邵氏无痛手法联合骨盆牵引下颤压法、针灸治疗腰椎间盘突出症  

Shao′s Painless Manipulation Combined with Pelvic Traction Lower Tremor Pressure Method andAcupuncture in Treatment of Lubar Intervertebral Disc Protrusion (LIDP)

作　　者：李长河 LI Changhe(Neck,Shoulder,Lumbar and Leg Pain Hospital of Zhengzhou City,Zhengzhou Henan China 450052)

机构地区：[1]郑州市颈肩腰腿痛医院,河南郑州450052

出　　处：《中医学报》2023年第4期861-867,共7页Acta Chinese Medicine

基　　金：国家“十一五”重点专科建设项目(16J2X1L116K119);河南省中医药青苗人才培养项目{豫中医科教〔2018〕6号}。

摘　　要：目的:观察邵氏无痛手法联合骨盆牵引下颤压法、针灸治疗腰椎间盘突出症的临床疗效。方法:100例患者采取信封随机法分为对照组和观察组。对照组给予针刺、中药热敷疗法;观察组给予邵氏无痛手法联合骨盆牵引下颤压法、针灸。治疗后比较两组患临床疗效、视觉模拟量表(visual analogue scale,VAS)评分、腰椎功能障碍指数(Oswestry disability index,ODI)、日本骨科协会评估治疗分数(Japanese orthopaedic association scores,JOA)、腰背肌抗疲劳能力、复发率。结果:①观察组治疗5 d、15 d、20 d有效率均为100%(50/50),对照组治疗5 d、15 d、20 d有效率分别为80%(40/50)、86%(43/50)、88.00%(44/50),两组不同治疗时间有效率比较,差异均有统计学意义(P<0.05)。②治疗后,观察组VAS评分为(0.59±0.71)分,ODI为(10.06±3.36)分,均低于同期对照组(P<0.05);JOA为(24.28±3.2)分,高于同期对照组(P<0.05)。③治疗后,观察组腰背肌耐力为(45.08±6.23)s、腹肌耐力为(50.27±4.33)s,高于同期对照组(P<0.05)。④随访6个月,观察组复发率为10%(4/40),对照组复发率为40%(10/25),两组复发率比较,差异有统计学意义(P=0.008<0.05)。结论:邵氏无痛手法联合骨盆牵引下颤压法、针灸治疗腰椎间盘突出症临床疗效显著,可降低VAS评分、ODI,提高JOA、腰背肌抗疲劳能力,降低复发率。Objective:To observe the clinical curative effect of Shao′s painless manipulation combined with pelvic traction lower tremor pressure and acupuncture in the treatment of LIDP.Methods:100 patients were randomly divided into control group and observation group by the envelope method.The control group was given acupuncture and Chinese medicine hot compress therapy.The observation group was given Shao′s painless manipulation combined with pelvic traction lower tremor pressure method and acupuncture.After treatment,the clinical curative effect,visual analog scale(VAS)score,Oswestry disability index(ODI),Japanese orthopedic association scores(JOA),the anti-fatigue ability of back muscles,and recurrence rate were compared between the two groups.Results:①The effective rates of the observation group were 100%(50/50)at 5 d,15 d,and 20 d of treatment,and the effective rates of the control group were 80%(40/50)and 86%(43/50),88.00%(44/50),the effective rates of the two groups were compared at different treatment times,and the differences were statistically significant(P<0.05).②After treatment,the VAS score of the observation group was(0.59±0.71)and the ODI was(10.06±3.36),both of which were lower than those of the control group(P<0.05).And the JOA score was(24.28±3.2),which was higher than that of the control group in the same period(P<0.05).③After treatment,the lumbar and back muscle endurance of the observation group was(45.08±6.23)s,and the abdominal muscle endurance was(50.27±4.33)s,which were higher than those of the control group during the same period(P<0.05).④After 6 months of follow-up,the recurrence rate of the observation group was 10%(4/40),and that of the control group was 40%(10/25).There was a statistically significant difference between the two groups(P=0.008<0.05).Conclusion:Shao′s painless manipulation combined with pelvic traction lower tremor pressure method and acupuncture have a significant clinical effect on LIDP.It can reduce VAS score and ODI,improve JOA and lumbar back muscle fati

关 键 词：腰椎间盘突出症 邵氏无痛手法 骨盆牵引下颤压法 中药热敷 针灸 

分 类 号：R244.15[医药卫生—针灸推拿学]