力敏整脊手法对腰椎间盘突出症患者临床疗效及生活质量影响研究
|
摘要
目的:观察力敏整脊手法治疗腰椎间盘突出症的临床疗效及对患者的生活质量影响。方法:将符合诊断标准的腰椎间盘突出症患者60例随机分为整脊手法配合常规腰椎牵引治疗组(简称治疗组)与常规腰椎牵引治疗组(简称对照组)各30例。治疗组和对照组每天1次治疗,4次为1个疗程,连续4次治疗后,休息1 d,持续3个疗程为总疗程。根据《中医病证诊断标准》中相关腰椎间盘突出症的临床疗效标准评判在总疗程后两组的临床疗效,以视觉模拟评分法(Visual analogue scale,VAS)评价患者疼痛改善的程度,以健康调查问卷(SF-36)评定患者的生活质量。结果:治疗组和对照组在治愈、显效、有效方面均较未予治疗时有效(P<0.05),但治疗组与对照组在治愈、显效及总有效方面差异具有统计学意义(P<0.05)。治疗组和对照组在总疗程前VAS、SF-36评分相互比较,P>0.05,差异无统计学意义;总疗程后,两组VAS、SF-36评分均改善(P<0.05),但治疗组比对照组改善更明显(P<0.05)。结论:力敏整脊手法配合常规腰椎牵引治疗腰椎间盘突出症的临床疗效确切,该法能更有效地改善患者的症状、体征及生活质量,值得在实践中加以推广应用。
Objective:To observe the clinical effect of force sensitive chiropractic techniques in the treatment of lumbar disc herniation and the influence on the quality of life in patients. Methods:According to the diagnostic standard,60 cases patient with lumbar disc herniation were randomly divided into the chiropractic combined with routine lumbar traction treatment group(treatment group)and the conventional lumbar traction treatment group(control group)with 30 cases in each. The two groups with treatment 1 times a day,4 times for 1 courses,4 consecutive times,and after 1 days rest,they continuoued 3 courses for the total course according to the "standard" in TCM syndrome diagnosis of lumbar disc herniation in clinical curative effect evaluation standard in clinical efficacy,visual analogue scale(VAS)to improve the degree of pain assessment,health survey questionnaire(SF-36)to assess the quality of life of these patients. Results:The treatment group and the control group had significance compared with before treatment in the cure and markedly effective,effective side(P<0.05),but the treatment group was statistical significance in the cure and effective and the total effective compared with control group(P<0.05). VAS,SF-36 score comparison of the treatment group and the control group before treatment,P>0.05,the difference was not statistically significant. The two groups of VAS and SF-36 scores were improved(P<0.05),but the treatment group was more obvious than the control group(P<0.05). Conclusion:The clinical efficacy of force sensitive chiropractic combined with routine lumbar traction in the treatment of lumbar disc herniation is effective. It can effectively improve the patients' symptoms,signs and the quality of life. It is worth to be popularized in the practice.
Objective:To observe the clinical effect of force sensitive chiropractic techniques in the treatment of lumbar disc herniation and the influence on the quality of life in patients. Methods:According to the diagnostic standard,60 cases patient with lumbar disc herniation were randomly divided into the chiropractic combined with routine lumbar traction treatment group(treatment group)and the conventional lumbar traction treatment group(control group)with 30 cases in each. The two groups with treatment 1 times a day,4 times for 1 courses,4 consecutive times,and after 1 days rest,they continuoued 3 courses for the total course according to the "standard" in TCM syndrome diagnosis of lumbar disc herniation in clinical curative effect evaluation standard in clinical efficacy,visual analogue scale(VAS)to improve the degree of pain assessment,health survey questionnaire(SF-36)to assess the quality of life of these patients. Results:The treatment group and the control group had significance compared with before treatment in the cure and markedly effective,effective side(P<0.05),but the treatment group was statistical significance in the cure and effective and the total effective compared with control group(P<0.05). VAS,SF-36 score comparison of the treatment group and the control group before treatment,P>0.05,the difference was not statistically significant. The two groups of VAS and SF-36 scores were improved(P<0.05),but the treatment group was more obvious than the control group(P<0.05). Conclusion:The clinical efficacy of force sensitive chiropractic combined with routine lumbar traction in the treatment of lumbar disc herniation is effective. It can effectively improve the patients' symptoms,signs and the quality of life. It is worth to be popularized in the practice.
引文
[1]胡有谷.腰椎间盘突出症[M].4版.北京:人民卫生出版社,2011:3-8.
[2]Shekelle PG,Markovich M,Louie R.Comparing the costs between provider types of episoders of back pain care[J].Spine,1995,20(2):221-226.
[3]Christensen MG,Kerkhoff D,Kollasch MW.Job analysis of chiropractic[J].Greeley(Colo):National Board of Chiropractic Examiners,2000,59(12):130.
[4]胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:23-36.
[5]王遵来.特色脊诊整脊[M].天津:天津科学技术出版社,2007:136.
[6]王雷.中国整脊术[M].天津:天津科技翻译出版公司,2010:94.
[7]康明非,陈日新.论“反应点”与腧穴[J].江西中医学院学报,2006,18(3):37-38.
[8]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:201-202.
[9]中华医学会.临床技术操作规范-物理医学与康复学分册[M].北京:人民军医出版社,2004:86-92.
[10]王宁华.疼痛定量评定的进展[J].中国临床康复,2002,6(18):2738-2739.
[11]张作记.行为医学量表手册[J].中国行为医学科学,2001,10(5):19-24.
[12]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[13]李强,腰椎间盘突出症辨证论治[J].中华中医骨伤科杂志,1998,4(2):45.
[14]刘小云,谢峰江,易元成,等.骨盆牵引治疗腰椎间盘突出症机理的再认识[J].中国骨伤,2000,13(11):664-665.
[15]王福根,高谦,毕胜.腰椎间盘突出症临床治疗机制探讨[J].中国临床康复,2003,7(8):1320.
[16]王俊,王淑华,黄金莲.牵引推拿治疗腰椎间盘突出症的机理研究进展[J].云南中医药,2004,25(1):41-43.
[17]蒋位庄.脊源性腰腿痛[M].北京:人民卫生出报社,2002:231.
[18]林美君,郭长青.杨甲三取穴经验研究[J].山西中医,2009,25(1):22-23.
[19]王和鸣.整脊疗法的源流与发展[J].福建中医学院学报,2007,17(5):14.
[20]韦贵康.脊柱相关疾病与手法治疗[M].北京:人民卫生出版社,2005:35.
[2]Shekelle PG,Markovich M,Louie R.Comparing the costs between provider types of episoders of back pain care[J].Spine,1995,20(2):221-226.
[3]Christensen MG,Kerkhoff D,Kollasch MW.Job analysis of chiropractic[J].Greeley(Colo):National Board of Chiropractic Examiners,2000,59(12):130.
[4]胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:23-36.
[5]王遵来.特色脊诊整脊[M].天津:天津科学技术出版社,2007:136.
[6]王雷.中国整脊术[M].天津:天津科技翻译出版公司,2010:94.
[7]康明非,陈日新.论“反应点”与腧穴[J].江西中医学院学报,2006,18(3):37-38.
[8]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:201-202.
[9]中华医学会.临床技术操作规范-物理医学与康复学分册[M].北京:人民军医出版社,2004:86-92.
[10]王宁华.疼痛定量评定的进展[J].中国临床康复,2002,6(18):2738-2739.
[11]张作记.行为医学量表手册[J].中国行为医学科学,2001,10(5):19-24.
[12]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[13]李强,腰椎间盘突出症辨证论治[J].中华中医骨伤科杂志,1998,4(2):45.
[14]刘小云,谢峰江,易元成,等.骨盆牵引治疗腰椎间盘突出症机理的再认识[J].中国骨伤,2000,13(11):664-665.
[15]王福根,高谦,毕胜.腰椎间盘突出症临床治疗机制探讨[J].中国临床康复,2003,7(8):1320.
[16]王俊,王淑华,黄金莲.牵引推拿治疗腰椎间盘突出症的机理研究进展[J].云南中医药,2004,25(1):41-43.
[17]蒋位庄.脊源性腰腿痛[M].北京:人民卫生出报社,2002:231.
[18]林美君,郭长青.杨甲三取穴经验研究[J].山西中医,2009,25(1):22-23.
[19]王和鸣.整脊疗法的源流与发展[J].福建中医学院学报,2007,17(5):14.
[20]韦贵康.脊柱相关疾病与手法治疗[M].北京:人民卫生出版社,2005:35.