CAJ | 학술논문

目的:推拿治疗腰痛有确切疗效,进行两种推拿手法治疗退行性腰椎滑脱症的疗效对比观察,以期探索推拿治疗腰椎滑脱症的最佳手法.方法:将121例退行性腰椎滑脱症患者,按就诊顺序及病情分级随机分为实验组和对照组.实验组61例,其中Ⅰ度34例,Ⅱ度27例;对照组60例,其中Ⅰ度34例,Ⅱ度26例.两组一般资料无显著差异.两组在进行相同软组织推拿基础上,实验组采用脊柱微调手法,对照组采用屈髋屈膝垫枕法.每星期治疗3次,10次为1个疗程.治疗1个疗程后评价疗效.结果:实验组与对照组总有效率、Ⅰ度患者愈显率均有显著差异(P＜0.01),Ⅱ度患者总有效率也存在显著差异性(P＜0.05).结论:脊柱微调手法对退行性腰椎滑脱症的疗效较好,且病情越轻,疗效越好.
목적:추나치료요통유학절료효,진행량충추나수법치료퇴행성요추활탈증적료효대비관찰,이기탐색추나치료요추활탈증적최가수법.방법:장121례퇴행성요추활탈증환자,안취진순서급병정분급수궤분위실험조화대조조.실험조61례,기중Ⅰ도34례,Ⅱ도27례;대조조60례,기중Ⅰ도34례,Ⅱ도26례.량조일반자료무현저차이.량조재진행상동연조직추나기출상,실험조채용척주미조수법,대조조채용굴관굴슬점침법.매성기치료3차,10차위1개료정.치료1개료정후평개료효.결과:실험조여대조조총유효솔、Ⅰ도환자유현솔균유현저차이(P＜0.01),Ⅱ도환자총유효솔야존재현저차이성(P＜0.05).결론:척주미조수법대퇴행성요추활탈증적료효교호,차병정월경,료효월호.
Objective:There is definite therapeutic effect in tuina treating low back pain.The comparative observation was performed on the two types of tuina manipulation for degenerative lumbar spondylolisthesis,in order to explore the best tuina manipulation for lumbar spondylolisthesis.Methods:All of 121 cases with degenerative lumbar spondylolisthesis were divided into the experimental group and control group randomly by the visit orders and pathological gradations,61 cases in the experimental group,including 34 cases of grade Ⅰ and 27 cases of grade Ⅱ,and 60 in the control group,including 34 cases of grade Ⅰ and 26 cases of grade Ⅱ.There was no significant difference in the general materials of the two groups.Based upon the similar tuina therapy applied on the soft tissues in the two groups,micro-regulating manual technique of the spine was applied in the experimental group,and the hip and knee-flexed and pillow method was applied in the control group.The treatment was given 3 sessions a week,with 10 sessions as one course of the treatments.The therapeutic effects were assessed after one course of the treatments.Results:There was significant difference (P＜0.01) in the total effective rate and in the remarkable effective rate and curative rate of the patients with grade Ⅰ between the experimental group and control group,also there was significant difference (P＜0.05) in the total effective rate of the patients with grade Ⅱ.Conclusions:The therapeutic effects by the micro-regulatory manual technique are comparatively better for degenerative lumbar spondylolisthesis,and the milder the pathological condition is,the better the therapeutic effects would be.