CAJ | 학술논문

　　目的观察下肢神经松动术对腰椎间盘突出症坐骨神经痛的疗效。方法46例腰椎间盘突出症患者分为治疗组和对照组各23例。对照组采用常规康复治疗手法，治疗组在此基础上增加下肢神经松动术，1次/d，共1个月。于治疗前、后评价患者坐骨神经痛的视觉模拟评分(VAS)和日本骨科学会下腰痛评分(JOA)。结果治疗前两组VAS评分和JOA评分无显著性差异(P>0.05)。治疗后，治疗组VAS评分显著低于对照组(P<0.001)，治疗组JOA评分显著高于对照组(P<0.001)。结论神经松动术对于改善腰椎间盘突出患者的坐骨神经痛有着明显的疗效。
　　목적관찰하지신경송동술대요추간반돌출증좌골신경통적료효。방법46례요추간반돌출증환자분위치료조화대조조각23례。대조조채용상규강복치료수법，치료조재차기출상증가하지신경송동술，1차/d，공1개월。우치료전、후평개환자좌골신경통적시각모의평분(VAS)화일본골과학회하요통평분(JOA)。결과치료전량조VAS평분화JOA평분무현저성차이(P>0.05)。치료후，치료조VAS평분현저저우대조조(P<0.001)，치료조JOA평분현저고우대조조(P<0.001)。결론신경송동술대우개선요추간반돌출환자적좌골신경통유착명현적료효。
Objective To explore the effect of nerve mobilization on sciatica in patients with lumbar disc herniation. Methods 46 pa-tients with lumbar disc herniation were divided into treatment group (n=23) and control group (n=23). The control group received conven-tional rehabilitation treatment, the treatment group received nerve mobilization everyday in addition for 1 month. The score of Visual Ana-logue Scale (VAS) and Japanese Orthopaedic Association score (JOA score) were observed before and after treatment. Results There was no significant difference in the score of VAS and JOA between 2 groups before treatment (P>0.05). The score of VAS was significantly lower (P<0.001), and the JOA score was significantly higher (P<0.001) in the treatment group than in the control group after treatment. Conclu-sion The nerve mobilization is effective on sciatica in patients with lumbar disc herniation.