山东中医药大学学报
山東中醫藥大學學報
산동중의약대학학보
JOURNAL OF SHANDONG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2000年
6期
425-427
,共3页
余润明%陶文%孙安达%李业甫
餘潤明%陶文%孫安達%李業甫
여윤명%도문%손안체%리업보
中央型腰椎间盘突出症%牵引%推拿
中央型腰椎間盤突齣癥%牽引%推拿
중앙형요추간반돌출증%견인%추나
Central intervertebral lumbar disc herniation%traction%massage
通过对56例中央型腰椎间盘突出症62个椎间盘治疗前后的大小、形态量化的分析,认为牵引推拿复位术的作用机制是通过椎间盘的还纳和椎间盘的变形,改变了神经根与突出物的位置关系,松解粘连,解除压迫。对回纳变形机制进行了分析,认为要使椎间盘回纳,突出的髓核必须具有一定流动性,再借助完整的纤维和后纵韧带的张力及手法的压力,共同协调作用,方能实现。
通過對56例中央型腰椎間盤突齣癥62箇椎間盤治療前後的大小、形態量化的分析,認為牽引推拿複位術的作用機製是通過椎間盤的還納和椎間盤的變形,改變瞭神經根與突齣物的位置關繫,鬆解粘連,解除壓迫。對迴納變形機製進行瞭分析,認為要使椎間盤迴納,突齣的髓覈必鬚具有一定流動性,再藉助完整的纖維和後縱韌帶的張力及手法的壓力,共同協調作用,方能實現。
통과대56례중앙형요추간반돌출증62개추간반치료전후적대소、형태양화적분석,인위견인추나복위술적작용궤제시통과추간반적환납화추간반적변형,개변료신경근여돌출물적위치관계,송해점련,해제압박。대회납변형궤제진행료분석,인위요사추간반회납,돌출적수핵필수구유일정류동성,재차조완정적섬유화후종인대적장력급수법적압력,공동협조작용,방능실현。
Professor LI Ye-fu originated the by traction and massage to treat intervertebral lumbar disc herni-ation. Analyzing the size ,shape and quantity of 62 case of intervertebral disc before and after treatment with centralintervertebral lumbar disc herniation of 56 patients. Conclusion :The effect mechanism of reduction by traction andmassage is that the replacement of intervertebral disc changes the position of nerve root and protrusion,relaxes theadherence and reduces the pressure. The mechanism of reduction is that some fluidity of the protrusive nucleus ofspinal cord, the tension of the integral annuli fibrosus and back ligament and the pressure of manipulation mustwork together.