McKenzie伸展动作与腹桥治疗腰椎间盘突出症疗效研究  

McKenzie Stretching Exercise and Abdominal Bridge in Treating Lumbar Disc Herniation

作　　者：刘步云[1] 沈海[1] 王泉巅[1] 熊芳琴 陈珂 史梦龙[1] Liu Buyun;Shen Hai;Wang Quandian(Sichuan Orthopedic Hospital,Chengdu,Sichuan 610041,China)

机构地区：[1]四川省骨科医院,四川成都610041 [2]成都中医药大学附属生殖妇幼医院,四川成都610041 [3]成都骨伤医院,四川成都610031

出　　处：《四川医学》2020年第5期459-463,共5页Sichuan Medical Journal

基　　金：四川省卫健委项目(编号:17PJ423)。

摘　　要：目的探讨McKenzie疗法伸展动作配合电针推拿与腹桥运动配合电针推拿对腰椎间盘突出症患者的疗效差别。方法腰椎间盘突出患者71例,按照就诊单双号顺序分为腹桥组35例、伸展组36例,两组患者在电针推拿配合下分别进行腹桥运动和伸展运动,随访两组的疗效情况。结果最终纳入统计两组各33例。治疗前对比两组患者情况,具有可比性。治疗后两组组腰椎疾患治疗成绩评分(JOA)、VAS评分情况均有改善;治疗后6个月两组比较,伸展组优于腹桥组;伸展组在临床有效率及疗效指数的评价优于腹桥组。结论两种方法都能减轻患者的疼痛及功能症状,但伸展组在临床治愈情况、远期疼痛缓解及功能康复方面优于腹桥运动组,值得临床推广。Objective To explore the effect of McKenzie stretching exercise combined with electro-acupuncture and massage and abdominal bridge exercise combined with electro-acupuncture and massage on lumbar disc herniation(LDH).Methods 71 LDH patients were divided into abdominal bridge group(n=35)and extension group(n=36)according to the order of single and double number,respectively underwent abdominal bridge and extension exercise under the cooperation of electro-acupuncture and massage.And the curative efficacy was followed.Results Finally,33 cases were included in each group.Before treatment,the conditions of patients were compared.After treatment,both JOA score and VAS scores were improved.Moreover,at six months after treatment,extension group was better than abdominal bridge group,and clinical efficacy index of extension group of was also better than abdominal bridge group.Conclusion Two methods could reduce patients pain and functional symptoms,but extension group is better than abdominal bridge group in clinical cure,long-term pain relief and functional rehabilitation,which is worthy of clinical promotion.

关 键 词：MCKENZIE 腹桥 腰椎间盘突出症 疗效 

分 类 号：R681.5[医药卫生—骨科学]