疏筋整复手法治疗腰椎间盘突出症的疗效观察  

A Efficacy Study on the Treatment of Lumbar Disc Herniation by Sinew Dredging and Reduction Manipulation

作　　者：杨灿 张兆杰[1] 李锐 张世民[1] 章永东[1] 吴冠男[1] 黎作旭[1] 刘昱彰[1] 靳蛟 郝俊涛[1] YANG Can;ZHANG Zhaojie;LI Rui;ZHANG Shimin;ZHANG Yongdong;WU Guannan;LI Zuoxu;LIU Yuzhang;JIN Jiao;HAO Juntao(Spine DivisionⅠ,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院脊柱一科,北京100102

出　　处：《中国中医骨伤科杂志》2023年第4期47-50,55,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：中国中医科学院望京医院院级课题(WJYY2020-21)。

摘　　要：目的:观察疏筋整复手法治疗腰椎间盘突出症的临床疗效。方法:根据纳入标准选择60例腰椎间盘突出症患者,进行随机分组,治疗组30例采用疏筋整复手法,对照组30例采用腰椎牵引治疗,疗程均为2周,病例入组4周后分别对两组患者进行随访。比较两组患者治疗前后及随访时腰腿疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)问卷表评分及日本骨科协会(JOA)评分的变化。结果:治疗组治疗后及随访时的有效率为93.33%和96.67%,分别高于对照组的70.00%和76.67%,治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗组治疗后及随访时的VAS评分、ODI评分、JOA评分均有改善,且均优于对照组,差异有统计学意义(P<0.01)。结论:疏筋整复手法治疗腰椎间盘突出症疗效确切,安全性高。Objective:To observe the clinical efficacy of sinew dredging and reduction manipulation on the treatment of lumbar disc herniation(LDH).Methods:60 patients with lumbar disc herniation were randomly divided into treatment group(30 cases)and control group(30 cases)according to the inclusion criteria.The treatment group was given sinew dredging and reduction manipulation,and the control group was given lumbar mechanical traction.Both of them lasted 2 weeks.After the enrollment,patients were followed up for 4 weeks.The visual analogue scale(VAS)scores,Oswestry disability index(ODI)and Japanese orthopaedic association(JOA)scores were compared respectively.Results:The effective rate of the treatment group after treatment and at follow-up were 93.33%and 96.67%,while those of the control group were 70.00%and 76.76%(P<0.05)respectively.Whether after treatment or at follow-up,two groups had progress in the VAS scores,the ODI scores and the JOA scores,and the treatment group was superior to control group(P<0.01).Conclusion:That the efficacy and safety of sinew dredging and reduction manipulation treating lumbar disc herniation is proved exact.

关 键 词：腰椎间盘突出症 疏筋整复手法 腰痛 阳病治阴 

分 类 号：R681.5[医药卫生—骨科学]