中医整脊联合疗法治疗腰椎间盘突出症临床观察  

Traditional Chinese Medicine Chiropractic Combined Therapy in the Treatment of Lumbar Disc Herniation

作　　者：李国栋 吴文旭 张文博 朱锋 杜长生 LI Guodong;WU Wenxu;ZHANG Wenbo;ZHU Feng;DU Changsheng(Department of Orthopedics,Zunyi Hospital of Traditional Chinese Medicine,Guizhou Province,Zunyi 563000,China)

机构地区：[1]贵州省遵义市中医院骨伤科,贵州遵义563000

出　　处：《中国中医药现代远程教育》2024年第12期102-105,共4页Chinese Medicine Modern Distance Education of China

基　　金：贵州省遵义市科技与大数据局科技计划项目【No.遵市科合社字〔2018〕146号】。

摘　　要：目的将中医整脊联合疗法应用于腰椎间盘突出症(LDH)患者,并探讨其临床疗效。方法选取贵州省遵义市中医院骨伤科收治的90例LDH患者为研究对象,按照随机数字表法将其分为三组,A组(空白组)30例,给予针刺疗法联合普通牵引;B组(对照组)30例,给予针刺疗法联合四维牵引;C组(治疗组)30例,给予针刺疗法联合四维牵引、整脊手法,疗程结束后分析不同治疗方法对患者的影响。结果治疗后三组日本骨科协会评估治疗分数(JOA评分)均较治疗前明显提高,且C组JOA评分提高最为显著,差异有统计学意义(P<0.05)。三组视觉模拟量表(VAS)评分均较治疗前明显降低,C组较其他两组VAS评分更低,差异有统计学意义(P<0.05)。三组腰椎曲度治疗前后明显改变,且C组较其他两组恢复更好,差异均有统计学意义(P<0.05)。治疗后,C组总有效率93.3%(28/30)显著高于A组的66.7%(20/30)和B组的80.0%(24/30)。结论中医整脊联合疗法LDH,标本同治,临床效果满意,值得推广。Objective To apply TCM chiropractic combination therapy in the treatment of Lumbar disc herniation(LDH)and to discuss its clinical efficacy.Methods A total of 90 LDH patients admitted to Zunyi Hospital of Traditional Chinese Medicine were selected as the study objects and divided into three groups according to random number table method.Group A(blank group)of 30 cases was given acupuncture therapy combined with ordinary traction.Group B(control group)of 30 cases was given acupuncture therapy combined with four-dimensional traction.In group C(treatment group),30 cases were given acupuncture therapy combined with four-dimensional traction and chiropractic manipulation.The influence of different treatment methods on patients was analyzed after the treatment.Results After treatment,the scores evaluated by the Japanese Orthopaedic Association(JOA)in the three groups were sig-nificantly higher than those before treatment,and the JOA scores in group C were the most significantly higher,and the difference was statistical significance(P<0.05).The visual analog scale(VAS)scores of the three groups were significantly lower than those before treatment,and the VAS scores of the group C were lower than those of the other two groups,and the difference was statistical significance(P<0.05).The lumbar curvature of the three groups was significantly changed before and after treatment,and the recovery of group C was better than that of the other two groups,and the difference was statistical significance(P<0.05).After treatment,the total response rate of 93.3%(28/30)in group C was significantly higher than 66.7%(20/30)in group A and 80.0%(24/30)in group B.Conclusion TCM chiropractic combined therapy for LDH,treating both manifestation and root cause of disease,clinical effect is satisfactory,and is worthy of promotion.

关 键 词：腰痛 腰椎间盘突出症 中医整脊疗法 针刺疗法 四维牵引疗法 中医综合疗法 

分 类 号：R274[医药卫生—中医骨伤科学]