魏氏伤科手法联合蒸敷方治疗腰椎间盘突出症的回顾性研究  

The Retrospective Sutdy on the Treatment of Lumbar Disc Herniation with Wei's Manipulation and Chinese Fumigation

作　　者：王强 奚小冰 孔博[3,2] 李飞跃[3,2] WANG Qiang;XI Xiaobing;KONG Bo;LI Feiyue(Ruijin North Hospital Affilited to Shanghai Jiaotong University School of Medicine,Shanghai 201821,China;Ruijin Hospital Affilited to Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;Shanghai Insititute of Traumatology and Orthopaedics,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院北院,上海201821 [2]上海市伤骨科研究所 [3]上海交通大学医学院附属瑞金医院

出　　处：《中国中医骨伤科杂志》2018年第10期45-48,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：上海市科委腰突症非手术诊疗方案优化研究(09411953900);上海市中医药发展办公室海派中医流派魏氏伤科传承研究基地建设项目(ZY3-CCX-1-1014);李飞跃全国名老中医药专家传承工作室项目(MLZJGZS-2017001);上海市名老中医李飞跃学术经验研究室项目(SHGZS-2017010)

摘　　要：目的:探讨魏氏伤科手法结合蒸敷方热敷的方法治疗腰椎间盘突出症的临床疗效。方法:对2016年1月至2017年12月上海交通大学医学院附属瑞金医院伤科收治的203例腰椎间盘突出症住院患者进行回顾性分析。治疗方法以魏氏伤科手法联合蒸敷方热敷治疗为主,并对患者治疗前后的疼痛等级及活动度及住院天数进行记录与分析。结果:1)运用魏氏伤科手法联合蒸敷方治疗腰椎间盘突出症前后疼痛分级有差异,且治疗后疼痛等级降低。2)运用魏氏伤科手法联合蒸敷方热敷疗法治疗腰椎间盘突出症前后各向活动度有差异,且治疗后的各向活动度均提高,更能改善前屈的活动度。结论:魏氏伤科手法联合蒸敷方热敷治疗腰椎间盘突出症的疗效确切,近期疗效显著,明显缩短住院时间。Objective：To discuss the clinical efficacy of Wei’s manipulation combined with Chinese fumigation in the treatment of lumbar disc herniation.Methods：From January 2016 to December 2017,203 patients with lumbar disc herniation admitted to the Department of Traumatology,Ruijin Hospital Affiliated to Shanghai Jiaotong University Medical College were analyzed retrospectively.The Treatment is given priority to Wei’s manipulation combined with Chinese fumigation.The Pain level,ROM（range of motion）of patients before and after treatment and hospitalization time were recorded and analyzed.Results：1）There were differences in pain level before and after the treatment with Wei’s manipulation combined with Chinese fumigation and the pain level decreased after treatment.2）There were differences in ROM in all directions before and after the treatment with Wei’s manipulation combined with Chinese fumigation,and the ROM in all directions increased after treatment.Among them,the anteflexion improved more.Conclusion：Wei’s manipulation combined with Chinese fumigation might have accuracy curative effect to treat lumbar disc herniation.It had definite short-term curative effect in relieving pain and increasing the ROM of anteflexion.It can significantly shorten the length of stay in hospital.

关 键 词：腰椎间盘突出症 蒸敷 魏氏手法 回顾性研究 

分 类 号：R681.5[医药卫生—骨科学]