三维正脊仪治疗腰椎间盘突出症的辩证施治研究
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摘要
目的：通过对三维正脊仪辩证施治治疗腰椎间盘突出症的临床疗效观察,探讨辩证施治的具体指标及合理的牵引参数,为今后的临床治疗提供参考。
方法：临床收集120例腰椎间盘突出症患者,随机分为实验组和对照组各60例,实验组根据LDH病员的临床评分、病程及身高、体重等进行辩证,作为调节牵引参数的依据；对照组则单纯按照参考参数(根据普通电脑液压三维正脊仪技术参数结合多年临床经验制定)进行牵引。两者牵引后都予甘露醇、复方丹参液、地塞米松静滴,疗程两周。观察治疗后疗效,进行统计学分析。
结果：120例病人全部完成治疗。试验组在总体临床疗效(实验组与对照组分别为98.33%和95%)、治愈率(实验组与对照组分别为40%和33.33%)、显效率(实验组与对照组分别为70%和58.33%)、症状与体征积分及疼痛积分等多方面均优于对照组。
结论：三维正脊疗法治疗腰椎间盘突出症有较好的疗效,治疗的关键是根据病人的具体病情辩证施治,设置合适的牵引参数。研究发现LDH的临床评分、病程及身高、体重等辩证指标有一定的临床意义。
Objective:Three-dimensional cure spine Miriam treatment of lumbar disc herniation clinical observation, to explore the treatment of lumbar disc herniation in the role of mechanisms, the necessity of the dialectical treatment of the dialectic and the specific targets for future clinical treatment.
Methods:120 cases of collection of clinical patients with lumbar disc herniation were randomly divided into experimental group and 60 cases of control group, experimental group patients according to LDH clinical score, duration and physical characteristics (height, weight) dialectic, and combined with three-dimensional cure spine Miriam General technical parameters to set the traction parameters, the control group in accordance with the ordinary three-dimensional computer cure spine Hydraulic Technology traction parameters, both to mannitol after traction, Danshen fluid, intravenous dexamethasone, a two-week course of treatment. Observed before and after treatment efficacy, were analyzed statistically.
Results:120 cases of patients who completed treatment, the treatment group in the total effective rate, and pain symptoms and signs, etc. to improve the rates are better than the control group, especially for the initial issuance of the single segment of the lumbar intervertebral disc prolapse patients, the effect is more is obvious.
Conclusion:The three-dimensional cure spine treatment of lumbar disc herniation effective, safe and reliable, the economy is simple, worthy of further research and extension. The key to treatment is based on the patient's specific condition set parameters suitable traction. But for a long course of disease, patients with partial re-adhesion effect of the relatively poor, and its long-term efficacy requires further observation.
方法：临床收集120例腰椎间盘突出症患者,随机分为实验组和对照组各60例,实验组根据LDH病员的临床评分、病程及身高、体重等进行辩证,作为调节牵引参数的依据；对照组则单纯按照参考参数(根据普通电脑液压三维正脊仪技术参数结合多年临床经验制定)进行牵引。两者牵引后都予甘露醇、复方丹参液、地塞米松静滴,疗程两周。观察治疗后疗效,进行统计学分析。
结果：120例病人全部完成治疗。试验组在总体临床疗效(实验组与对照组分别为98.33%和95%)、治愈率(实验组与对照组分别为40%和33.33%)、显效率(实验组与对照组分别为70%和58.33%)、症状与体征积分及疼痛积分等多方面均优于对照组。
结论：三维正脊疗法治疗腰椎间盘突出症有较好的疗效,治疗的关键是根据病人的具体病情辩证施治,设置合适的牵引参数。研究发现LDH的临床评分、病程及身高、体重等辩证指标有一定的临床意义。
Objective:Three-dimensional cure spine Miriam treatment of lumbar disc herniation clinical observation, to explore the treatment of lumbar disc herniation in the role of mechanisms, the necessity of the dialectical treatment of the dialectic and the specific targets for future clinical treatment.
Methods:120 cases of collection of clinical patients with lumbar disc herniation were randomly divided into experimental group and 60 cases of control group, experimental group patients according to LDH clinical score, duration and physical characteristics (height, weight) dialectic, and combined with three-dimensional cure spine Miriam General technical parameters to set the traction parameters, the control group in accordance with the ordinary three-dimensional computer cure spine Hydraulic Technology traction parameters, both to mannitol after traction, Danshen fluid, intravenous dexamethasone, a two-week course of treatment. Observed before and after treatment efficacy, were analyzed statistically.
Results:120 cases of patients who completed treatment, the treatment group in the total effective rate, and pain symptoms and signs, etc. to improve the rates are better than the control group, especially for the initial issuance of the single segment of the lumbar intervertebral disc prolapse patients, the effect is more is obvious.
Conclusion:The three-dimensional cure spine treatment of lumbar disc herniation effective, safe and reliable, the economy is simple, worthy of further research and extension. The key to treatment is based on the patient's specific condition set parameters suitable traction. But for a long course of disease, patients with partial re-adhesion effect of the relatively poor, and its long-term efficacy requires further observation.
引文
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