【摘要】 目的:分析非手术疗法治疗腰椎间盘突出症的近期疗效。方法:将165例腰椎间盘突出症患者按区组随机和单盲法分为牵引组、推拿组、推拿加功能锻炼组,治疗2个疗程后评定近期疗效。结果:牵引组、推拿组、推拿加功能锻炼组治疗前后积分差异有显著性意义(t=4.905,18.421,18.139;P<0.01);推拿组、推拿加功能锻炼组较牵引组治疗后差异积分有显著性意义(t=6.464,6.453,P<0.01);推拿组、推拿加功能锻炼组治疗后积分差异无显著性意义(t=0.021,P>0.05);推拿组、推拿加功能锻炼组显效率无差别,但平均疗次差异有显著性意义(t=2.424,P<0.05);推拿组(推拿加功能锻炼组)较牵引组显效率差异有显著性意义(χ2=8.359,P<0.01)。结论:推拿加功能锻炼是治疗腰椎间盘突出症的有效方法。更多还原

【Abstract】 AIM:To analyze the short-term curative effect of nonoperative therapy on the lumbar disc herniation(LDH).METHODS:Totally 165 patients with LDH were divided into traction group,massage group and massage plus functional exercise group in terms of randomized blocks and single blind according to the hospitalization time.The short-term curative effect was evaluated after two periods of treatment.RESULTS:All of the three groups showed significant difference in the integrals of lumbar function assessment before and after treatment(t=4.905,18.421,18.139, P< 0.01).After treatment,the massage group and the massage plus functional exerc ise group showed significant difference in the integrals of lumbar function asse ssment compared with the traction group (t=6.464,6.453,P< 0.01);while the massag e group showed no significant difference in the integrals of lumbar function ass essment compared with that in the massage plus function exercise group(t=0.021,P >0.05).The markedly effective rate in the massage group showed no obvious diffe rence compared with massage plus function-exercise group,while significant diff erence was found in the average treatment time(t=2.424,P< 0.05);the markedly eff ective rate in the massage group(massage plus function-exercise group) was sign ificantly different from that in the traction group(χ2=8.359,P< 0.01).CONCLUSION:Massage combined with function-exercise is the efficient way to tr eat LDH.更多还原