石氏伤科强筋功法治疗臭氧消融术后腰椎间盘突出症的临床观察
|
摘要
目的:比较腰椎间盘突出症患者经皮穿刺臭氧消融术后,患者强筋功法训练与一般健康教育前后的结果差异。方法:采用随机对照研究的方法,将50例患者分为治疗组和对照组,治疗组采用石氏伤科强筋功法锻炼,对照组采用一般健康教育;两组患者入组当天(即第0周)、第12周,分别进行VAS、ODI、直腿抬高高度、Tergumed脊柱训练系统前屈、后伸数值比较。结果:石氏伤科强筋功法组与一般健康教育组在锻炼前后VAS、ODI、直腿抬高高度、腰椎前屈、后伸数值上的差异均有统计学意义;石氏伤科强筋功法组在VAS、ODI、直腿抬高高度、腰椎前屈、后伸改善数值上明显优于一般健康教育组。结论:石氏伤科强筋功法可以明显改善患者腰突疼痛程度、提高腰椎活动度、显著增强腰背肌力量、降低术后复发率,是治疗腰突臭氧消融术后一种有效地治疗方法,值得在临床上进一步研究和推广。
Objective:To compare the difference between the results of rock strengthening power therapy and general health education in patients with lumbar disc herniation after the percutaneous ozone ablation.Methods:A randomized controlled study was carried out.Fifty patients were divided into treatment group and control group.The treatment group was treated with Shi′s rock strengthening therapy in Shi′s Center of Orthopedics and Traumatology exercise.The control group was given general health education.The two groups′ VAS,ODI,straight leg raising height,Tergumed spinal training system,spinal flexion extension numerical values were compared at 0 th and 12 th week.Results:The treatment group′s VAS ODI,straight leg raising height,lumbar flexion and extension had statistical difference compared with those of the control group.And the former were better than the latter.Conclusion:Shi′s rock strengthening therapy can significantly relieve lumbar pain,improve lumbar activity and enhance back muscle strength and reduce the postoperative recurrence rate.It is an ozone ablation treatment of lumbar after effective treatment method,worthy of further research and promotion in clinic.
Objective:To compare the difference between the results of rock strengthening power therapy and general health education in patients with lumbar disc herniation after the percutaneous ozone ablation.Methods:A randomized controlled study was carried out.Fifty patients were divided into treatment group and control group.The treatment group was treated with Shi′s rock strengthening therapy in Shi′s Center of Orthopedics and Traumatology exercise.The control group was given general health education.The two groups′ VAS,ODI,straight leg raising height,Tergumed spinal training system,spinal flexion extension numerical values were compared at 0 th and 12 th week.Results:The treatment group′s VAS ODI,straight leg raising height,lumbar flexion and extension had statistical difference compared with those of the control group.And the former were better than the latter.Conclusion:Shi′s rock strengthening therapy can significantly relieve lumbar pain,improve lumbar activity and enhance back muscle strength and reduce the postoperative recurrence rate.It is an ozone ablation treatment of lumbar after effective treatment method,worthy of further research and promotion in clinic.
引文
[1] Cheung K M C,Ghazi S A.Current understanding of low back pain and intervertebral disc degeneration:epidemiological perspectives and phenotypes for genetic studies[J].Current Orthopaedics,2008,22(4):237-244.
[2] 吴在德,吴肇汉.外科学[M].7 版.北京:人民卫生出版社,2007:849-851.
[3] 陈东煜,刘志辉,石瑛,等.臭氧注射联合硬膜外麻醉下手法松解治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2012,20(6):4-6.
[4] 张明才,詹红生,石印玉,等.“骨错缝、筋出槽”理论梳理[J].上海中医药杂志,2009,43(11):59-62.
[5] 张菁蔷,汪小冬,孟晓耘,等.腰椎间盘突出症缓解期“强筋固肾功”康复锻炼的效果研究[J].护理管理杂志,2013,13(10):736-737.
[6] 李林,詹红生,陈博,等.分期疗法治疗腰椎间盘突出症110例临床疗效观察[J].中国中医骨伤科杂志,2011,19(1):11-12.
[7] 国家食品药品监督管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[8] 赵有强,刘楠,张红娟,等.导引功法防治颈腰椎病的研究进展[J].云南中医中药杂志,2016,37(7):93-95.
[9] 杨雪梅,李德杏.吐纳气功功法源流考[J].江西中医药大学学报,2009,21(3):32-35.
[10] 刘畅.24周综合运动干预对中年人群腰背、膝、肘等速肌力的影响[D].广州:华南师范大学,2015.
[11] 沈红维.腰椎间盘突出症患者应用中药熏蒸结合功能锻炼的护理效果[J].内蒙古中医药,2017,3(5):95-96.
[12] 温立萍,李倩,刘英英.渐进式腰背肌功能锻炼对腰椎椎管狭窄症患者的临床疗效及中医康复护理体会[J].中医临床研究,2017,9(12):110-111.
[13] 刁海静,张建华,郭耀斌.腰背肌锻炼对早期腰椎间盘突出症患者生活质量的影响[J].中国中医急症,2017,26(3):512-514.
[2] 吴在德,吴肇汉.外科学[M].7 版.北京:人民卫生出版社,2007:849-851.
[3] 陈东煜,刘志辉,石瑛,等.臭氧注射联合硬膜外麻醉下手法松解治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2012,20(6):4-6.
[4] 张明才,詹红生,石印玉,等.“骨错缝、筋出槽”理论梳理[J].上海中医药杂志,2009,43(11):59-62.
[5] 张菁蔷,汪小冬,孟晓耘,等.腰椎间盘突出症缓解期“强筋固肾功”康复锻炼的效果研究[J].护理管理杂志,2013,13(10):736-737.
[6] 李林,詹红生,陈博,等.分期疗法治疗腰椎间盘突出症110例临床疗效观察[J].中国中医骨伤科杂志,2011,19(1):11-12.
[7] 国家食品药品监督管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[8] 赵有强,刘楠,张红娟,等.导引功法防治颈腰椎病的研究进展[J].云南中医中药杂志,2016,37(7):93-95.
[9] 杨雪梅,李德杏.吐纳气功功法源流考[J].江西中医药大学学报,2009,21(3):32-35.
[10] 刘畅.24周综合运动干预对中年人群腰背、膝、肘等速肌力的影响[D].广州:华南师范大学,2015.
[11] 沈红维.腰椎间盘突出症患者应用中药熏蒸结合功能锻炼的护理效果[J].内蒙古中医药,2017,3(5):95-96.
[12] 温立萍,李倩,刘英英.渐进式腰背肌功能锻炼对腰椎椎管狭窄症患者的临床疗效及中医康复护理体会[J].中医临床研究,2017,9(12):110-111.
[13] 刁海静,张建华,郭耀斌.腰背肌锻炼对早期腰椎间盘突出症患者生活质量的影响[J].中国中医急症,2017,26(3):512-514.