中药热奄包配合正脊手法治疗腰椎间盘突出症的临床研究
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摘要
目的观察中药热奄包配合正脊手法治疗腰椎间盘突出症的临床效果。方法选取2013年12月~2015年2月就诊于江西中医学院附属医院的腰椎间盘突出症患者80例,将其随机分为两组,每组40例。治疗组:热奄包+正脊手法;对照组:传统骨盆牵引+口服塞来昔布。采用视觉模拟评分法(VAS)评价疼痛程度,观察两组的临床疗效。结果治疗组的总有效率为92.75%,显著高于对照组(82.75%)(P<0.05)。治疗组治疗后的VAS评分低于对照组,差异有统计学意义(P<0.05)。结论中药热奄包配合正脊手法治疗腰椎间盘突出症,能够减轻患者的疼痛程度,提高临床效果。
Objective To observe the clinical effect of Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation.Methods Eighty patients with lumbar disc herniation treated in Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine from December 2013 to February 2015 were selected and they were randomly divided into the two groups,and there were 40 cases in each group.The treatment group was given Reyanbao +chiropractic manipulation;the control group:traditional pelvic traction+oral Celecoxib.The visual analogue score(VAS) was used to evaluate the pain degree,and the clinical efficacy of the two groups was observed.Results The effective rate was 92.75% in the treatment group,which was higher than that of the control group(82.75%).VAS score in the treatment group after treatment was lower than that of the control group,and there was a statistical difference(P<0.05).Conclusion Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation can relieve the pain degree of patients,improve the clinical curative effect.
Objective To observe the clinical effect of Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation.Methods Eighty patients with lumbar disc herniation treated in Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine from December 2013 to February 2015 were selected and they were randomly divided into the two groups,and there were 40 cases in each group.The treatment group was given Reyanbao +chiropractic manipulation;the control group:traditional pelvic traction+oral Celecoxib.The visual analogue score(VAS) was used to evaluate the pain degree,and the clinical efficacy of the two groups was observed.Results The effective rate was 92.75% in the treatment group,which was higher than that of the control group(82.75%).VAS score in the treatment group after treatment was lower than that of the control group,and there was a statistical difference(P<0.05).Conclusion Reyanbao matching with chiropractic manipulation treating with Lumbar disc herniation can relieve the pain degree of patients,improve the clinical curative effect.
引文
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[12]孙天宝,陈绚,方璐,等.Mulligan手法联合悬吊训练治疗腰椎间盘突出症的临床研究[J].中国康复医学杂志,2015,30(8):831-833.
[13]陈昕,陈述荣,宋林,等.脊柱减压系统治疗腰椎间盘突出症的临床研究[J].中国康复理论与实践,2013,19(12):1177-1179.
[14]郑灿磊,焦杨,郑桂芝,等.徐疾补泻手法针刺腰夹脊穴治疗腰椎间盘突出症的临床研究[J].针刺研究,2015,40(3):242-246.
[15]张国福,杨阳,李华南等.热敏灸疗配合中药内服治疗风寒湿型腰椎间盘突出症[J].中国实验方剂学杂志,2012,18(7):264-266.
[2]李振朝,郭勇.定点运穴手法配合盘根消痛方治疗气虚型腰椎间盘突出疗效观察[J].中国现代医生,2017,55(25):94-96,100.
[3]陈佑邦.中医病证诊断疗效标准[M].南京:南京中医药大学出版社,1994.
[4]刘军,张陆,姜岩,等.两种手术方式治疗高位腰椎间盘突出症的临床疗效[J].中国现代医生,2016,54(5):66-69.
[5]唐智生,杨少华,徐晓兰,等.综合疗法治疗老年腰椎间盘突出症合并骨质疏松的临床研究[J].中国骨质疏松杂志,2012,18(6):548-551.
[6]严隽陶.推拿学[M].北京:中国中医药出版社,2003:67.
[7]何明伟,曾庆文,刘景,等.手法复位联合臭氧注射治疗腰椎间盘突出症的临床研究[J].中国康复医学杂志,2014,29(1):72-74.
[8]付勇,章海凤,熊俊,等.热敏灸治疗腰椎间盘突出症临床研究[J].南京中医药大学学报,2014,30(2):120-123.
[9]温优良,梁兴森,陈先武,等.骶管注射配合强刺激推拿手法治疗腰椎间盘突出症的疗效观察[J].中华物理医学与康复杂志,2012,34(6):457-459.
[10]候莜魁.斜扳时腰椎后部结构的动态观察和生物力学的分析[J].中华骨科杂志,1993,13(1):51.
[11]谢林,金哲,金明熙,等.颈椎间盘突出的自然消退[J].中国临床康复,2002,6(6):796.
[12]孙天宝,陈绚,方璐,等.Mulligan手法联合悬吊训练治疗腰椎间盘突出症的临床研究[J].中国康复医学杂志,2015,30(8):831-833.
[13]陈昕,陈述荣,宋林,等.脊柱减压系统治疗腰椎间盘突出症的临床研究[J].中国康复理论与实践,2013,19(12):1177-1179.
[14]郑灿磊,焦杨,郑桂芝,等.徐疾补泻手法针刺腰夹脊穴治疗腰椎间盘突出症的临床研究[J].针刺研究,2015,40(3):242-246.
[15]张国福,杨阳,李华南等.热敏灸疗配合中药内服治疗风寒湿型腰椎间盘突出症[J].中国实验方剂学杂志,2012,18(7):264-266.