麻醉下正骨推拿术治疗腰椎间盘突出症随机对照研究  

Randomised Control Trial on Effect of Orthopedic Tuina Under Anesthesia for Treatment of Lumbar Disc Herniation

作　　者：应晓明[1] 袁相龙[1] 胡静国[1] 

机构地区：[1]浙江中医药大学附属第三医院推拿科,浙江杭州310004

出　　处：《中华中医药学刊》2011年第7期1588-1590,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省"重中之重"学科(针灸推拿学)建设经费资助项目(浙教高科[2008]255号)

摘　　要：目的:对比观察麻醉下正骨推拿术治疗腰椎间盘突出症的临床疗效。方法:80例患者随机分为治疗组与对照组,每组40例。分别予以麻醉下正骨推拿术与麻醉下常规推拿治疗。观察治疗前后两组疼痛强度简易描述量表(VRS),直腿抬高试验(SLRT)与腰椎功能评定表。结果:治疗后与治疗前相比,两组VRS、SLRT及腰椎功能均有明显改善(P<0.05);治疗后,治疗组SLRT积分明显小于对照组(P<0.05),腰椎功能评定分数明显高于对照组(P<0.05)。结论:麻醉下正骨推拿术与常规推拿术均能明显改善腰椎间盘突出症的症状;麻醉下正骨推拿术能更好的改善腰椎功能,值得临床上推广。Objective：To observe contrastively clinical therapeutic effect of treating lumbar disc herniation（LDH） by orthopedic tuina under anesthesia.Methods：80 patients were seperated randomly into treat group and control group,40 patients in treat group were treated by orthopedic tuina under anesthesia and others in control group were treated by regular tuina under anesthesia.We observed pain verbal rating scales（VRS）,straight leg raising test（SLRT） and lumbar function scores on pretherapy and post-treatment in two groups.Results：VRS,SLRT and lumbar function scores on post-treatment in two groups were improved obviously.On post-treatment,the scores of SLRT and lumbar function scores in treat group were obviously less and more than in control group each（P0.05）.Conclusion：Orthopedic tuina and regular tuina under anesthesia can improved obviously the symptoms of LDH patients;and the former can improve better lumbar function,it is worth to be spread clinically.

关 键 词：麻醉下正骨推拿术 腰椎间盘突出症 疼痛强度简易描述量表 直腿抬高试验 腰椎功能评定 

分 类 号：R681.53[医药卫生—骨科学]