基于弓弦理论探讨微创松解结合牵引治疗腰椎间盘突出症的临床研究  

Clinical study on the treatment of lumbar disc herniation by minimally invasive release+traction based on bowstring theory

作　　者：李丽 李志帅 武宏旺 张宽 崔晓瑄 LI Li;LI Zhishuai;WU Hongwang;ZHANG Kuan;CUI Xiaoxuan(Department of Rehabilitation Medicine,the Affiliated Hospital of Qingdao Binhai University,Shandong,Qingdao 266404,China)

机构地区：[1]青岛滨海学院附属医院康复医学科,山东青岛266404

出　　处：《中国医药科学》2023年第11期168-171,共4页China Medicine And Pharmacy

基　　金：山东省医药卫生科技发展计划项目(202020011232,202020011222);山东省高等学校青创人才引育计划康复治疗学研究创新团队项目。

摘　　要：目的基于弓弦理论,观察微创松解结合牵引治疗腰椎间盘突出症的临床效果。方法对2020年10月至2022年5月青岛滨海学院附属医院康复医学科诊断为腰椎间盘突出症的门诊患者48例进行治疗和观察。采用随机数表法将入组患者分为研究组(n=24)和对照组(n=24)。研究组采用腰部软组织微创松解结合牵引进行治疗,对照组采用牵引治疗,两组均治疗28 d。分别在治疗前后对患者进行疼痛视觉评分(VAS)评分、腰椎曲度Oswedtry腰椎功能障碍指数表(ODI)进行评分,比较两组评分差异。结果两组在治疗前的各项评分比较,差异无统计学意义(P>0.05)。治疗后两组VAS、ODI评分均较治疗前降低,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗后两组腰椎曲度均较治疗前提高,且研究组高于对照组,差异有统计学意义(P<0.05)。结论基于弓弦理论运用微创松解结合牵引治疗腰椎间盘突出症可有效改善腰椎曲度,缓解疼痛,提高功能水平。Objective To observe the clinical efficacy of minimally invasive release+traction in the treatment of lumbar disc herniation based on the theory of bowstring theory.Methods A total of 48 outpatients diagnosed with lumbar disc herniation in the Department of Rehabilitation Medicine of the Affiliated Hospital of Qingdao Binhai University from October 2020 to May 2022 were treated and observed.These enrolled patients were divided into a study group(n=24)and a control group(n=24)according to the random number table method.The study group was treated with minimally invasive release+traction for lumbar soft tissue,while the control group was treated with traction.Both groups were treated for 28 days.The visual analogue scale(VAS)score,lumbar curvature and Oswestry disability index(ODI)score of patients were evaluated before and after treatment,respectively,and the differences in scores were compared between the two groups.Results No statistical differences in all these scores were found between the two groups before treatment(P>0.05).After treatment,the VAS and ODI scores of both groups were lower than those before treatment,and those in the study group were lower than those in the control group,with statistically significant differences(P<0.05).After treatment,the lumbar curvature values of both groups improved compared with those before treatment,and those in the study group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The treatment of lumbar disc herniation with minimally invasive release+traction based on bowstring theory can effectively improve lumbar curvature,relieve pain and improve the function al level.

关 键 词：弓弦理论 微创松解 牵引 腰椎间盘突出症 

分 类 号：R246.9[医药卫生—针灸推拿学]