腰椎间盘突出症的三维牵引治疗及护理
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摘要
目的:探讨不同角度的三维牵引治疗与护理对腰椎间盘突出症的疗效影响。方法:住院拟实行计算机控制三维牵引治疗的120例腰椎间盘突出症患者,随机分为观察组和对照组,观察组牵引力为患者体重的1/2,牵引角度±15°,旋转度数±15°;对照组牵引力为患者体重的1/3,牵引角度±5°,旋转度数±5°。治疗过程中的护理措施相同。采用疼痛评分和患者满意度考察疗效。结果:治疗后,观察组疼痛减轻,评分(1.80±0.95),优于对照组评分(2.35±0.87),差异有统计学意义(P<0.05)。观察组患者的满意度为96.6%,明显高于对照组的78.3%(P<0.05)。结论:三维牵引与护理治疗腰椎间盘突出症所采用牵引力、牵引角度和旋转度数影响治疗效果。
Objective: To explore the curative effect of three-dimensional traction from different angles and nursing on lumbar disc herniation. Methods: 120 patients with lumbar intervertebral disc herniation who were to be treated by computer controlled three-dimensional traction were randomly divided into observation group and control group. The traction force of observation group was 1/2 of the patient's body weight, the traction angle ±15°, the rotation ±15° and the traction force of control group were 1/3 of the patient's body weight, the traction angle ±5°and the rotation ±5°. The nursing measures in the course of treatment are the same. Pain score and patient satisfaction were used to evaluate the efficacy. Results: After treatment, the pain relief effect of the observation group(1.80±0.95)was better than(2.35±0.87) of the control group, the difference was statistically significant(P<0.05). The satisfaction rate of patients in the observation group was 96.6%, which was significantly higher than 78.3% in the control group(P< 0.05). Conclusion: Three-dimensional traction, traction angle, rotation angle and nursing affect the therapeutic effect of lumbar intervertebral disc herniation.
Objective: To explore the curative effect of three-dimensional traction from different angles and nursing on lumbar disc herniation. Methods: 120 patients with lumbar intervertebral disc herniation who were to be treated by computer controlled three-dimensional traction were randomly divided into observation group and control group. The traction force of observation group was 1/2 of the patient's body weight, the traction angle ±15°, the rotation ±15° and the traction force of control group were 1/3 of the patient's body weight, the traction angle ±5°and the rotation ±5°. The nursing measures in the course of treatment are the same. Pain score and patient satisfaction were used to evaluate the efficacy. Results: After treatment, the pain relief effect of the observation group(1.80±0.95)was better than(2.35±0.87) of the control group, the difference was statistically significant(P<0.05). The satisfaction rate of patients in the observation group was 96.6%, which was significantly higher than 78.3% in the control group(P< 0.05). Conclusion: Three-dimensional traction, traction angle, rotation angle and nursing affect the therapeutic effect of lumbar intervertebral disc herniation.
引文
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[6] 高志强.三维牵引结合电针治疗腰间盘突出症疗效观察[J].科教导刊-电子版(中旬),2018,15(2):297-298.
[7] 盛有根.不同成角三维牵引对腰椎滑脱症疗效的影响[J].浙江中西医结合杂志,2017,27(10):867-868.
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[9] KARIMI N,AKBAROV P,RAHNAMA L.Effects of segmental traction therapy on lumbar disc herniation in patients with acute low back pain measured by magnetic resonance imaging:a single arm clinical trial[J].J Back Musculoskelet Rehabil[J].2017,30(2):247-253.
[10] 王雅丽.三维牵引配合针灸推拿治疗腰间盘突出症的疗效分析[J].中医中药,2017(23):122-123.
[2] MACKI M,HERNANDEZ-HERMANN M,BYDON M,et al.Spontaneous regression of sequestrated lumbar disc herniations:literature review[J].Clin Neurol Neurosurg.2014,120:136-141.
[3] 刘冬梅.腰间盘突出症患者应用针灸理疗治疗的康复效果研究[J].当代医学,2018,24(2):89-91.
[4] 国家中医药管理局.中医病症诊断疗效标准[s].南京:南京大学出版社,1994:201-202.
[5] 颜海.三维牵引与温针灸治疗腰椎间盘突出症疗效观察[J].辽宁中医院大学学报,2016,18(2):188-190.
[6] 高志强.三维牵引结合电针治疗腰间盘突出症疗效观察[J].科教导刊-电子版(中旬),2018,15(2):297-298.
[7] 盛有根.不同成角三维牵引对腰椎滑脱症疗效的影响[J].浙江中西医结合杂志,2017,27(10):867-868.
[8] 张楚惠.三维牵引配合推拿整脊手法治疗腰椎间盘滑脱的临床效果[J].中国当代医药,2017.24(4):138-140.
[9] KARIMI N,AKBAROV P,RAHNAMA L.Effects of segmental traction therapy on lumbar disc herniation in patients with acute low back pain measured by magnetic resonance imaging:a single arm clinical trial[J].J Back Musculoskelet Rehabil[J].2017,30(2):247-253.
[10] 王雅丽.三维牵引配合针灸推拿治疗腰间盘突出症的疗效分析[J].中医中药,2017(23):122-123.