分步斜扳手法治疗腰椎间盘突出症的临床疗效观察  

Observation of clinical curative effect of "oblique pulling" maneuver in the treatment of lumbar intervertebral disc herniation

作　　者：张军[1] 韩磊[1] 王芃[1] 于栋 卢敏[3] 林定坤[4] 宋铁兵 林江豪[1] 孙树椿[1] 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京王府中西医结合医院 [3]湖南中医药大学第一附属医院 [4]广东省中医院 [5]西安市中医院

出　　处：《中国骨伤》2010年第2期84-86,共3页China Journal of Orthopaedics and Traumatology

基　　金：国家十一五科技支撑计划(编号:2007BAI20B031)

摘　　要：目的:评价腰椎分步斜扳手法治疗腰椎间盘突出症的安全性和有效性。方法:选择门诊收治的腰椎间盘突出症患者65例,通过中央在线网络随机系统实现随机入组,分为分步斜扳手法治疗组(32例)和骨盆牵引对照组(31例),另外脱落病例1例,剔除病例1例。1个疗程结束后采用JOA腰痛疾患疗效评定表、视觉模拟评分法(VAS评分),分别对症状体征、日常生活能力等综合方面,以及腰腿疼痛进行疗效评定,量化比较两组疗法的治疗效果。结果:疗程结束后治疗组疗效控制7例,显效16例,有效8例,无效1例。对照组疗效控制4例,显效10例,有效13例,无效4例。治疗组的临床有效率为96.86%,高于对照组87.10%(P<0.05)。治疗组治疗后JOA腰痛疾患表评分、腰腿痛VAS评分改善明显(P<0.001),且优于对照组(P<0.01)。结论:分步斜扳手法操作技术具有操作简便、可重复性强、疗效明显、安全性高的优点,且易于掌握,便于在临床应用中推广使用。Objective：To evaluate the clinical curative effect of ＂oblique pulling＂ maneuver in patients with lumbar intervertebral disc herniation （LIDH）. Methods：Sixty five LIDH cases were randomly divided into experimental group and control group. In the experimental group 32 patients were treated by ＂oblique pulling＂ maneuver,and 32 patients in the control group were treated by lumbar traction therapy. One case were excluded from the study and another one case were dropped from the study. After one course of treatment,the therapeutic effects of the two groups were compared quantitatively by using the JOA and VAS scores,including the improvement of signs,symptoms,living ability,and low back and leg pain. Results：After one course of treatment,in the experimental group,7 cases were controlled well,16 cases were marked effect,8 cases were effect,1 case was no effect. In the control group,4 cases were controlled well,10 cases were marked effect,13 cases were effect,4 cases was no effect in control group. The clinical effective rate of the experimental group was 96.86%,which was higher than 87.10% of the control group （P〈0.05）. In the experimental group the scores of JOA and VAS were obviously improved after treatment （P〈0.001） and the improvement was better than that of control group （P〈0.01）. Conclusion：The ＂oblique pulling＂ maneuver has the characteristics of simple operation,repeatability,good efficiency,high safety.

关 键 词：腰椎 椎间盘移位 正骨手法 治疗结果 临床对照试验 

分 类 号：R681.53[医药卫生—骨科学]