中医推拿手法联合SDS治疗腰椎间盘突出症48例
|
摘要
目的:观察中医手法联合SDS(非手术脊柱减压系统)治疗腰椎间盘突出症的临床疗效。方法:将96例患者按照就诊顺序随机分为对照组、观察组各48例。2组均给予基础治疗,对照组给予非手术脊柱减压,观察组在对照组治疗的基础上给予中医推拿手法治疗。结果:功能障碍评分及VAS评分治疗前后2组组内比较,差异有统计学意义(P<0.05);治疗后2组组间比较差异也有统计学意义(P<0.05)。总有效率对照组为85.42%,观察组为95.83%,2组比较差异有统计学意义(P<0.05)。结论:中医手法联合SDS治疗腰椎间盘突出症,可有效改善患者腰部功能障碍,减轻疼痛。
Objective: To survey clinical effects of TCM manipulation maneuver combined with SDS(Nonoperative spinal decompression system) in treating lumbar disc herniation(LDH). Methods: All 96 patients were randomized into the control group and the observation group according to the visiting order, both groups were given basic therapy, the control group SDS, and the observation group TCM manipulation maneuver on the foundation of SDS. Results: The difference had statistical meaning in the comparisons of Oswestry dysfunction index and VAS scales before and after treating within two groups(P<0.05); the difference showed statistical meaning in the comparisons between both groups after treating(P<0.05). Total effective rate of the control group was 85.42%, lower than 95.83% of the observation group, and the difference showed statistical meaning between both groups(P<0.05).Conclusion: TCM manipulation maneuver combined with SDS could effectively improve lumbar dysfunction of the patients and mitigate the pain.
Objective: To survey clinical effects of TCM manipulation maneuver combined with SDS(Nonoperative spinal decompression system) in treating lumbar disc herniation(LDH). Methods: All 96 patients were randomized into the control group and the observation group according to the visiting order, both groups were given basic therapy, the control group SDS, and the observation group TCM manipulation maneuver on the foundation of SDS. Results: The difference had statistical meaning in the comparisons of Oswestry dysfunction index and VAS scales before and after treating within two groups(P<0.05); the difference showed statistical meaning in the comparisons between both groups after treating(P<0.05). Total effective rate of the control group was 85.42%, lower than 95.83% of the observation group, and the difference showed statistical meaning between both groups(P<0.05).Conclusion: TCM manipulation maneuver combined with SDS could effectively improve lumbar dysfunction of the patients and mitigate the pain.
引文
[1]吴秀丽.中药湿热敷配合离子导入治疗腰椎间盘突出症的疗效及护理经验[J].西部中医药,2017,30(1):124-127.
[2]柯东港.腰椎间盘突出症发病危险因素及CT影像特点分析[J].中国CT和MRI杂志,2016,14(6):133-136.
[3]杨轶杰.矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察[J].西部中医药,2012,25(9):31-32.
[4]胡有谷.腰椎间盘突出症[M].3版.北京:人民卫生出版社,2005:9.
[5]陈兴灿,刘淼,何东,等.复杂腰椎间盘突出症影像学诊断策略[C].北京:第十二次全国中西医结合医学影像学术研讨会,2012.
[6]孙勇军,杜渐.腰椎间盘突出症手术的围手术期中西医结合护理体会[J].西部中医药,2012,25(7):119-121.
[7]韦芳欣.太极拳运动疗法联合中药热熏对复位后腰椎间盘突出症患者康复的影响[J].西部中医药,2015,28(11):99-102.
[8]方卫军,李章华.腰椎间盘突出症的微创治疗进展[J].中国医药导报,2016,13(22):24-27.
[9]焦守凤,韩康,赵廷宝.腰椎间盘突出症SDS9800牵引减压非手术治疗的护理体会[J].实用医药杂志,2016,33(10):928-931.
[10]袁光洪.SDS与普通牵引对腰椎间盘突出症的疗效对比及表面肌电分析[D].重庆:重庆医科大学,2016.
[11]青祖宏,刘明,高巍,等.非手术脊柱减压与普通牵引治疗腰椎间盘突出症的临床效果对比[J].北京医学,2014,36(2):148-150.
[12]林彩霞,程思琴,廖亚琴.系统化功能康复锻炼对椎间盘镜治疗腰椎间盘突出症患者的影响[J].齐鲁护理杂志,2013,19(4):34-35.
[2]柯东港.腰椎间盘突出症发病危险因素及CT影像特点分析[J].中国CT和MRI杂志,2016,14(6):133-136.
[3]杨轶杰.矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察[J].西部中医药,2012,25(9):31-32.
[4]胡有谷.腰椎间盘突出症[M].3版.北京:人民卫生出版社,2005:9.
[5]陈兴灿,刘淼,何东,等.复杂腰椎间盘突出症影像学诊断策略[C].北京:第十二次全国中西医结合医学影像学术研讨会,2012.
[6]孙勇军,杜渐.腰椎间盘突出症手术的围手术期中西医结合护理体会[J].西部中医药,2012,25(7):119-121.
[7]韦芳欣.太极拳运动疗法联合中药热熏对复位后腰椎间盘突出症患者康复的影响[J].西部中医药,2015,28(11):99-102.
[8]方卫军,李章华.腰椎间盘突出症的微创治疗进展[J].中国医药导报,2016,13(22):24-27.
[9]焦守凤,韩康,赵廷宝.腰椎间盘突出症SDS9800牵引减压非手术治疗的护理体会[J].实用医药杂志,2016,33(10):928-931.
[10]袁光洪.SDS与普通牵引对腰椎间盘突出症的疗效对比及表面肌电分析[D].重庆:重庆医科大学,2016.
[11]青祖宏,刘明,高巍,等.非手术脊柱减压与普通牵引治疗腰椎间盘突出症的临床效果对比[J].北京医学,2014,36(2):148-150.
[12]林彩霞,程思琴,廖亚琴.系统化功能康复锻炼对椎间盘镜治疗腰椎间盘突出症患者的影响[J].齐鲁护理杂志,2013,19(4):34-35.