【作者】 陈长贤； 曹旺烽； 吴志强； 王汉龙； 柯晓斌； 翁文水；

【Author】 CHEN Chang-xian;CAO Wang-feng;WU Zhi-Qiang;WANG Han-long;KE Xiao-bing;WENG Wen-shui;Quanzhou Orthopedic-traumatological Hospital of Fujian University of Traditional Chinese Medicine;

【机构】 福建中医药大学附属泉州市正骨医院；

【摘要】 目的:探讨正骨推手手法治疗腰椎间盘突出症(LDH),观察临床疗效和安全性。方法:选取2015年01月至2016年03月就诊的LDH患者70例,采用随机法分为2组:治疗组35例,应用正骨推手手法治疗;对照组35例,应用传统侧卧斜板法治疗。每次手法治疗前、后及疗程结束时进行治疗效果观察和记录,包括疼痛视觉的模拟评分方法(VAS)测量腰腿痛程度;腰椎疾病治疗效果评分标准(JOA评分);改良的Schober评分测量腰椎的前屈活动度。手法治疗2周后进行总疗效评定,并在整个疗程中进行安全性记录。所得数据采用软件SPSS18.0统计分析,P<0.05具有统计学意义。结果:手法治疗2周后,治疗组及对照组的VAS评分、JOA评分、改良的Schober评分(MMS),在治疗前、后自身对比差异均有统计学意义(P<0.05);VAS评分和.JOA评分在两组组间对比差异无统计学意义(P>0.05);改良的Schober评分在两组组间对比差异有统计学意义(P<0.05);每次手法治疗前后,对比两组VAS评分的改善值和改良的Schober评分改善值均有较明显的差异(P<0.05),并且治疗组的疗效要比对照组好。两组最终的疗效对比,经统计学分析两组治疗效果对比差异无统计学意义(P<0.05)。在治疗过程中,两组研究对象均无发生不良事件。结论:正骨推手手法与传统侧卧斜扳法治疗LDH均有效且有良好的安全性,但较传统侧卧斜扳法治疗LDH能快速缓解疼痛;且改善腰椎前屈活动度上优于传统侧卧斜扳法。总之,正骨推手手法能快速缓解腰腿痛,提高生活质量,且操作简单、安全有效,是一种行之有效的疗法。更多还原

【Abstract】 Objective:The aim of the present study was to evaluate the efficiency and safety of Zhenggutuishou manipulation and Cewoxieban manipulation in patients who were diagnosed with lumbar disc herniation.Methods:70 patients diagnosed with lumbar disc herniation were included in the study,who were admitted to the clinic of Quanzhou Orthopedic-traumatological Hospital of Fujian University of Traditional Chinese Medicine,from Jan 2015 to Mar 2016.all these patients were eligible for inclusion in the study.The patients were randomly divided into two groups:Group 1(n = 35) received Zhenggutuishou manipulation,Group 2 as control group(n = 35)received Cewoxieban manipulation.Comparing the changes between groups,statistically significant difference was observed in VAS score,JOA score and MMS before the therapy and at the end of the therapy.The effectiveness was evaluated after the therapy,and we had recorded and analyzed the safety in the whole course.Finally SPSS18.0 statistical software was used to analyze the data,and we employed a significance level of 0.05.Results:After two weeks therapy,VAS score,JOA score and MMS parameters had significantly difference within groups(P <0.05).There was also no significant difference between the groups in terms of VAS score and JOA score(P >0.05),but there was statistically significant difference in terms of MMS,hence,treatment group have superior outcome.ln the treatment group,there was no difference between the two groups(P>0.05),and both groups had no adverse events.Conclusion:In the process of treatment,both groups had no adverse events.And comparing the changes between groups,Zhenggutuishou manipulation can quickly relieve the pain,improve the lumbar flexion range of motion.Therefore,Zhenggutuishou manipulation was a safe and efficient therapy for lumbar disc herniation which can quickly relieve the pain and improve the quality of life.更多还原