实用疼痛学杂志
實用疼痛學雜誌
실용동통학잡지
PAIN CLINIC JOURNAL
2015年
1期
34-37
,共4页
中医%正骨手法%牵引术%腰椎间盘突出症
中醫%正骨手法%牽引術%腰椎間盤突齣癥
중의%정골수법%견인술%요추간반돌출증
Traditional Chinese medicine%Bone setting manipulation%Traction%Lumbar intervertebral disc herniation
目的 探讨中医正骨手法联合腰椎牵引治疗腰椎间盘突出症的临床疗效.方法 腰椎间盘突出症患者452例,随机分为正骨组和微波组,正骨组236例采用中医正骨手法联合腰椎牵引治疗,微波组216例采用腰椎牵引联合微波治疗.记录两组患者治疗前和治疗1个和两个疗程后的疼痛视觉模拟评分(VAS).于治疗后3个月采用改良MacNab法评价两组患者的疗效.结果 两组患者在第1疗程和第2疗程结束后VAS评分显著低于治疗前(P＜0.05),正骨组的VAS评分显著低于微波组(P＜0.05).治疗结束3个月后正骨组优良率和总有效率分别为79.7％(169/212例)和96.7％ (205/212例),显著高于微波组39.9％(79/198例)和86.9％(172/198例)(P＜0.05).结论 中医正骨手法联合腰椎牵引治疗腰椎间盘突出症疗效显著.
目的 探討中醫正骨手法聯閤腰椎牽引治療腰椎間盤突齣癥的臨床療效.方法 腰椎間盤突齣癥患者452例,隨機分為正骨組和微波組,正骨組236例採用中醫正骨手法聯閤腰椎牽引治療,微波組216例採用腰椎牽引聯閤微波治療.記錄兩組患者治療前和治療1箇和兩箇療程後的疼痛視覺模擬評分(VAS).于治療後3箇月採用改良MacNab法評價兩組患者的療效.結果 兩組患者在第1療程和第2療程結束後VAS評分顯著低于治療前(P＜0.05),正骨組的VAS評分顯著低于微波組(P＜0.05).治療結束3箇月後正骨組優良率和總有效率分彆為79.7％(169/212例)和96.7％ (205/212例),顯著高于微波組39.9％(79/198例)和86.9％(172/198例)(P＜0.05).結論 中醫正骨手法聯閤腰椎牽引治療腰椎間盤突齣癥療效顯著.
목적 탐토중의정골수법연합요추견인치료요추간반돌출증적림상료효.방법 요추간반돌출증환자452례,수궤분위정골조화미파조,정골조236례채용중의정골수법연합요추견인치료,미파조216례채용요추견인연합미파치료.기록량조환자치료전화치료1개화량개료정후적동통시각모의평분(VAS).우치료후3개월채용개량MacNab법평개량조환자적료효.결과 량조환자재제1료정화제2료정결속후VAS평분현저저우치료전(P＜0.05),정골조적VAS평분현저저우미파조(P＜0.05).치료결속3개월후정골조우량솔화총유효솔분별위79.7％(169/212례)화96.7％ (205/212례),현저고우미파조39.9％(79/198례)화86.9％(172/198례)(P＜0.05).결론 중의정골수법연합요추견인치료요추간반돌출증료효현저.
Objective To investigate the clinical efficacy of traditional Chinese medicine bone setting manipulation(中医正骨手法)combined with lumbar vertebrae traction in patients with lumbar disc herniation.Methods Four hundred and fifty-two patients with lumbar disc herniation were randomly divided into bone setting group (n=236) by using bone setting manipulation combined with lumbar vertebrae traction,and microwave group (n=216) by using lumbar vertebrae traction combined with microwave.Visual analogue scale (VAS) was recorded in all patients before the treatment and after one and two courses of the treatment.The efficacy was evaluated with improved MacNab method at the third month after the treatment.Results VAS in the two groups decreased significantly at one and two courses after the treatment.Compared with microwave group,VAS in the bone setting group was lower obviously (P ＜ 0.05).The excellent and good rate (79.7％,169/212 cases) and total effective rate (96.7％,205/212 cases) in the bone setting group were higher than those in the microwave group 39.9％ (79/198 cases),86.9％ (172/198 cases) (P＜ 0.05).Conclusion The bone setting manipulation of traditional Chinese medicine combined with lumbar vertebrae traction is an effective method to treat the lumbar intervertebral disc herniation.
