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[1]石建輝,李紅波,朱娟,等.腰椎定點(diǎn)旋轉(zhuǎn)復(fù)位法聯(lián)合胸椎壓沖復(fù)位法 治療腰椎間盤突出癥的臨床研究[J].中醫(yī)正骨,2016,28(02):7-10.
 SHI Jianhui,LI Hongbo,ZHU Juan,et al.Clinical study on rotating reduction at fixed points of lumbar vertebrae combined with press-dash reduction at thoracic vertebrae for treatment of lubar disk herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(02):7-10.
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腰椎定點(diǎn)旋轉(zhuǎn)復(fù)位法聯(lián)合胸椎壓沖復(fù)位法 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28卷
期數(shù):
2016年02期
頁碼:
7-10
欄目:
臨床研究
出版日期:
2016-02-20

文章信息/Info

Title:
Clinical study on rotating reduction at fixed points of lumbar vertebrae combined with press-dash reduction at thoracic vertebrae for treatment of lubar disk herniation
作者:
石建輝李紅波朱娟何伶
中國人民解放軍第303醫(yī)院,廣西 南寧 530021
Author(s):
SHI JianhuiLI HongboZHU JuanHE Ling
The 303th Hospital of PLA,Nanning 530021,Guangxi,China
關(guān)鍵詞:
椎間盤移位 腰椎 推拿脊柱 治療臨床研究性
Keywords:
intervertebral disc displacement lumbar vertebrae manipulationspinal therapiesinvestigational
摘要:
目的:觀察腰椎定點(diǎn)旋轉(zhuǎn)復(fù)位法聯(lián)合胸椎壓沖復(fù)位法治療腰椎間盤突出癥的臨床療效。方法:將70例符合要求的腰椎間盤 突出癥患者隨機(jī)分為聯(lián)合手法組和旋轉(zhuǎn)復(fù)位組,每組35例。旋轉(zhuǎn)復(fù)位組采用腰椎定點(diǎn)旋轉(zhuǎn)復(fù)位法治療,聯(lián)合手法組先采用腰椎定 點(diǎn)旋轉(zhuǎn)復(fù)位法治療,結(jié)束后再采用胸椎壓沖復(fù)位法治療。手法治療隔天1次,連續(xù)治療7次。評(píng)定患者的腰痛視覺模擬量表 (visual analogue scale,VAS)評(píng)分,同時(shí)采用呂立江等制定的腰椎間盤突出癥癥狀體征評(píng)分標(biāo)準(zhǔn)評(píng)定療效。結(jié)果:治療前2組患 者的腰痛VAS評(píng)分和癥狀體征評(píng)分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[(5.771±1.496)分,(5.542±1.379) 分,t=0.664,P=0.509;(17.714±4.973)分,(17.257±5.489)分,t=0.365,P=0.716]; 治療后聯(lián)合手法組的腰痛VAS評(píng)分 和癥狀體征評(píng)分均低于旋轉(zhuǎn)復(fù)位組[(1.800±1.711)分,(3.285±1.563)分,t=-3.971,P=0.000;(6.914±5.495)分 ,(12.400±6.682)分,t=-3.751,P=0.000],治療前后腰痛VAS評(píng)分差值和癥狀體征評(píng)分差值均大于旋轉(zhuǎn)復(fù)位組 [(3.971±1.271)分,(2.257±1.421)分,t=5.318,P=0.000;(10.800±4.234)分,(4.857±3.370) 分,t=6.496,P=0.000]。結(jié)論:腰椎定點(diǎn)旋轉(zhuǎn)復(fù)位法聯(lián)合胸椎壓沖復(fù)位法能有效減輕腰椎間盤突出癥患者的臨床癥狀,改善腰部 功能,療效優(yōu)于單純腰椎定點(diǎn)旋轉(zhuǎn)復(fù)位法。
Abstract:
Objective:To observe the clinical curative effect of rotating reduction at fixed points of lumbar vertebrae combined with press-dash reduction at thoracic vertebrae in the treatment of lubar disk herniation (LDH).Methods:Seventy patients with LDH enrolled in the study were randomly divided into combined manipulation group and rotating reduction group,35 cases in each group.Patients in rotating reduction group were treated with rotating reduction at fixed points of lumbar vertebrae,while the others in the combined manipulation group were treated with rotating reduction at fixed points of lumbar vertebrae and press-dash reduction at thoracic vertebrae subsequently.The manipulation was performed on alternate days for consecutive 7 times.The low back pain were evaluated by using visual analogue scale(VAS)and the curative effects were evaluated according to the symptoms and signs scoring criterion of LDH made by Lyu Lijiang.Results:There was no statistical difference in the low back pain VAS scores and symptoms&signs scores between the 2 groups before treatment(5.771+/-1.496 vs 5.542+/-1.379 points,t=0.664,P=0.509; 17.714+/-4.973 vs 17.257+/-5.489 points,t=0.365,P=0.716).The low back pain VAS scores and symptoms&signs scores were lower in combined manipulation group compared to rotating reduction group after the treatment(1.800+/-1.711 vs 3.285+/-1.563 points,t=-3.971,P=0.000; 6.914+/-5.495 vs 12.400+/-6.682 points,t=-3.751,P=0.000).The difference of low back pain VAS scores and the difference of symptoms&signs scores between pre-treatment and post-treatment were larger in combined manipulation group compared to rotating reduction group(3.971+/-1.271 vs 2.257+/-1.421 points,t=5.318,P=0.000; 10.800+/-4.234 vs 4.857+/-3.370 points,t=6.496,P=0.000).Conclusion:Combination of rotating reduction at fixed points of lumbar vertebrae with press-dash reduction at thoracic vertebrae can effectively relieve the clinical symptoms of patients with LDH and improve the lumbar function,and it surpasses the monotherapy of rotating reduction at fixed points of lumbar vertebrae in the curative effect.

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通訊作者:李紅波 E-mail:[email protected]
更新日期/Last Update: 2016-04-30