摘要
目的观察三位六步手法联合倒立悬挂牵引治疗腰椎间突出症(LDH)的临床疗效。方法将120例LDH患者按照随机数字表法分为2组。对照组60例采用倒立悬挂牵引治疗,治疗组60例在对照组治疗基础上联合三位六步手法治疗。2组均治疗10次。比较2组治疗前和治疗5、10次后疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分、日本骨科学会(JOA)下腰痛评分,并统计2组临床疗效。结果治疗组总有效率94.83%(55/58),对照组总有效率81.82%(45/55),治疗组疗效优于对照组(P<0.05)。治疗5、10次后2组疼痛VAS、ODI评分均较本组治疗前降低(P<0.05),JOA下腰痛评分均升高(P<0.05),治疗10次后2组疼痛VAS、ODI评分均低于本组治疗5次(P<0.05),JOA下腰痛评分均高于本组治疗5次(P<0.05),且治疗5、10次后治疗组疼痛VAS、ODI评分均低于对照组同期(P<0.05),JOA下腰痛评分均高于对照组同期(P<0.05)。结论三位六步手法联合倒立悬挂牵引治疗LDH临床疗效确切,优于倒立悬挂牵引疗法。
Objective To observe the clinical efficacy of Three-position Six-step Manipulation combined with inverted suspension traction for lumbar disc herniation(LDH).Methods Totally 120 LDH patients were randomly assigned into treatment group and control group,60 cases in each.Patients in control group were treated with inverted suspension traction,and patients in treatment group were additionally treated with Three-position Six-step Manipulation on the basis of control group.Treated 10 times,the key observation was visual analogue score(VAS)for pain,oswestry dysfunction index(ODI)score,and Japanese Orthopaedic Association(JOA)score for lower back pain between groups before treatment and after 5 or 10 treatments,and the curative effect was counted.Results The total effective rates were better in treatment group than in the control group[94.83%(55/58)vs 81.82%(45/55),(P<0.05),respectively].Compared with before treatment,VAS for pain and ODI score in groups were lower after 5 or 10 treatments(P<0.05),which were significantly lower in treatment group than in control group(P<0.05);JOA score for lower back pain in groups was higher(P<0.05),which was significantly higher in treatment group than in control group(P<0.05).Compared with after 5 treatments,VAS for pain and ODI score in groups were lower after 10 treatments(P<0.05),JOA for lower back pain score in groups was higher(P<0.05).Conclusion For LDH patients,Three-position Six-step Manipulation combined with inverted suspension traction has a definite effect,and which is better than inverted suspension traction alone.
作者
谢志勇
白金山
见国繁
张伶
韩琳红
赵国芳
刘小媛
XIE Zhiyong;BAI Jinshan;JIAN Guofan;ZHANG Ling;HAN Linhong;ZHAO Guofang;LIU Xiaoyuan(Department of Tuina,Pinggu District Hospital of Traditional Chinese Medicine,Beijing 101200)
出处
《河北中医》
2021年第6期992-995,共4页
Hebei Journal of Traditional Chinese Medicine
基金
北京市平谷区卫生健康委科研项目(编号:pgwjw2019-03)。
关键词
腰椎
椎间盘移位
手法
骨科
牵引术
Lumbar vertebra
Intervertebral disc displacement
Manipulation,orthopedics
Traction therapy
