Therapeutic observation of tuina manipulation for lumbar intervertebral disc herniation  

推拿手法治疗腰椎间盘突出症临床疗效观察

作　　者：Zhang Zhi-qi Liu Xia Zhong Huan Deng Duo-xi Li Guo-min Deng Jia-qin Liu Zhao-ping Xie Hui Chang Xiao-rong 张志琦;刘霞;钟欢;邓多喜;李国民;邓加勤;刘兆平;谢辉;常小荣(Hunan University of Chinese Medicine,Changsha 410208,China;Chenzhou No.1 People's Hospital,Chenzhou 423000,China)

机构地区：[1]Hunan University of Chinese Medicine,Changsha 410208,China [2]Chenzhou No.1 People's Hospital,Chenzhou 423000,China

出　　处：《Journal of Acupuncture and Tuina Science》2019年第2期116-123,共8页针灸推拿医学（英文版）

基　　金：湖南省技术创新引导计划-临床医疗技术创新引导项目(No.20I7SK51108 No.2017SK51110);郴州市2017年科技计划项目(No.jsyf2017036)。

摘　　要：Objective: To observe the clinical efficacy of balance-impact tuina therapy for lumbar intervertebral disc herniation (LIDH). Methods: A total of 118 eligible LIDH patients were randomized into an observation group and a control group by the random number table method, with 59 cases in each group. The observation group was intervened by balance-impact tuina therapy, while the control group was intervened by conventional tuina therapy, both for consecutive two weeks. The scores of visual analog scale (VAS), Oswestry disability index (ODI)Z quality of life questionnaire-core 30 (QOL-C30) were observed before and after treatment;the relapse rate was estimated at the sixth month and twelfth month following the treatment. The data were statistically an a lyzed. Results: After intervention, the total effective rate was 96.6% in the observation group versus 91.5% in the control group, and the between-group differenee was statistically significant (P<0.05). The VAS and ODI scores declined significantly after treatment in both groups (all Pv0.05), and the observation group was markedly lower than the control group (P<0.05, P<0.01). The QOL-C30 score in creased significantly after treatme nt in both groups (both P<0.05), and the observatio n group was markedly higher than the control group (P<0.05). The relapse rates at the post-treatment sixth month and twelfth month in the observation group were lower than those in the control group (P<0.05, P<0.01). Conclusion: Compared with the conventional tuina therapy, the balance-impact tuina therapy shows advantage in lessening pain, improving the function and enhancing the quality of life in the treatment of LIDH, and it has a lower relapse rate. Thus, this therapy is worth promoting in clinic.目的:观察平衡冲击推拿疗法对腰椎间盘突出症(LIDH)的临床疗效。方法:将符合纳入标准的118例LIDH患者按随机数字表法随机分为观察组和对照组,每组59例。观察组采用平衡冲击推拿疗法,对照组采用传统推拿疗法,两组均连续治疗2周。观察治疗前后视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、生活质量核心量表(QOL-C30)评分及治疗结束后第6个月、第12个月复发率,并进行统计分析。结果:治疗后,观察组总有效率96.6%,对照组总有效率为91.5%,两组比较有显著差异(P<0.05)。治疗后,两组VAS评分和ODI评分均较治疗前明显降低(均P<0.05),且观察组明显低于对照组(P<0.05, P<0.01)。治疗后,两组QOL评分均较治疗前明显升高(均P<0.05),且观察组明显高于对照组(P<0.05)。治疗后第6个月及第12个月随访复发情况,观察组复发率均低于对照组(P<0.05, P<0.01)粆结论:平衡冲击推拿疗法治疗LIDH在缓解疼痛、改善功能障碍、提高生活质量方面优于传统推拿疗法,且复发率低,值得临床推广应用。

关 键 词：TUINA MASSAGE Low Back Pain Intervertebral Disc Displacement Pain Measurement Visual Analog Scale Quality of Life 

分 类 号：R244.1[医药卫生—针灸推拿学]