[1]徐帮杰,杨楠,白伟杰,等.坐位定点旋转整复法治疗腰椎间盘突出症的疗效观察[J].中医正骨,2015,27(11):17-19.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):17-19.
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坐位定点旋转整复法治疗腰椎间盘突出症的疗效观察()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年11期
页码:
17-19
栏目:
临床研究
出版日期:
2015-11-30

文章信息/Info

Title:
Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation
作者:
徐帮杰; 杨楠; 白伟杰; 许美珍; 赵明华; 黎福庆; 胡汉平
广东省中山市中医院,广东 中山 528400
Author(s):
XU Bangjie; YANG Nan; BAI Weijie; XU Meizhen; ZHAO Minghua; LI Fuqing; HU Hanping
Hospital of traditional Chinese medicine of Zhongshan,Zhongshan 528400,Guangdong,China
关键词:
椎间盘移位;  腰椎;  推拿; 脊柱
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  manipulation; spinal
摘要:
目的:观察坐位定点旋转整复法治疗腰椎间盘突出症的临床疗效。方法:将符合要求的60例腰椎间盘突出症患者随机分为2组,每组30例,分别采用坐位定点旋转整复法和腰椎斜扳法治疗,共治疗2个疗程。采用视觉模拟评分法(visual analogue score,VAS)和日本骨科学会(Japanese orthopaedic association,JOA)下腰痛评分系统评价腰椎疼痛及功能恢复情况,并采用《中医病证诊断疗效标准》中腰椎间盘突出症疗效标准评价疗效。结果:治疗前2组患者的腰痛VAS评分比较,差异无统计学意义[(6.12±1.39)分,(6.86±1.12)分,t=0.166,P=0.871]; 治疗后2组患者的腰痛VAS评分均降低[(2.47±1.58)分,(4.26±2.21)分],旋转整复组降低幅度更明显[(4.90±1.31)分,(1.93±0.18)分,t=2.626,P=0.010]。治疗前2组患者的JOA评分比较,差异无统计学意义[(16.24±5.34)分,(15.67±6.19)分,t=0.760,P=0.087]; 治疗后2组患者的JOA评分均增加[(24.25±4.05)分,(19.38±5.85)分],旋转整复组增加更明显[(8.92±4.05)分,(5.12±4.91)分,t=4.706,P=0.032]。旋转整复组治愈16例、好转12例、未愈2例,斜扳组治愈11例、好转13例、未愈6例,旋转整复组的疗效优于斜扳组[旋转整复组95%CI为(0.09,0.84),R^-=0.28; 斜扳组95%CI为(0.24,0.70),R^-=0.41]。结论:坐位定点旋转整复法治疗腰椎间盘突出症,操作简单,可以有效减轻患者腰痛症状,促进腰椎功能恢复,改善患者生活质量。
Abstract:
Objective:To observe the clinical curative effects of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation(LDH).Methods:Sixty patients with LDH enrolled in the study were randomly divided into 2 groups,30 cases in each group.The patients were treated with fixed-point rotational reduction in sitting position(group A)and lumbar oblique pulling(group B)respectively for consecutive two course of treatment.The lumbar pain and lumbar function recovery were evaluated by using the visual analogue scale(VAS)and Japanese orthopaedic association(JOA)low back pain scoring systerm,furthermore,the curative effects were evaluated according to therapeutic effect evaluation standard of LDH which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes.Results:There was no statistical difference in low back pain VAS scores between the 2 groups before the treatment(6.12+/-1.39 vs 6.86+/-1.12 points,t=0.166,P=0.871).The low back pain VAS scores decreased in both of the 2 groups after the treatment(2.47+/-1.58 vs 4.26+/-2.21 points)and there was a bigger decrease in group A(4.90+/-1.31 vs 1.93+/-0.18 points,t=2.626,P=0.010).There was no statistical difference in JOA scores between the 2 groups before the treatment(16.24+/-5.34 vs 15.67+/-6.19 points,t=0.760,P=0.087).The JOA scores increased in both of the 2 groups after the treatment(24.25+/-4.05 vs 19.38+/-5.85 points)and there was a bigger increase in group A(8.92+/-4.05 vs 5.12+/-4.91 points,t=4.706,P=0.032).Sixteen patients obtained an excellent result,12 good and 2 poor in group A; while 11 patients obtained an excellent result,13 good and 6 poor in group B.The group A surpassed the group B in the total curative effect(Group A:95%CI(0.09,0.84),R^-=0.28; Group B:95%CI(0.24,0.70),R^-=0.41).Conclusion:Fixed-point rotational reduction in sitting position,which is easy operated,can effectively relieve low back pain and promote the lumbar function recovery,so it can improve the quality of live of patients with LDH.

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备注/Memo

备注/Memo:
2015-07-09收稿 2015-10-09修回
基金项目:广东省中山市卫生局2013年计划项目(2013A020338)
更新日期/Last Update: 2015-11-30