推拿联合功能训练治疗康复期腰椎间盘突出症的效果  

Effect of massage combined with functional training in treatment of patients with lumber disc herniation at recovery stage

作　　者：郑衍庆 郑黎勤[1] 张风华[1] ZHENG Yan-qing;ZHENG Li-qin;ZHANG Feng-hua(Department of Acupuncture and Moxibustion,Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine,Guangdong Province,Foshan 528100,China)

机构地区：[1]广东省佛山市中医院三水医院针灸推拿科,广东佛山528100

出　　处：《中国当代医药》2018年第16期177-179,193,共4页China Modern Medicine

基　　金：广东省佛山市自筹经费类科技计划项目(2016A B001395)

摘　　要：目的观察推拿联合功能训练治疗康复期腰椎间盘突出症的效果。方法选择我院2016年6月~2017年6月收治的70例符合入组标准的康复期腰椎间盘突出症患者作为研究对象,按随机数字表法分为观察组35例和对照组35例。对照组患者仅采用功能锻炼进行干预,观察组在对照组基础上再给予推拿手法治疗,均干预12周。治疗前、治疗12周后进行视觉疼痛模拟评分(VAS)、下腰痛评分(JOA)评判疼痛改善情况,采用Oswestry功能障碍指数(ODI)评估腰椎功能,采用脊柱测试评价训练系统评价前屈最大肌力,进行步行能力及临床效果评定。结果观察组和对照组治疗后的VAS评分分别为(1.06±0.48)、(2.32±0.65)分,JOA评分分别为(27.88±2.46)、(24.90±2.42)分,ODI指数分别为(32.08±16.06)%、(45.15±15.83)%,前屈最大肌力分别为(300.86±54.35)、(270.42±58.52),两组的上述指标比较,差异均有统计学意义(均P<0.05)。观察组和对照组治疗后的能力均明显优于治疗前(P<0.05),观察组治疗后的步行能力明显优于对照组(P<0.05)。观察组和对照组的总有效率分别为97.14%、74.29%,两组比较,差异有统计学意义(χ~2=8.525,P<0.05)。结论在功能训练治疗康复期腰椎间盘突出症的基础上再给予推拿手法治疗能有效改善患者的症状体征、前屈肌群功能及下肢运动功能,提高临床治疗效果。Objective To observe the effect of massage combined with functional training in treatment of patients with lumber disc herniation（LDH） at recovery stage.Methods A total of 70 patients with LDH at recovery stage meeting the inclusion criteria from June 2016 to June 2017 treated in our hospital were selected as the research object,all patients were divided into 35 cases of observation group and 35 cases of control group according to random number table method.The control group was treated with functional training,while the observation group were given massage therapy on the basis of the control group,both group had been treated for 12 weeks.Before treatment and after 12 weeks treatment,the VAS and JOA score were assessed to evaluate the improvement of pain,the ODI was assessed to evaluate the lumbar function,the flexion maximum muscle strength were detected by spinal test evaluation training system,the walking ability were assessed and the effect were evaluated.Results VAS score of the observation group and the control group after treatment was（1.06±0.48）,（2.32±0.65） points,JOA score was（27.88±2.46）,（24.90±2.42） points,ODI was（32.08±16.06）%,（45.15±15.83）%,the flexion maximum muscle strength was（300.86±54.35）,（270.42±58.52） respectively,and the differences were statistically significant（P〈0.05）.The walking ability of the observation group and the control group after treatment were significantly better than those before treatment（P〈0.05）,and the walking ability of the observation group after treatment was significantly better than that of the control group（P〈0.05）.The total effective rates of the observation group and the control group was 97.14% and 74.29% respectively,and the difference between the two groups was statistically significant（χ2=8.525,P〈0.05）.Conclusion Massage given on the basis of functional training treating lumber disc herniation at recovery stage can effectively improve the symptoms and signs,flexor muscle function and lower limb

关 键 词：康复期腰椎间盘突出症 推拿手法 功能训练 前屈肌群功能 下肢运动功能 

分 类 号：R681.53[医药卫生—骨科学]