骨盆矫正法治疗腰椎间盘突出症骨盆倾斜的临床疗效
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摘要
目的:探讨骨盆矫正法治疗腰椎间盘突出症骨盆倾斜的临床疗效。方法:选取符合本科研腰椎间盘突出症诊断标准的患者60例,采用SPSS20.0软件随机分为治疗组和对照组各30例,治疗组采用骨盆矫正法治疗,对照组采用传统推拿腰部斜板法治疗。所有患者在治疗前后相同体位下拍摄骨盆正位DR片,分别测量治疗前后患者的骨盆倾斜度,统计治疗前后患者的JOA和VAS评分,并对所得数据进行统计分析。结果:治疗组和对照组治疗前骨盆倾斜度分别为2.59°±1.21°和2.51°±1.09°,JOA评分分别为11.53±3.56和12.80±2.46,VAS评分分别为5.33±2.44和4.00±2.08;治疗后骨盆倾斜度分别为1.04°±0.49°和2.09°±1.03°,JOA评分分别为18.07±4.68和18.27±4.18,VAS评分分别为2.60±1.85和2.40±2.33;组间差异均有统计学意义(P<0.05)。结论:骨盆矫正法对改善腰椎间盘突出症的骨盆倾斜具有良好疗效。
Objective:To explore the clinical effect of pelvic correction in the treatment of pelvic tilt of lumbar disc herniation.Methods:Sixty patients who met the diagnostic criteria for lumbar disc herniation were selected.They were randomly divided into treatment group(30 cases)and control group(30 cases)by SPSS20.0 software,The treatment group was treated with pelvic correction and the control group was treated with traditional massage lumbar slanting plate..All patients underwent pelvic positive DR films in the same position before and after treatment.The pelvic tilt of patients before and after treatment were measured,and the JOA and VAS scores of patients before and after treatment were counted.The data were statistically analyzed.Results:The pelvic inclination of the treatment group and the control group were 2.59°±1.21°and 2.51°±1.09°,respectively;the JOA scores were 11.53±3.56 and 12.80±2.46,respectively;the VAS scores were 5.33±2.44 and 4.00±2.08,respectively.The pelvic inclination after treatment was respectively and the scores were 1.04°±0.49°and 2.09°±1.03°.The JOA scores were 18.07±4.68 and 18.27±4.18,respectively;the VAS scores were2.60±1.85 and 2.40±2.33,respectively;the differences between the groups were statistically significant(P<0.05).Conclusion:The pelvic correction method has a good effect on improving the pelvic tilt of lumbar disc herniation.
Objective:To explore the clinical effect of pelvic correction in the treatment of pelvic tilt of lumbar disc herniation.Methods:Sixty patients who met the diagnostic criteria for lumbar disc herniation were selected.They were randomly divided into treatment group(30 cases)and control group(30 cases)by SPSS20.0 software,The treatment group was treated with pelvic correction and the control group was treated with traditional massage lumbar slanting plate..All patients underwent pelvic positive DR films in the same position before and after treatment.The pelvic tilt of patients before and after treatment were measured,and the JOA and VAS scores of patients before and after treatment were counted.The data were statistically analyzed.Results:The pelvic inclination of the treatment group and the control group were 2.59°±1.21°and 2.51°±1.09°,respectively;the JOA scores were 11.53±3.56 and 12.80±2.46,respectively;the VAS scores were 5.33±2.44 and 4.00±2.08,respectively.The pelvic inclination after treatment was respectively and the scores were 1.04°±0.49°and 2.09°±1.03°.The JOA scores were 18.07±4.68 and 18.27±4.18,respectively;the VAS scores were2.60±1.85 and 2.40±2.33,respectively;the differences between the groups were statistically significant(P<0.05).Conclusion:The pelvic correction method has a good effect on improving the pelvic tilt of lumbar disc herniation.
引文
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[14]程艳彬,房敏,王广东,等.以“筋骨失衡,以筋为先”探讨脊柱退化性疾病的推拿治疗[J].中华中医药杂志,2015,30(10):3470-3473.
[15]张琴明,朱清广.推拿治疗腰椎间盘突出症的机理研究进展[J].颈腰痛杂志,2007,28(4):335-336.
[16]朱清广,房敏,沈国权,等.推拿治疗骶髂关节紊乱生物力学效应[J].颈腰痛杂志,2009,30(2):163-166.
[17]冯天有.中西医结合治疗软组织损伤的临床研究[M].北京:中国科学技术出版社,2002.
[18]周楠,房敏,朱清广,等.推拿手法治疗腰椎间盘突出症腰背伸肌群生物力学特性评价研究[J].中华中医药杂志,2012,27(3):562-566.
[2]MARTINS D E,ASTUR N,KANAS M,et al.Quality assessment of systematic reviews for surgical treatment of low back pain:an overview[J].Spine J,2016,16(5):667-675.
[3]国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994.
[4]胡有谷.腰椎间盘突出症[M].3版.北京:人民卫生出版社,2004.
[5]王之虹,于天源.推拿学[M].北京:中国中医药出版社,2012.
[6]翁文水,沈国权.推拿治疗腰椎间盘突出症的机理探讨---多源性卡压学说[J].按摩与导引,2008,24(9):15-16.
[7]冯伟,冯天有,许奎,等.新医正骨疗法治疗Ⅲ、Ⅳ型腰椎间盘突出症[J].中医正骨,2015,27(5):62-64.
[8]冯宇,高燕,冯天有.矫形鞋辅助手法治疗腰椎间盘突出症的临床研究[J].中国骨伤,2012,25(1):28-31.
[9]彭静,王小伟,孙冬梅,等.核心稳定性训练的研究进展[J].中国康复理论与实践,2014,24(7):629-633.
[10]唐陶富.X线检查与诊断技术[M].北京:人民卫生出版社,2014.
[11]陈博,詹红生,石印玉,等.腰背痛的致病机理及中医学对腰背痛的认识[J].中国中医骨伤科杂志,2010,18(6):62-64.
[12]王立童,詹红生.以“筋出槽,骨错缝”理论探讨颈椎病的手法治疗[J].中国运动医学杂志,2009,28(6):703-705.
[13]元唯安,张明才,詹红生.对“骨错缝、筋出槽”的认识及临床诊断[J].中国骨伤,2013,26(6):502-504.
[14]程艳彬,房敏,王广东,等.以“筋骨失衡,以筋为先”探讨脊柱退化性疾病的推拿治疗[J].中华中医药杂志,2015,30(10):3470-3473.
[15]张琴明,朱清广.推拿治疗腰椎间盘突出症的机理研究进展[J].颈腰痛杂志,2007,28(4):335-336.
[16]朱清广,房敏,沈国权,等.推拿治疗骶髂关节紊乱生物力学效应[J].颈腰痛杂志,2009,30(2):163-166.
[17]冯天有.中西医结合治疗软组织损伤的临床研究[M].北京:中国科学技术出版社,2002.
[18]周楠,房敏,朱清广,等.推拿手法治疗腰椎间盘突出症腰背伸肌群生物力学特性评价研究[J].中华中医药杂志,2012,27(3):562-566.