杠杆定位整复手法治疗腰椎间盘突出症临床对照试验  

Clinical Controlled Trial of Lumbar Intervertebral Disc Herniation Treated by Leverage Replacement Manipulation

作　　者：吕立江[1] 袁相龙[1] 汪芳俊[2] 郑如云[3] 应晓明[1] 宋鸿权[4] 罗华送[5] 陈伟仁[4] 

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江省中西医结合医院 [3]杭州市下城区中医院 [4]浙江中医药大学第附属第一医院 [5]浙江中医药大学附属广兴医院

出　　处：《浙江中医药大学学报》2009年第4期567-568,共2页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药科技计划项目(No:2007SA007)~~

摘　　要：[目的]观察比较常规平面手法和杠杆定位手法治疗腰椎间盘突出症的疗效。[方法]腰椎间盘突出症患者299例,随机分为试验组153例和对照组146例。试验组采用牵引后加用杠杆定位整复手法治疗,对照组采用牵引后常规给推拿治疗。[结果]试验组治愈90例,好转57例,未愈6例,总有效率96.08%;对照组治愈21例,好转75例,未愈50例,总有效率65.75%,治疗组优于对照组(P<0.01)。[结论]杠杆定位整复手法利用两手臂对角杠杆原理治疗腰椎间盘突出症,符合腰椎生物力学结构特征,临床效果满意。[Objective] Observe the clinical effect of leverage replacement manipulation on lumbar intervertebral disc herniation.[Method]299 hospitalized patients were divided into two groups. 153 cases were in trial group and 146 patients were in controlled group. Trial group accepted constant traction and leverage replacement manipulation. While the controlled group accepted the same traction and muscular massage.[Result]In trial group, 90 patients were cured, 57 improved and 6 no improvement. The total effective rate was 96.08%; in controlled group, 21 were cured, 75 cases improved, and 50 no improvement. The total effective rate was 65.75%. The effect of trial group was better than the controlled group （P〈0.05）. [Conclusion]Leverage replacement manipulation is more effective than conventional massage（tuina） methods. It is worthy to be popularized.

关 键 词：腰椎间盘突出症 推拿疗法 牵引 正骨手法 临床对照试验 

分 类 号：R681.5[医药卫生—骨科学]