李业甫定位腰椎旋转扳法治疗腰椎间盘突出症临床研究  

Clinical Study on the Treatment of Lumbar Disc Herniation Using LI Yefu s Positioning Lumbar Spine Rotation and Pulling Method

作　　者：张燕 栾国瑞 吴雯 刘晓丽 杜鹏 ZHANG Yan;LUAN Guorui;WU Wen;LIU Xiaoli;DU Peng(Anhui Province Integrated Traditional Chinese and Western Medicine Hospital,Hefei 230031,China)

机构地区：[1]安徽省中西医结合医院,安徽合肥230031

出　　处：《陕西中医药大学学报》2024年第4期102-106,共5页Journal of Shaanxi University of Chinese Medicine

基　　金：国家中医药管理局第七批全国名老中医药专家经验继承项目(国中医药人教函(2022)76号);国医大师李业甫传承工作室。

摘　　要：目的 观察李业甫教授定位腰椎旋转扳法治疗腰椎间盘突出症的临床疗效。方法 将58例符合标准的腰椎间盘突出症患者按初诊顺序先后随机分为对照组和治疗组,每组29例。对照组在常规推拿的基础上采用腰椎斜扳法,治疗组在常规推拿的基础上采用李业甫定位腰椎旋转扳法。治疗前后分别观察两组患者腰部不适程度、肢体功能受限程度,VAS评分、JOA评分,并在治疗前后评价两组患者的临床疗效。结果 两组患者年龄、性别、病程、治疗前症状、体征积分差值比较,差异均无统计学意义(P>0.05);与治疗前比较,两组患者治疗后症状、体征积分,VAS评分明显减少,JOA明显评分增高。两组VAS评分差值比较,差异有统计学意义(P<0.05),JOA评分差值比较差异有统计学意义(P<0.05)。两组临床疗效分布比较,差异有统计学意义(P<0.05),并且治疗组治愈和显效的例数均多于对照组。结论 李业甫定位腰椎旋转扳法治疗腰椎间盘突出症疗效明显。Objective To observe the clinical efficacy of Professor LI Yefu s positioning lumbar vertebral rotation and pulling method in the treatment of lumbar disc herniation.Methods 58 patients with lumbar disc herniation who met the criteria were randomly divided into a control group and a treatment group in the order of initial diagnosis,with 29 cases in each group.The control group used lumbar spine oblique pulling method on the basis of routine massage,while the treatment group used LI Yefu s positioning lumbar spine rotation pulling method on the basis of routine massage.Before and after treatment,observe the degree of lumbar discomfort,degree of limb dysfunction,VAS score,JOA score,and evaluate the clinical efficacy of the two groups of patients.Results The difference in age,gender,disease course,pre-treatment symptoms,and physical sign scores between the two groups of patients was not statistically significant(P>0.05);Compared with before treatment,the symptom and sign scores,VAS scores,and JOA scores of the two groups of patients significantly decreased after treatment.The difference in VAS scores between the two groups was statistically significant(P<0.05),while the difference in JOA scores was statistically significant(P<0.05).The distribution of clinical efficacy between the two groups was compared,and the difference was statistically significant(P<0.05),and the number of cured and significantly improved cases in the treatment group was higher than that in the control group.Conclusion LI Yefu s lumbar spine rotation and manipulation method has a significant therapeutic effect on lumbar disc herniation.

关 键 词：腰椎间盘突出症 李业甫 推拿 定位腰椎旋转扳法 

分 类 号：R274.9[医药卫生—中西医结合]