5页
Hebei Journal of Traditional Chinese Medicine
基金
北京市科学技术委员会-首都临床特色应用研究与成果推广项目(编号:Z161100000516123)。
关键词
椎间盘移位
腰椎
推拿
正骨手法
Intervertebral disc displacement
Lumbar spine
Massage
Bone setting manipulation
