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[1]劉巍峰,金泳,趙莉娟,等.多維牽引法治療腰椎間盤突出癥的臨床研究[J].中醫(yī)正骨,2023,35(11):1-4,9.
　LIU Weifeng,JIN Yong,ZHAO Lijuan,et al.A clinical study of multidimensional traction therapy for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(11):1-4,9.
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多維牽引法治療腰椎間盤突出癥的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年11期
頁碼:
1-4,9
欄目:
臨床研究
出版日期:
2023-11-20

文章信息/Info

Title:
A clinical study of multidimensional traction therapy for treatment of lumbar disc herniation
作者:
劉巍峰; 金泳; 趙莉娟; 張國輝
上海中醫(yī)藥大學(xué)附屬岳陽中西醫(yī)結(jié)合醫(yī)院,上海 200437
Author(s):
LIU Weifeng; JIN Yong; ZHAO Lijuan; ZHANG Guohui
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China
關(guān)鍵詞:
椎間盤移位;  腰椎;  牽引術(shù);  臨床試驗
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  traction;  clinical trial
摘要:
目的:探討多維牽引法治療腰椎間盤突出癥(lumbar disc herniation,LDH)的臨床療效。方法:將106例LDH患者隨機分為多維牽引組和平行牽引組,每組53例。多維牽引組采用多維度腰椎牽引方案治療,平行牽引組采用傳統(tǒng)腰椎牽引方案治療; 均每日牽引1次,每次20 min,每周3次,共治療2周。記錄并比較2組患者治療前、治療結(jié)束后的腰腿部疼痛視覺模擬量表(visual analogue scale,VAS)評分、日本骨科協(xié)會(Japanese Orthopaedic Association,JOA)腰痛疾患療效評分及Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)。結(jié)果:試驗過程中2組分別有5例患者退出試驗。①腰腿部疼痛VAS評分。治療結(jié)束后,2組患者腰腿部疼痛VAS評分均低于治療前[(6.917±0.964)分,(2.875±0.703)分,t=21.210,P=0.000;(7.021±0.978)分,(3.063±0.727)分,t=21.868,P=0.000],多維牽引組患者腰腿部疼痛VAS評分低于平行牽引組(t=1.285,P=0.002)。②JOA腰痛疾患療效評分。治療結(jié)束后,2組患者JOA腰痛疾患療效評分均高于治療前[(13.187±2.340)分,(25.729±1.783)分,t=-30.090,P=0.000;(11.166±2.086)分,(22.271±3.051)分,t=-20.648,P=0.000],多維牽引組患者JOA腰痛疾患療效評分高于平行牽引組(t=-6.507,P=0.000)。③ODI。治療結(jié)束后,2組患者ODI均低于治療前[(35.458±3.268)%,(10.167±2.793)%,t=39.694,P=0.000;(37.000±5.300)%,(13.500±2.658)%,t=29.621,P=0.000],多維牽引組患者ODI低于平行牽引組(t=5.990,P=0.001)。結(jié)論:相較于平行牽引法,多維牽引法治療LDH,能更好地緩解腰腿部疼痛和改善腰椎功能。
Abstract:
Objective:To explore the clinical outcomes of multidimensional traction therapy for treatment of lumbar disc herniation(LDH).Methods:One hundred and six LDH patients were randomized into multidimensional traction group and parallel traction group,53 ones in each group.All patients were tractioned for 20 minutes a day,three times a week for consecutive 2 weeks.The lumbago-leg pain visual analogue scale(VAS)score,Japanese Orthopaedic Association(JOA)efficacy score for low back pain and Oswestry disability index(ODI)were recorded and compared between the 2 groups before the treatment and after the end of treatment.Results:During the trial,5 enrollees withdrew from each group.①The lumbago-leg pain VAS score decreased after the end of treatment compared to pretreatment in the 2 groups(6.917±0.964 vs 2.875±0.703 points,t=21.210,P=0.000; 7.021±0.978 vs 3.063±0.727 points,t=21.868,P=0.000),and it was lower in multidimensional traction group compared with that of parallel traction group(t=1.285,P=0.002).②The JOA low back pain efficacy score increased after the end of treatment compared to pretreatment in the 2 groups(13.187±2.340 vs 25.729±1.783 points,t=-30.090,P=0.000; 11.166±2.086 vs 22.271±3.051 points,t=-20.648,P=0.000),and it was higher in multidimensional traction group compared with that of parallel traction group(t=-6.507,P=0.000).③The ODI decreased after the end of treatment compared to pretreatment in the 2 groups(35.458±3.268 vs 10.167±2.793%,t=39.694,P=0.000; 37.000±5.300 vs 13.500±2.658%,t=29.621,P=0.000),and it was lower in multidimensional traction group compared with that of parallel traction group(t=5.990,P=0.001).Conclusion:The multidimensional traction therapy can better alleviate lumbago-leg pain and improve lumbar function compared to parallel traction therapy in treatment of LDH.

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