推拿联合Mulligan曲腿抬高法治疗腰椎间盘突出伴坐骨神经放射痛临床观察  

Massage Combined with Mulligan Bent Leg Raise in the Treatment of Lumbar Disc Herniation with Sciatic Nerve Radiation Pain

作　　者：张旭 刘中恺 张磊 吴丽筠 杨森林 ZHANG Xu;LIU Zhongkai;ZHANG Lei;WU Liyun;YANG Senlin(Department of Massage,Yancheng Hospital of Traditional Chinese Medicine,Jiangsu Province,Yancheng 224000,China)

机构地区：[1]盐城市中医院推拿科,江苏盐城224000

出　　处：《光明中医》2025年第4期731-734,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的观察推拿结合Mulligan曲腿抬高法(BLR)治疗腰椎间盘突出症伴坐骨神经放射痛的临床疗效。方法将2023年1月—2023年12月盐城市中医院64例腰椎间盘突出症伴坐骨神经放射痛患者随机分为推拿组22例,BLR组20例及治疗组22例。3组均于治疗前后分别采用视觉模拟量表(VAS)、日本骨科学会下腰痛评分量表(JOA)评定疗效。结果治疗后,3组VAS评分均较治疗前降低,JOA评分均提高,且治疗组降低及提高的程度均大于推拿组及BLR组,差异均有统计学意义(P<0.05)。结论推拿结合BLR治疗腰椎间盘突出症伴坐骨神经放射痛可以明显缓解下肢症状,提高患者生活质量,值得在临床上推广。Objective To observe the clinical effect of massage combined with Mulligan bent leg raise(BLR)in the treatment of lumbar disc herniation with sciatic nerve radiation pain.Methods A total of 64 cases of lumbar disc herniation with sciatic nerve radiation pain patients were randomly divided into a massage group(22 cases,treated with massage),a Mulligan BLR treatment group(20 cases,treated with BLR),and a treatment group(22 cases,treated with massage combined with BLR).The Visual Analogue Scale(VAS),Japanese Orthopaedic Association(JOA)score for lumbar disc herniation with sciatic nerve pain,and Straight Leg Raise(SLR)score were used to evaluate the therapeutic effect before and after treatment in the three groups.Results After treatment,the average VAS of the 3 groups was lower than before treatment,and JOA score was increased,and the degree of reduction and improvement in the treatment group was greater than that in the massage group and the BLR group,and the difference was statistically significant(P<0.05).Conclusion Massage combined with Mulligan BLR is effective in treating lumbar disc herniation with sciatic nerve radiation pain,and it is worthy of promotion.

关 键 词：腰痛 腰椎间盘突出症 坐骨神经放射痛 下腰痛 Mulligan曲腿抬高法 推拿疗法 

分 类 号：R244.1[医药卫生—针灸推拿学]