臭氧结合推拿治疗腰椎间盘突出症70例  

Clinical Research on Ozone Combined with Massage Therapy in Treating 70 Cases of Lumbar Disc Herniation

作　　者：杜建明[1] 田小武[1] 杨智杰[1] 陈剑峰[1] 陈思[1] 刘一奇[1] 

机构地区：[1]江苏省无锡市中医医院脊柱科,江苏无锡214001

出　　处：《南京中医药大学学报》2011年第4期387-389,共3页Journal of Nanjing University of Traditional Chinese Medicine

摘　　要：目的探讨臭氧结合推拿治疗的机制,分析突出程度轻重不一的腰椎间盘突出症患者的疗效。方法在2008年5月至2009年11月住院期间,随机选择臭氧结合推拿治疗腰椎间盘突出症70例(脱垂型33例、非脱垂型37例)为治疗组;臭氧治疗腰椎间盘突出症47例(脱垂型23例、非脱垂型24例)为对照组;并按JOA疗效标准改良评定2组的疗效。结果出院时,治疗组中脱垂型优良率为96.97%,非脱垂型优良率81.08%;对照组中脱垂型优良率为60.87%,非脱垂型优良率54.17%。治疗组平均随访11.09月,脱垂型优良率67.86%,非脱垂型优良率71.88%;对照组平均随访11.70月,脱垂型优良率为38.10%,非脱垂型优良率40.91%。2组疗效具有统计学差别(P<0.05);而同一组中脱垂型与非脱垂型的疗效无统计学差别(P(0.05)。结论臭氧结合推拿治疗腰椎间盘突出症具有更好的临床疗效,且与腰椎间盘突出轻重程度无关;因操作简单、安全性高,是不愿接受手术患者的有效方法之一。OBJECTIVE To explore the mechanism of ozone combined with massage therapy and their therapeutic effects on patients with different degrees of lumbar disc herniation.METHODS During inpatient period from May 2008 to November 2009,70 cases（33 prolapsed cases,and 37 non-prolapsed cases） adopted by ozone and massage to treat lumbar disc herniation were randomly selected to be treatment group;47 cases（23 prolapsed cases,24 non-prolapsed cases） given ozone to cure lumbar disc herniation were as control group and the therapeutic effect of two groups were improved and evaluated according to JOA criteria.RESULTS When patients were discharged,excellent effective rate of prolapsed type and non-prolapsed type in the treatment group were 96.97% and 81.08% respectively,whereas in the control group,excellent effective rates of prolapsed type and non-prolapsed type were 60.87% and 54.17% respectively.The treatment group with 11.09 months＇ average follow-up had 67.86% excellent effective rate of prolapsed type and 71.88% of non-prolapsed type;the control group with 11.70 months＇ average follow-up had 38.10% excellent effective rate of prolapsed type and 40.91% of non-prolapsed type.The therapeutic effect of treatment group and control group had statistical difference（P0.05） by χ2 test in medical statistics,while the therapeutic effect of prolapsed type and non-prolapsed type in the same group had no statistical difference（P0.05）.CONCLUSION Ozone combined with massage therapy in treating lumbar disc herniation has better clinical therapeutic effects and is not related to the degree of this disease.Its easy performance and safety contributes to the first choice of patients who are unwilling to take surgical operation.

关 键 词：臭氧 推拿 脱垂型 腰椎间盘突出症 

分 类 号：R274.34[医药卫生—中医骨伤科学]