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[1]董永強(qiáng),何鑫東,張偉偉,等.經(jīng)皮椎間孔鏡髓核摘除術(shù)聯(lián)合McKenzie療法治療腰椎間盤突出癥的臨床研究[J].中醫(yī)正骨,2016,28(07):38-41.
　DONG Yongqiang,HE Xindong,ZHANG Weiwei,et al.Observation on the curative effect of fire-needle therapy for treatment of supraspinal and interspinal ligament injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(07):38-41.
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經(jīng)皮椎間孔鏡髓核摘除術(shù)聯(lián)合McKenzie療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07期
頁碼:
38-41
欄目:
臨床研究
出版日期:
2016-07-20

文章信息/Info

Title:
Observation on the curative effect of fire-needle therapy for treatment of supraspinal and interspinal ligament injuries
作者:
董永強(qiáng); 何鑫東; 張偉偉; 潘山; 袁波
浙江省新昌縣人民醫(yī)院,浙江 新昌 312500
Author(s):
DONG Yongqiang; HE Xindong; ZHANG Weiwei; PAN Shan; YUAN Bo
The People's Hospital of Xinchang county,Shaoxing 312500,Zhejiang,China
關(guān)鍵詞:
椎間盤移位;  腰痛;  椎間盤切除術(shù); 經(jīng)皮;  內(nèi)窺鏡;  McKenzie療法;  臨床試驗(yàn)
Keywords:
intervertebral disc displacement;  low back pain;  diskectomy; percutaneous;  endoscopy;  McKenzie therapy;  clinical trail
摘要:
目的:觀察經(jīng)皮椎間孔鏡髓核摘除術(shù)聯(lián)合McKenzie療法治療腰椎間盤突出癥的臨床療效。方法:將80例符合要求的單節(jié)段腰椎間盤突出癥患者隨機(jī)分為McKenzie組和常規(guī)組,每組40例。所有患者均由同一組醫(yī)生在椎間孔鏡下進(jìn)行髓核摘除和纖維環(huán)成形術(shù)。McKenzie組術(shù)后1個(gè)月采用McKenzie療法進(jìn)行治療,共治療6個(gè)月,期間輔以對癥支持治療; 常規(guī)組術(shù)后僅給予對癥支持治療。比較2組患者的腰痛視覺模擬量表(visual analogue scale,VAS)評分、Oswestry功能障礙指數(shù)(Oswestry disability index,ODI)評分、焦慮自評量表(self-rating anxiety scale,SAS)評分、抑郁自評量表(self-rating depression scale,SDS)評分。結(jié)果:治療前2組患者的腰痛VAS評分、ODI評分、SAS評分、SDS評分比較,組間差異均無統(tǒng)計(jì)學(xué)意義[(5.42±1.82)分,(5.57±1.76)分,t=-0.459,P=0.647;(71.53±10.93)分,(68.72±11.83)分,t=0.533,P=0.178;(44.42±8.10)分,(45.43±9.10)分,t=-0.312,P=0.643;(45.53±7.11)分,(44.32±10.23)分,t=0.283,P=0.742]; 治療結(jié)束后2組患者的VAS評分、ODI評分、SAS評分、SDS評分均較治療前降低(t=14.614,P=0.000,t=7.816,P=0.000; t=26.289,P=0.000,t=16.261,P=0.000; t=9.732,P=0.000,t=3.652,P=0.018; t=10.324,P=0.000,t=3.211,P=0.024),且McKenzie組的各項(xiàng)評分均低于常規(guī)組[(1.43±1.08)分,(3.28±1.43)分,t=-8.008,P=0.000;(29.22±6.01)分,(40.62±6.27)分,t=-10.167,P=0.000;(31.87±6.90)分,(39.07±12.32)分,t=-7.983,P=0.000;(30.32±6.65)分,(37.02±9.07)分,t=-3.919,P=0.015]。結(jié)論:經(jīng)皮椎間孔鏡髓核摘除術(shù)聯(lián)合McKenzie療法可有效減輕患者的腰痛癥狀,改善腰部功能,減輕焦慮和抑郁,提高患者生活質(zhì)量。
Abstract:
Objective:To observe the clinical curative effects of percutaneous transforaminal endoscopic discectomy combined with McKenzie therapy in the treatment of lumbar disc herniation(LDH).Methods:Eighty patients with single-segment LDH enrolled in the study were randomly divided into McKenzie therapy group and conventional therapy group,40 cases in each group.Percutaneous transforaminal endoscopic discectomy and annular fibrosus plasty were performed in all patients by the same group of surgeons.The patients in McKenzie therapy group were treated with McKenzie therapy and symptomatic supportive treatment for 6 months since 1 month after the surgery,while the patients in conventional therapy group were treated with symptomatic supportive treatment only.The low back pain visual analogue scale(VAS)scores,Oswestry disability index(ODI)scores,self-rating anxiety scale(SAS)scores and self-rating depression scale(SDS)scores were assessed and compared between the 2 groups.Results:There was no statistical difference in the low back pain VAS scores,ODI scores,SAS scores and SDS scores between the 2 groups before treatment(5.42+/-1.82 vs 5.57+/-1.76 points,t=-0.459,P=0.647; 71.53+/-10.93 vs 68.72+/-11.83 points,t=0.533,P=0.178; 44.42+/-8.10 vs 45.43+/-9.10 points,t=-0.312,P=0.643; 45.53+/-7.11 vs 44.32+/-10.23 points,t=0.283,P=0.742).The low back pain VAS scores,ODI scores,SAS scores and SDS scores decreased in both of the 2 group after the end of the treatment compared to pre-treatment(t=14.614,P=0.000,t=7.816,P=0.000; t=26.289,P=0.000,t=16.261,P=0.000; t=9.732,P=0.000,t=3.652,P=0.018; t=10.324,P=0.000,t=3.211,P=0.024),and all pre-treatment scores were lower in McKenzie therapy group compared to conventional therapy group(1.43+/-1.08 vs 3.28+/-1.43 points,t=-8.008,P=0.000; 29.22+/-6.01 vs 40.62+/-6.27 points,t=-10.167,P=0.000; 31.87+/-6.90 vs 39.07+/-12.32 points,t=-7.983,P=0.000; 30.32+/-6.65 vs 37.02+/-9.07 points,t=-3.919,P=0.015).Conclusion:Percutaneous transforaminal endoscopic discectomy combined with McKenzie therapy can effectively relieve low back pain and improve lumbar function and relieve anxiety and depression,so it can improve the quality of live of patients with LDH.

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備注/Memo

備注/Memo:
2016-04-09收稿 2016-05-20修回
董永強(qiáng) E-mail:[email protected]

更新日期/Last Update: 1900-01-01