颈腰椎整脊手法治疗腰椎间盘突出症50例临床观察  

Treatment of lumbar intervertebral disc protrusion by cervical and lumbar spinal manipulation

作　　者：阎杰 韦赤勇 韦英成 黄业成 蔡凯 梁晓行 覃喜扬 姜炳毅 姜进文 黄艳萍 

机构地区：[1]广西壮族自治区贵港市中医医院针灸推拿科,广西贵港537100 [2]广西壮族自治区贵港市中医医院骨伤科,广西贵港537100 [3]广西壮族自治区贵港市中医医院放射科,广西贵港537100 [4]广西壮族自治区贵港市中医医院肿瘤科,广西贵港537100

出　　处：《河北中医》2013年第10期1522-1523,1537,共3页Hebei Journal of Traditional Chinese Medicine

基　　金：广西壮族自治区贵港市科学技术局2012年贵港市科学研究与技术开发计划第二批项目(编号:1209003)

摘　　要：目的 观察颈腰椎整脊手法治疗腰椎间盘突出症（LIDP）的临床疗效.方法 将100例LIDP患者随机分为2组.对照组50例予常规推拿方法治疗,治疗组50例在对照组治疗基础上加用颈腰椎整脊手法治疗.2组均10 d为1个疗程,共治疗2～3个疗程.比较2组疗效,观察2组治疗前后颈腰椎C线测定值变化和腰椎间盘还纳情况.结果 治疗组总有效率90.0%,对照组总有效率82.0%,2组总有效率比较差异有统计学意义（P＜0.05）,治疗组疗效优于对照组.2组治疗后颈腰椎C线测定值均较本组治疗前升高（P＜0.05）,且治疗组治疗后升高明显（P＜0.05）.结论 颈腰椎整脊手法治疗LIDP,能提高临床疗效,其治疗机制与纠正小关节紊乱、改善突出物与神经根之间的位置关系、解除滑膜嵌顿,从而使脊椎的生物力学重新得到平衡有关,与突出髓核还纳与否关系不大.Objective To investigate the effect of lumbar intervertebral disc protrusion （LIDP） treated by cervical and lumbar spinal manipulation. Methods 100 LIDP patients were randomly divided into two groups. 50 cases in control group were treated by routine massage therapy. 50 patients in treatment group were treated by cervical and lumbar spinal manipulation on the basis of control group treatment. The therapeutic course was ten days in two groups. After 2 - 3 courses, the effect of two groups was compared. The changes of cervical and lumbar C line measured values and Lumbar disc recovery were observed before and after treatment. Results The total effective rate in treatment group was 90.0%. That of control group was 82.0%. There was significant difference between two groups on the total effective rate （P 〈 0.05）. Measured values of cervical and lumbar C line after treatment were increased as compared with those before treatment in two groups （ P 〈 0.05 ）, the increase in treatment group was more obviously （ P 〈 0.05）. Conclusion Cervical and lumbar spinal manipulation on LIDP can improve clinical effect. The mechanism maybe related to correct small joint disorder, regulate the positional relationship between synapse with the nerve root and relief synovialinterposing then make biomechanics of the spine to rebalance.

关 键 词：腰椎 椎间盘移位 捏脊 按摩疗法 

分 类 号：R681.53[医药卫生—骨科学] R244.1[医药卫生—外科学]