牵引推拿配合药酒治疗腰椎间盘突出症的临床探讨(1)
【摘要】 目的：探讨牵引推拿配合药酒治疗腰椎间盘突出症的临床疗效。方法：选取笔者所在医院2010年6月-2014年6月收治的60例腰椎间盘突出症患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组30例。其中对照组采取常规的牵引治疗，观察组采取牵引推拿配合药酒治疗。观察比较两组患者的临床疗效及疼痛评分情况。结果：经治疗后，观察组的治疗总有效率100%明显高于对照组的80.0%，差异有统计学意义(P<0.05)，两组患者治疗前疼痛评分比较差异无统计学意义(P>0.05)，而两组治疗后疼痛评分均明显低于治疗前，且观察组的患者疼痛评分明显低于对照组，差异均有统计学意义(P<0.05)。结论：牵引推拿配合药酒治疗腰椎间盘突出症的临床疗效显著，能够明显缓解患者疼痛，值得临床推广应用。
【关键词】 牵引； 推拿； 药酒； 腰椎间盘突出症
中图分类号 R681.53 文献标识码 B 文章编号 1674-6805(2015)8-0018-03
【Abstract】 Objective：To investigate the clinical effect of traction massage combined with medicinal liquor in the treatment of protrusion of lumbar intervertebral disc.Method：60 patients with protrusion of lumbar intervertebral disc in our hospital from June 2010 to June 2014 were selected as research objects，they were divided into the control group and the observation group according to the random number table method，30 cases in each group.The control group was given conventional traction for treatment，the observation group was given traction massage combined with medicinal liquor for treatment.The clinical efficacy and pain score situation of the two groups were observed and compared.Result：The total effective rate of the observation group was 100%，which was significantly higher than 80.0% of the control group，the difference was statistically significant(P<0.05).There was no difference in the pain score of the two groups before treatment(P>0.05)，the pain scores of the two groups after treatment were significantly lower than before treatment，and the pain score of the observation group was significantly lower than the control group，the differences were statistically significant(P<0.05).Conclusion：The clinical effects of traction massage combined with medicinal liquor in the treatment of protrusion of lumbar intervertebral disc is significant，can obviously relieve patients’ pain，is worthy of clinical popularization and application.
【Key words】 Traction； Manipulation； Medicinal liquor； Protrusion of lumbar intervertebral disc
First-author’s address：The Traditional Chinese Medicine Hospital of Fangchenggang City，Fangchenggang 538021，China
doi：10.14033/j.cnki.cfmr.2015.08.009
祖国医学认为，腰乃肾之府，肾精不足、肾气虚弱无法充养筋骨或者风寒湿邪侵入，造成阻滞瘀血、经络不畅、脉络不和、气血失调[1]。本研究通过对笔者所在医院收治的60例腰椎间盘突出症患者的临床资料进行回顾性分析，现将结果报告如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2010年6月-2014年6月收治的60例腰椎间盘突出症患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组30例。对照组30例患者中，男14例，女16例，年龄45～78岁，平均(56.7±10.8)岁；病程0.1～15.0年，平均病程(6.5±2.8)年；腰椎病变情况：单侧神经根受到压迫者20例，双侧神经根受到压迫者10例；腰椎病变部位：L3～4膨出6例，L4～5膨出6例，L5～S1膨出5例，L4～5突出13例；腰椎间盘突出症临床分型：侧突型20例，中央型3例，膨隆型4例，突出型3例。观察组30例患者中，男15例，女15例，年龄42～76岁，平均(55.4±10.0)岁；病程0.2～16.0年，平均病程(6.3±2.7)年；腰椎病变情况：单侧神经根受到压迫者21例，双侧神经根受到压迫者9例；腰椎病变部位：L3～4膨出5例，L4～5膨出5例，L5～S1膨出6例，L4～5突出14例；腰椎间盘突出症临床分型：侧突型18例，中央型4例，膨隆型4例，突出型4例。两组腰椎间盘突出症患者均有不同程度的腰腿部疼痛症状，直腿抬高、屈颈部、颈静脉压迫和挺腹部试验中，有三项以上表现阳性。两组患者的一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(朱洪等)
【关键词】 牵引； 推拿； 药酒； 腰椎间盘突出症
中图分类号 R681.53 文献标识码 B 文章编号 1674-6805(2015)8-0018-03
【Abstract】 Objective：To investigate the clinical effect of traction massage combined with medicinal liquor in the treatment of protrusion of lumbar intervertebral disc.Method：60 patients with protrusion of lumbar intervertebral disc in our hospital from June 2010 to June 2014 were selected as research objects，they were divided into the control group and the observation group according to the random number table method，30 cases in each group.The control group was given conventional traction for treatment，the observation group was given traction massage combined with medicinal liquor for treatment.The clinical efficacy and pain score situation of the two groups were observed and compared.Result：The total effective rate of the observation group was 100%，which was significantly higher than 80.0% of the control group，the difference was statistically significant(P<0.05).There was no difference in the pain score of the two groups before treatment(P>0.05)，the pain scores of the two groups after treatment were significantly lower than before treatment，and the pain score of the observation group was significantly lower than the control group，the differences were statistically significant(P<0.05).Conclusion：The clinical effects of traction massage combined with medicinal liquor in the treatment of protrusion of lumbar intervertebral disc is significant，can obviously relieve patients’ pain，is worthy of clinical popularization and application.
【Key words】 Traction； Manipulation； Medicinal liquor； Protrusion of lumbar intervertebral disc
First-author’s address：The Traditional Chinese Medicine Hospital of Fangchenggang City，Fangchenggang 538021，China
doi：10.14033/j.cnki.cfmr.2015.08.009
祖国医学认为，腰乃肾之府，肾精不足、肾气虚弱无法充养筋骨或者风寒湿邪侵入，造成阻滞瘀血、经络不畅、脉络不和、气血失调[1]。本研究通过对笔者所在医院收治的60例腰椎间盘突出症患者的临床资料进行回顾性分析，现将结果报告如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2010年6月-2014年6月收治的60例腰椎间盘突出症患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组30例。对照组30例患者中，男14例，女16例，年龄45～78岁，平均(56.7±10.8)岁；病程0.1～15.0年，平均病程(6.5±2.8)年；腰椎病变情况：单侧神经根受到压迫者20例，双侧神经根受到压迫者10例；腰椎病变部位：L3～4膨出6例，L4～5膨出6例，L5～S1膨出5例，L4～5突出13例；腰椎间盘突出症临床分型：侧突型20例，中央型3例，膨隆型4例，突出型3例。观察组30例患者中，男15例，女15例，年龄42～76岁，平均(55.4±10.0)岁；病程0.2～16.0年，平均病程(6.3±2.7)年；腰椎病变情况：单侧神经根受到压迫者21例，双侧神经根受到压迫者9例；腰椎病变部位：L3～4膨出5例，L4～5膨出5例，L5～S1膨出6例，L4～5突出14例；腰椎间盘突出症临床分型：侧突型18例，中央型4例，膨隆型4例，突出型4例。两组腰椎间盘突出症患者均有不同程度的腰腿部疼痛症状，直腿抬高、屈颈部、颈静脉压迫和挺腹部试验中，有三项以上表现阳性。两组患者的一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(朱洪等)