腰椎间盘突出症不同康复疗法疗效比较  

Therapeutic effect of compositive rehabilitation on lumber disc herniation

作　　者：李香云[1] 黄兆民[1] 张长杰[1] 陈晓文[1] 林秋兰[1] 李添荣[1] 

机构地区：[1]中南大学湘雅二医院康复医学科,长沙410011

出　　处：《中南大学学报（医学版）》2007年第1期144-147,共4页Journal of Central South University ：Medical Science

摘　　要：目的:探索不同物理康复治疗方法在腰椎间盘突出症康复中的疗效。方法:将84例腰椎间盘突出症患者随机分A组、B组和C组。A组患者采用电脑骨盆牵引及超短波治疗;B组患者采用电脑骨盆牵引治疗;C组患者采用电脑骨盆牵引、超短波治疗及中药离子导入治疗。采用日本骨科学会下腰痛评定标准进行疗效评价。结果:A组、B组和C组治疗后JOA评分均较治疗前明显增加,差异有统计学意义(P<0.001)。C组、A组的JOA评分与B组相比,差异有统计学意义(P<0.05);C组的JOA评分与A组相比,差异有统计学意义(P<0.05)。结论:在腰椎间盘突出症治疗中,综合治疗比单一治疗效果更佳。Objective To observe the curative effect of different physical rehabilitation techniques on patients with lumbar disc herniation. Methods Eighty-four patients were randomly divided into Group A, Group B and Group C. Group A were treated with the computerized pelvis traction and ultrashort wave, Group B were treated with the computerized pelvis traction only, while Groups C were treated with the computerized pelvis traction, the ultrashort wave and the traditional Chinese medicine iontophoresis. The outcome was measured with the Japanese Orthopaedics Association Score （JOA score ） about lower back pain （LBP） Results Compared with before the treatment, the JOA score of all the 3 groups increase markedly after the treatment （P 〈 0.001 ）. Compared with group B, the JOA score of Groups A and Group C significantly increased （ P 〈 0.05 ）. Compared with Group A, the JOA score in Group C significantly increased （ P 〈 0.05 ）. Conclusion The curative effect of comprehensive rehabilitation on lumbar disc herniation is better than that of the single rehabilitation.

关 键 词：腰椎间盘突出症 超短波疗法 电脑骨盆牵引 中药离子导入 

分 类 号：R681.53[医药卫生—骨科学]