推拿联合神经松动术治疗腰椎间盘突出症疗效观察  

Effect of neurodynamics combined with manipulation on Lumbar intervertebral disc protrusion

作　　者：任扬 赵义纯[1] REN Yang;ZHAO Yi-chun(Wuxi Hospital of Traditional Chinese Medicine,Wuxi,Jiangsu,214071)

机构地区：[1]无锡市中医医院

出　　处：《内蒙古中医药》2019年第11期120-122,共3页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:观察推拿结合神经松动术治疗腰椎间盘突出症的临床疗效。方法:将60例腰椎间盘突出症患者随机分为治疗组22例(推拿结合神经松动术治疗),推拿组20例(推拿治疗),神经松动术组18例(神经松动术治疗)。三组均于治疗前、治疗后分别采用视觉模拟评分法(VAS)、直腿抬高(straight leg raise,SLR)及日本骨科学会下腰痛评分(JOA)评分评定疗效。结果:治疗前三组VAS、SLR及JOA评分均无显著差异(P>0.05);治疗后三组VAS、SLR及JOA评分均有明显改善(P<0.01),且治疗组显著优于推拿组及神经松动术组,差异有统计学意义(P<0.05)。结论:推拿结合神经松动术治疗腰椎间盘突出症具有显著的临床疗效,值得推广。Objective:To observe the effect of neurodynamics combined with manipulation on Lumbar intervertebral disc protrusion.Methods:A total of 60 patients with Lumbar intervertebral disc protrusion were randomly divided into the observation group,neurodynamics group and manipulation group. The observation group was treated with neurodynamics combined with manipulation,while the rest2 groups were treated with neurodynamics and manipulation separately. Before and after treatment,the visual analogue scale(VAS)and straight leg raise(SLR)and low back pain score(JOA)were used before and after treatment in 3 groups. Results:There were no statistically significant differences in VAS and SLR and JOA between the 3 groups before therapy(P>0.05).All 3 groups got good therapeutic effect in VAS and SLR and JOA after treatment for 2 weeks(P<0.01),and the effect of the observation group was significantly better than other 2 groups(P<0.05). Conclusion:The efficacy of neurodynamics combined with manipulation in the treatment of Lumbar intervertebral disc protrusion patients is good it is worthy of clinical application.

关 键 词：腰椎间盘突出症 推拿 神经松动术 

分 类 号：R681.53[医药卫生—骨科学]