三维平衡正脊疗法联合麦肯基疗法治疗腰椎间盘突出症的临床研究  

Clinical study of the treatment of lumbar disc herniation with three-dimensional balance chiropractic therapy combined with McKenzie method

作　　者：刘文波 毕是昊 孟岩 师彬 LIU Wenbo;BI Shihao;MENG Yan;SHI Bin(Graduate School,Shandong First Medical University&Shandong Academy Of Medical Sciences,Jinan 250000,China;Hospital of Cervical,Shoulder,Waist and Leg Pain,Affiliated to Shandong First Medical University,Jinan 250000,China)

机构地区：[1]山东第一医科大学(山东省医学科学院)研究生部,山东济南250117 [2]山东第一医科大学附属颈肩腰腿痛医院中医骨伤科,山东济南250000

出　　处：《山东第一医科大学（山东省医学科学院）学报》2024年第7期405-411,共7页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

基　　金：山东省重点研发计划(2022CXGC020510);山东省中央引导地方科技发展资金(YDZX20203700002055);山东省医药卫生科技发展计划(202102081095)。

摘　　要：目的观察分析三维平衡正脊疗法联合麦肯基疗法治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效及对突出物重吸收的影响。方法收集2022年1月—2023年6月在山东第一医科大学附属颈肩腰腿痛医院接受三维平衡正脊手法、推拿、针刺、麦肯基疗法的LDH患者的临床资料。所有患者均在治疗前和随访时接受MRI检查,两次MRI检查时间间隔≥6个月,比较3组临床疗效评价、腰腿痛视觉模拟量表(visual analog scale,VAS)、焦虑自评量表(self-rating anxiety scale,SAS)分数,以及日本骨科协会评估治疗分数(Japanese orthopaedic association Scores,JOA)和腰椎间盘突出重吸收情况。结果(1)综合治疗组的总有效率、VAS评分、JOA评分、SAS评分结果优于麦肯基疗法组,差异均有统计学意义(P<0.05);(2)综合治疗组JOA评分、SAS评分结果优于三维平衡正脊疗法组,差异均有统计学意义(P<0.05);(3)综合治疗组腰椎间盘突出物重吸收概率高于三维平衡正脊疗法组与麦肯基疗法组,但差异无统计学意义(P>0.05)。结论三维平衡正脊疗法联合麦肯基疗法对腰椎间盘突出症治疗疗效较好,且在治疗后突出物重吸收概率以及完全吸收概率高于三维平衡正脊疗法组和麦肯基疗法组。Objective:To observe and analyze the clinical efficacy of the combined treatment of Three-dimensional balanced chiropractic therapy and McKenzie therapy on lumbar disc herniation(LDH),and its impact on the reabsorption of protrusions.Methods:From January 2022 to June 2023,Clinical data of patients with lumbar disc herniation who received three-dimensional balanced chiropractic therapy combined with McKenzie therapy at the Neck,Shoulder and Back Pain Hospital affiliated to Shandong First Medical University.Clinical data of patients with lumbar disc herniation were included in the treatment of three-dimensional balanced chiropractic technique,massage,acupuncture,and McKenzie therapy.All patients underwent MRI examination before treatment and during follow-up treatment,with an interval of≥6 months between two MRI examinations and compared the clinical efficacy evaluation,VAS,JOA,SAS,and lumbar disc herniation resorption among the three groups.Results:(1)The overall efficacy rate,as well as the VAS,JOA,and SAS scores of the comprehensive treatment group,were superior to those of the McKenzie treatment group,with statistically significant differences(all P<0.05);(2)The JOA and SAS scores of the comprehensive treatment group were superior to those of the three-dimensional balance therapy group,with statistically significant differences(all P<0.05),with a statistically significant difference(all P<0.05).(3)The comprehensive treatment group had 43.3%reabsorption of lumbar discherniation,which was higher than the three-dimensional balanced chiropractic therapy group and the Mackenzie treatment group,however,the difference was not statistically significant(P>0.05).Conclusions:The combination of Three-dimensional balanced chiropractic therapy and McKenzie therapy has a good therapeutic effect on lumbar disc herniation,and the probability of protrusion reabsorption and complete absorption after treatment is higher than that of the three-dimensional balanced chiropractic therapy group and McKenzie therapy group.

关 键 词：腰椎间盘突出症 三维平衡正脊疗法 麦肯基疗法 重吸收 临床疗效 

分 类 号：R681.53[医药卫生—骨科学]