脊柱推拿结合slump-拉伸运动治疗慢性腰椎间盘突出症的临床观察  

Clinical Observationof Spinal Tuina Combined with Slump-Stretching Therapy for Chronic Lumbar Disc Herniation

作　　者：刘再高 金红姝[2] 秦艳霞[2] 郑杰[2] 程攀[2] 孟庆天[2] 詹勇[2] LIU Zaigao;JIN Hongshu;QIN Yanxia;ZHENG Jie;CHEN pan;MENG Qingtian;ZHAN Yong(Guangzhou University of Chinese Medicine,Guangzhou 510006,Guangdong,China;Longgang District People’s Hospital of Shenzhen,Shenzhen 518172,Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]深圳市龙岗区人民医院,广东深圳518172

出　　处：《中华中医药学刊》2019年第5期1182-1185,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(20182132);深圳市科技计划项目(JCYJ20170307174506722)

摘　　要：目的:观察脊柱推拿结合slump-拉伸运动治疗慢性腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效。方法:将68例慢性LDH患者随机分为观察组(34例)与对照组(34例),观察组予脊柱推拿结合slump-拉伸运动治疗,对照组以牵引疗法治疗,以疼痛视觉模拟评分(visual analogue scale,VAS)、日本骨科学会(JOA)评分、直腿抬高(straight leg raise,SLR)角度评分作为为观察指标评定治疗效果。结果:治疗后观察组VAS评分较治疗前明显下降(P<0.01),且观察组显著低于对照组(P<0.05);治疗后观察组JOA评分和SLR角度评分均较治疗前明显提高(P<0.01),且观察组显著高于对照组(P<0.05)。结论:脊柱推拿结合slump-拉伸运动治疗慢性LDH具有临床疗效好、安全的特点,值得临床推广运用。Objective: To observe the clinical effect of spinal Tuina combined with slump-stretching therapy for chronic lumbar disc herniation(LDH). Methods: Sixty-eight patients with chronic LDH were randomly divided into observation group(n=34) and control group(n=34). The observation group was treated with spinal Tuina combined with slump-stretching therapy and the control group was treated with traction therapy. The pain visual analogue score(VAS) and the Japanese Orthopaedic Association(JOA) score and the straight leg raise(SLR) angle score were used as indexes to evaluate the therapeutic effect.Results:After treatment,the VAS scores in observation group were significantly reduced(P<0.01)and those in observation group were reduced more significantly than those in control group(P<0.05). JOA scores and SLR scores in observation group were significantly increased(P<0.01)and those in observation group were increased more significantly than those in control group(P<0.05).Conclusion: Spinal Tuina combined with slump-stretching therapy has good clinical efficacy and safety in the treatment of chronic LDH and is worthy of popularizing.

关 键 词：推拿疗法 slump-拉伸运动 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]