[1]董永强,何鑫东,张伟伟,等.经皮椎间孔镜髓核摘除术联合McKenzie疗法治疗腰椎间盘突出症的临床研究[J].中医正骨,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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经皮椎间孔镜髓核摘除术联合McKenzie疗法治疗腰椎间盘突出症的临床研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年07期
页码:
38-41
栏目:
临床研究
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:
董永强; 何鑫东; 张伟伟; 潘山; 袁波
浙江省新昌县人民医院,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
关键词:
椎间盘移位;  腰痛;  椎间盘切除术; 经皮;  内窥镜;  McKenzie疗法;  临床试验
Keywords:
intervertebral disc displacement;  low back pain;  diskectomy; percutaneous;  endoscopy;  McKenzie therapy;  clinical trail
摘要:
目的:观察经皮椎间孔镜髓核摘除术联合McKenzie疗法治疗腰椎间盘突出症的临床疗效。方法:将80例符合要求的单节段腰椎间盘突出症患者随机分为McKenzie组和常规组,每组40例。所有患者均由同一组医生在椎间孔镜下进行髓核摘除和纤维环成形术。McKenzie组术后1个月采用McKenzie疗法进行治疗,共治疗6个月,期间辅以对症支持治疗; 常规组术后仅给予对症支持治疗。比较2组患者的腰痛视觉模拟量表(visual analogue scale,VAS)评分、Oswestry功能障碍指数(Oswestry disability index,ODI)评分、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分。结果:治疗前2组患者的腰痛VAS评分、ODI评分、SAS评分、SDS评分比较,组间差异均无统计学意义[(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]; 治疗结束后2组患者的VAS评分、ODI评分、SAS评分、SDS评分均较治疗前降低(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组的各项评分均低于常规组[(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]。结论:经皮椎间孔镜髓核摘除术联合McKenzie疗法可有效减轻患者的腰痛症状,改善腰部功能,减轻焦虑和抑郁,提高患者生活质量。
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.

参考文献/References:

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备注/Memo

备注/Memo:
2016-04-09收稿 2016-05-20修回
董永强 E-mail:dongyq2@163.com

更新日期/Last Update: 1900-01-01