直立体位牵引结合三七脊柱整复术治疗腰椎间盘突出症  

Clinical observation of orthopedic traction combined with Sanchi spine reconstruction in the treatment of lumbar intervertebral disc protrusion

作　　者：常玉林 CHANG Yulin(The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji′nan 250001,China)

机构地区：[1]山东中医药大学第二附属医院,济南250001

出　　处：《实用医学杂志》2020年第20期2866-2870,共5页The Journal of Practical Medicine

基　　金：山东省中医药科技发展计划项目(编号:2019-0249)。

摘　　要：目的探讨直立体位牵引结合三七脊柱整复术治疗腰椎间盘突出症的临床疗效。方法选取我院2019年1月至2020年3月收治的100例腰椎间盘突出症患者,均经MRI、CT检查确诊,根据不同治疗分为两组,对照组(n=50)接受常规牵引配合手法导引法治疗,观察组(n=50)接受直立体位牵引结合三七脊柱整复术治疗,对比两组患者治疗前后腰椎生理曲度值和疼痛程度、腰椎功能、脊髓神经功能以及临床疗效。结果治疗后两组患者腰椎生理曲度值均明显提高,VAS评分明显降低,观察组患者改善程度明显优于对照组(P <0.05)。治疗后两组患者ODI评分均明显降低,JOA评分明显提高,观察组患者改善程度明显优于对照组(P <0.05)。治疗1个月及3个月后,两组患者临床疗效对比差异明显(P <0.05)。结论腰椎间盘突出症通过直立体位牵引结合三七脊柱整复术治疗可有效矫正腰椎曲度,降低疼痛,促进腰椎功能恢复,值得临床推广。Objective The present study tried to investigate the clinical effects of orthopedic traction combined with Sanchi spinal surgery in the treatment of lumbar disc herniation.Methods A total of 100 patients with lumbar disc herniation treated in our hospital(January 2019 to March 2020)were selected and diagnosed by MRI and CT.They were divided into two groups according to therapeutic methods.The control group(n=50)re⁃ceived conventional traction combined with manual guidance and the observation group(n=50)received orthostat⁃ic traction combined with Sanchi spinal surgery.Before and after treatment,lumbar spine physiological curvature,pain,lumbar spine function,spinal nerve function,and clinical efficacy were compared.Results After treat⁃ment,the lumbar spine physiological curvature values of both groups were significantly increased and the VAS scores were significantly reduced.The improvement of the observation group was significantly better than control group(P<0.05).After treatment,the ODI scores of both groups were significantly reduced and the JOA scores were obviously improved.The improvement of the observation group was significantly better than that of control group(P<0.05).After 1 month and 3 months of treatment,the clinical efficacy of the two groups was significantly different(P<0.05).Conclusion Lumbar intervertebral disc herniation could be adopted to treat lumbar vertebra curvature with reduce pain and promoting lumbar spine function recovery.

关 键 词：腰椎间盘突出症 直立体位牵引 三七脊柱整复术 腰椎曲度 疼痛 腰椎功能 

分 类 号：R493[医药卫生—康复医学]