五段拔伸推拿法治疗腰椎间盘突出症胫腓神经损伤的临床研究
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摘要
目的:观察五段拔伸推拿法治疗腰椎间盘突出症胫腓神经损伤的临床疗效。方法:将符合纳入标准的临床病例160例,随机分为五段拔伸推拿组(观察组) 80例和传统推拿组(对照组) 80例。治疗结束后,观察两组病例治疗前后胫神经、腓总神经传导速度变化及视觉模拟疼痛量表评分,并进行临床疗效评价。结果:治疗后两组间比较,胫神经和腓总神经传导速度变化、视觉模拟疼痛量表评分结果具有显著性差异(P≤0. 05或P <0. 01);治疗后组内比较,观察组胫神经和腓总神经传导速度变化、视觉模拟疼痛量表评分结果具有显著性差异(P≤0. 05或P <0. 01)。对照组视觉模拟疼痛量表评分结果治疗前后比较具有极显著性差异(P <0. 01),神经传导速度无明显改善。结论:五段拔伸法对腰椎间盘突出症胫腓神经损伤具有明显的治疗作用,且治疗效果优于传统推拿手法。
Objective: To observe the clinical effect of five-segment extension massage on tibiofibular nerve injury of lumbar disc herniation( LDH). Methods: 160 patients who met the inclusion criteria were randomly divided into the observation group( n = 80,five-segment extenstion massage) and the control group( n = 80,traditional massage). After the treatment,the conduction velocity changes of tibial nerve and common peroneal nerve,visual analogue pain scale( VAS) were observed to evaluate the clinical efficacy. Results: There were significant differences between the two groups in terms of the conduction velocity changes of tibial nerve and common peroneal nerve,as well as in terms of VAS( P≤0. 05,P < 0. 01); these differences were also seen in the observation group after the treatment compared to those before the treatment( P ≤0. 05,P < 0. 01); the difference in terms of VAS was seen in the control group,whereas no significant improvement of nerve conduction velocity was seen in the control group after the treatment. Conclusion: The five-segment extension massage has obvious therapeutic effect on LDH,and the treatment effect is better than the traditional massage manipulation.
Objective: To observe the clinical effect of five-segment extension massage on tibiofibular nerve injury of lumbar disc herniation( LDH). Methods: 160 patients who met the inclusion criteria were randomly divided into the observation group( n = 80,five-segment extenstion massage) and the control group( n = 80,traditional massage). After the treatment,the conduction velocity changes of tibial nerve and common peroneal nerve,visual analogue pain scale( VAS) were observed to evaluate the clinical efficacy. Results: There were significant differences between the two groups in terms of the conduction velocity changes of tibial nerve and common peroneal nerve,as well as in terms of VAS( P≤0. 05,P < 0. 01); these differences were also seen in the observation group after the treatment compared to those before the treatment( P ≤0. 05,P < 0. 01); the difference in terms of VAS was seen in the control group,whereas no significant improvement of nerve conduction velocity was seen in the control group after the treatment. Conclusion: The five-segment extension massage has obvious therapeutic effect on LDH,and the treatment effect is better than the traditional massage manipulation.
引文
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[3]昌炳峰.中医推拿治疗腰椎间盘突出50例[J].中国中医药现代远程教育,2014(18):132-133.
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[5]王俊,王淑华,黄金莲.牵引推拿治疗腰椎间盘突出症的机理研究进展[J].云南中医中药杂志,2004(1):41-43.
[6]冯利刚.牵引配合推拿治疗腰椎间盘突出症的临床观察[J].当代医学,2011(15):2-3.
[7]单衍丽,王道全,王进.拔伸斜扳三步法推拿治疗腰椎间盘突出症30例[J].山东中医杂志,2011(7):485-486.
[2]高玉峰,姚斌彬,于天源.腰椎间盘突出症推拿手法治疗理论探讨[J].辽宁中医药大学学报,2014(2):67-69.
[3]昌炳峰.中医推拿治疗腰椎间盘突出50例[J].中国中医药现代远程教育,2014(18):132-133.
[4]毕胜,李义凯,赵卫东,等.推拿手法治疗腰椎间盘突出症的机制[J].中国康复医学杂志,2001(1):8-10.
[5]王俊,王淑华,黄金莲.牵引推拿治疗腰椎间盘突出症的机理研究进展[J].云南中医中药杂志,2004(1):41-43.
[6]冯利刚.牵引配合推拿治疗腰椎间盘突出症的临床观察[J].当代医学,2011(15):2-3.
[7]单衍丽,王道全,王进.拔伸斜扳三步法推拿治疗腰椎间盘突出症30例[J].山东中医杂志,2011(7):485-486.