“燕飞式”锻炼配合中医特色疗法治疗腰椎间盘突出症
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摘要
目的:探讨"燕飞式"功能锻炼配合中医特色疗法治疗腰椎间盘突出症的临床疗效。方法:将腰椎间盘突出症患者80例,随机分为观察组和对照组各40例,两组患者均经针灸、推拿、中药溻渍治疗15次后,观察组患者行"燕飞式"功能锻炼,对照组不进行功能锻炼,3个月后进行疗效评定,评定标准采用疼痛视觉模拟评分(visual analogue scale,VAS)和Oswestry功能障碍指数(oswestry disability inde,ODI)。结果:两组患者治疗后VAS和ODI均较治疗前明显降低(P<0.05),观察组较对照组降低更明显(P<0.05)。结论:"燕飞式"功能锻炼法能够明显改善腰椎间盘突出症患者的腰背部核心肌群的肌肉力量,能够长期缓解疼痛。
Objective:To explore the clinical efficacy of " Yanfei style" functional exercise combined with Chinese characteristics in treatment of lumbar disc herniation. Methods:80 patients with lumbar disc herniation were randomly divided into observation group and control group,with 40 cases in each group. After treatment with acupuncture,massage,and Chinese herbal medicine for 15 times,the observation group was performed with Yangei Style functional exercise. After exercise,the control group did not perform functional exercise. The curative effect was evaluated after 3 months,with the visual analogue scale( VAS) and Oswestry disability indeterminant( ODI) being used as the evaluation criteria. Results:After treatment,VAS and ODI in the two groups were significantly lower than that before treatment( P < 0. 05) and that of the observation group was significantly lower than the control group(P < 0. 05). Conclusion: " Yanfei style" functional exercise can significantly improve the muscle strength of lumbar and back core muscles in patients with lumbar disc herniation,and it can relieve pain for a long time.
Objective:To explore the clinical efficacy of " Yanfei style" functional exercise combined with Chinese characteristics in treatment of lumbar disc herniation. Methods:80 patients with lumbar disc herniation were randomly divided into observation group and control group,with 40 cases in each group. After treatment with acupuncture,massage,and Chinese herbal medicine for 15 times,the observation group was performed with Yangei Style functional exercise. After exercise,the control group did not perform functional exercise. The curative effect was evaluated after 3 months,with the visual analogue scale( VAS) and Oswestry disability indeterminant( ODI) being used as the evaluation criteria. Results:After treatment,VAS and ODI in the two groups were significantly lower than that before treatment( P < 0. 05) and that of the observation group was significantly lower than the control group(P < 0. 05). Conclusion: " Yanfei style" functional exercise can significantly improve the muscle strength of lumbar and back core muscles in patients with lumbar disc herniation,and it can relieve pain for a long time.
引文
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[3]林松青,罗勇杰,陈肖,等.神经阻滞联合整脊手法治疗腰椎间盘突出症的临床研究[J].中医正骨,2014,26(6):31-34.
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[11]丁晓医,周子静.射频热凝联合臭氧注射治疗腰椎间盘突出症的护理[J].中医正骨,2015,(27)12:83.
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[13]张雪宁,张云亭,陈希颖,等.用MRI研究腰痛与腰多裂肌萎缩之关系[J].中华国际医学杂志,2002,6(3):223-225.
[14]胡志军,范顺武,方向前,等.单侧腰痛病例腰椎多裂肌萎缩的相关因素研究[C].杭州:浙江省骨科学学术年会论文汇编,2009:67.
[15]史进军,高启,王颖彦,等.通过超声显像测量腰多裂肌厚度变化率评估腰多裂肌训练动作的效果[J].中华物理医学与康复杂志,2015,37(2):131-135.
[2]朱荣耀.骶管阻滞结合内服中药治疗腰椎间盘突出症86例疗效观察[J].中医正骨,2014,26(5):44-45.
[3]林松青,罗勇杰,陈肖,等.神经阻滞联合整脊手法治疗腰椎间盘突出症的临床研究[J].中医正骨,2014,26(6):31-34.
[4]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:101.
[5]胥少汀,葛宝丰,俆印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:1042-2054.
[6]高肖波,刘振东,吕一.射频消融联合硬膜外封闭治疗腰椎间盘突出症的临床效果[J].中医正骨,2015.27(2):49.
[7]杨文龙,沈守卫,董志超.独活寄生汤配合锻炼治疗腰椎间盘突出症76例[J].陕西中医,2013,349(4):419-421.
[8]HODGES P W,RICHARDSON C A.Inefficient muscular stabilization of the lumbar spine associated with low back pain.Amotor control evaluation of transversus abdominis[J].Spine,1996,21(22):2640-2650.
[9]Hides J,Stanton W.Muscle imbalance among elite Australian rules football players:a longitudinal study of changes in trunk muscle size[J].J Athl Train,2012,47(3):314-319.
[10]李志强,刘佳.后期康复锻炼在腰椎间盘突出症非手术治疗中的作用研究[J].中医正骨,2015,27(6):12-15.
[11]丁晓医,周子静.射频热凝联合臭氧注射治疗腰椎间盘突出症的护理[J].中医正骨,2015,(27)12:83.
[12]WARD S R,KIM C W,ENG C M,et al.Architectural anlysis and intraoperative measurements demonstrate the unique design of the multifidus muscle for lumbar spine stability[J].J Bone Joint Surg Am,2009,91(1):176-185.
[13]张雪宁,张云亭,陈希颖,等.用MRI研究腰痛与腰多裂肌萎缩之关系[J].中华国际医学杂志,2002,6(3):223-225.
[14]胡志军,范顺武,方向前,等.单侧腰痛病例腰椎多裂肌萎缩的相关因素研究[C].杭州:浙江省骨科学学术年会论文汇编,2009:67.
[15]史进军,高启,王颖彦,等.通过超声显像测量腰多裂肌厚度变化率评估腰多裂肌训练动作的效果[J].中华物理医学与康复杂志,2015,37(2):131-135.