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[1]徐幫杰,楊楠,白偉杰,等.坐位定點旋轉(zhuǎn)整復法治療腰椎間盤突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17-19.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):17-19.
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坐位定點旋轉(zhuǎn)整復法治療腰椎間盤突出癥的療效觀察()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年11期
頁碼:
17-19
欄目:
臨床研究
出版日期:
2015-11-30

文章信息/Info

Title:
Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation
作者:
徐幫杰; 楊楠; 白偉杰; 許美珍; 趙明華; 黎福慶; 胡漢平
廣東省中山市中醫(yī)院,廣東 中山 528400
Author(s):
XU Bangjie; YANG Nan; BAI Weijie; XU Meizhen; ZHAO Minghua; LI Fuqing; HU Hanping
Hospital of traditional Chinese medicine of Zhongshan,Zhongshan 528400,Guangdong,China
關(guān)鍵詞:
椎間盤移位;  腰椎;  推拿; 脊柱
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  manipulation; spinal
摘要:
目的:觀察坐位定點旋轉(zhuǎn)整復法治療腰椎間盤突出癥的臨床療效。方法:將符合要求的60例腰椎間盤突出癥患者隨機分為2組,每組30例,分別采用坐位定點旋轉(zhuǎn)整復法和腰椎斜扳法治療,共治療2個療程。采用視覺模擬評分法(visual analogue score,VAS)和日本骨科學會(Japanese orthopaedic association,JOA)下腰痛評分系統(tǒng)評價腰椎疼痛及功能恢復情況,并采用《中醫(yī)病證診斷療效標準》中腰椎間盤突出癥療效標準評價療效。結(jié)果:治療前2組患者的腰痛VAS評分比較,差異無統(tǒng)計學意義[(6.12±1.39)分,(6.86±1.12)分,t=0.166,P=0.871]; 治療后2組患者的腰痛VAS評分均降低[(2.47±1.58)分,(4.26±2.21)分],旋轉(zhuǎn)整復組降低幅度更明顯[(4.90±1.31)分,(1.93±0.18)分,t=2.626,P=0.010]。治療前2組患者的JOA評分比較,差異無統(tǒng)計學意義[(16.24±5.34)分,(15.67±6.19)分,t=0.760,P=0.087]; 治療后2組患者的JOA評分均增加[(24.25±4.05)分,(19.38±5.85)分],旋轉(zhuǎn)整復組增加更明顯[(8.92±4.05)分,(5.12±4.91)分,t=4.706,P=0.032]。旋轉(zhuǎn)整復組治愈16例、好轉(zhuǎn)12例、未愈2例,斜扳組治愈11例、好轉(zhuǎn)13例、未愈6例,旋轉(zhuǎn)整復組的療效優(yōu)于斜扳組[旋轉(zhuǎn)整復組95%CI為(0.09,0.84),R^-=0.28; 斜扳組95%CI為(0.24,0.70),R^-=0.41]。結(jié)論:坐位定點旋轉(zhuǎn)整復法治療腰椎間盤突出癥,操作簡單,可以有效減輕患者腰痛癥狀,促進腰椎功能恢復,改善患者生活質(zhì)量。
Abstract:
Objective:To observe the clinical curative effects of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation(LDH).Methods:Sixty patients with LDH enrolled in the study were randomly divided into 2 groups,30 cases in each group.The patients were treated with fixed-point rotational reduction in sitting position(group A)and lumbar oblique pulling(group B)respectively for consecutive two course of treatment.The lumbar pain and lumbar function recovery were evaluated by using the visual analogue scale(VAS)and Japanese orthopaedic association(JOA)low back pain scoring systerm,furthermore,the curative effects were evaluated according to therapeutic effect evaluation standard of LDH which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:There was no statistical difference in low back pain VAS scores between the 2 groups before the treatment(6.12+/-1.39 vs 6.86+/-1.12 points,t=0.166,P=0.871).The low back pain VAS scores decreased in both of the 2 groups after the treatment(2.47+/-1.58 vs 4.26+/-2.21 points)and there was a bigger decrease in group A(4.90+/-1.31 vs 1.93+/-0.18 points,t=2.626,P=0.010).There was no statistical difference in JOA scores between the 2 groups before the treatment(16.24+/-5.34 vs 15.67+/-6.19 points,t=0.760,P=0.087).The JOA scores increased in both of the 2 groups after the treatment(24.25+/-4.05 vs 19.38+/-5.85 points)and there was a bigger increase in group A(8.92+/-4.05 vs 5.12+/-4.91 points,t=4.706,P=0.032).Sixteen patients obtained an excellent result,12 good and 2 poor in group A; while 11 patients obtained an excellent result,13 good and 6 poor in group B.The group A surpassed the group B in the total curative effect(Group A:95%CI(0.09,0.84),R^-=0.28; Group B:95%CI(0.24,0.70),R^-=0.41).Conclusion:Fixed-point rotational reduction in sitting position,which is easy operated,can effectively relieve low back pain and promote the lumbar function recovery,so it can improve the quality of live of patients with LDH.

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備注/Memo

備注/Memo:
2015-07-09收稿 2015-10-09修回
基金項目:廣東省中山市衛(wèi)生局2013年計劃項目(2013A020338)
更新日期/Last Update: 2015-11-30