CAJ | 학술논문

目的观察中药离子导入配合定点旋转手法治疗腰椎间盘突出症(lumber disc herniation,LDH)的临床疗效.方法选择2011年7月至2012年7月首都医科大学电力教学医院中医骨伤科明确诊断LDH患者84例,按按随机数字表法将患者随机分为两组各42例.对照组给予腰椎定点旋转手法治疗,治疗组在对照组治疗基础上配合中药离子导入辅助治疗.两组患者分别于治疗前和治疗后3周采用目测类比评分法(VAS)及Macnab标准进行疗效评定.结果治疗组有效率为88.1％ (37/42),对照组为66.7％ (28/42),两组有效率比较差异有统计学意义(x2=5.51,P＜ 0.05).治疗组治疗前后VAS评分分别为[(7.31±1.39)分、(2.41±1.62)分],对照组分别为[(7.19±1.38)分、(3.07±1.28)分],两组治疗后VAS评分均优于同组治疗前(P＜0.01),且治疗组疗效优于对照组(P＜0.05).结论中药离子导入配合定点旋转手法治疗LDH有效.
목적 관찰중약리자도입배합정점선전수법치료요추간반돌출증(lumber disc herniation,LDH)적림상료효.방법 선택2011년7월지2012년7월수도의과대학전력교학의원중의골상과명학진단LDH환자84례,안안수궤수자표법장환자수궤분위량조각42례.대조조급여요추정점선전수법치료,치료조재대조조치료기출상배합중약리자도입보조치료.량조환자분별우치료전화치료후3주채용목측류비평분법(VAS)급Macnab표준진행료효평정.결과 치료조유효솔위88.1％ (37/42),대조조위66.7％ (28/42),량조유효솔비교차이유통계학의의(x2=5.51,P＜ 0.05).치료조치료전후VAS평분분별위[(7.31±1.39)분、(2.41±1.62)분],대조조분별위[(7.19±1.38)분、(3.07±1.28)분],량조치료후VAS평분균우우동조치료전(P＜0.01),차치료조료효우우대조조(P＜0.05).결론 중약리자도입배합정점선전수법치료LDH유효.
Objective To observe the curative effect of herbal iontophoresis with rotation manipulation treating lumbar disc herniation.Methods 84 patients from July 2011 to July 2012 with lumber disc herniation in Electric Power hospital of Capital Medical University were randomly divided into two groups (a testing group n=42,a control group n=42).The testing group was treated with herbal iontophoresis and rotation manipulation,and the control group was treated with rotation manipulation only.The Visual Analogue Scale and Macnab standard for curative effect were observed before the treatment and 3 weeks later after the treatment.Results The total effective rate was 88.1％ and 66.7％ in the testing group and the control group respectively,the difference between two groups was statistically significant (chi-square=5.51,P=0.02＜0.05).The VAS before and after treatment in testing group were (7.31±1.39) and (2.41±1.62) respectively,compared with (7.19± 1.38) and (3.07± 1.28) in the control group.The VAS and curative effect indexes were both improved in the two groups,but the testing group increased more apparent,and the difference between the two groups was significant (P＜0.05).Conclusion The curative effect of herbal iontophoresis and rotation manipulation treating lumber disc herniation was sound.