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腰麻下大推拿复位手法治疗腰椎间盘突出症2568例疗效分析 被引量:12

THE TREATMENT OF LUMBAR INTERVERTEBRAL DISK HERNIA BY GREAT MASSAGE REDUCTION MANIPULATIONS UNDER LUMBAR ANEASTHESIA: A Therapeutic-effect Analysis of 2568 Cases
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摘要 为探讨腰麻下大推拿复位手法治疗腰椎间盘突出症的临床疗效。对采用该手法治疗的2568例腰椎间盘突出症患者进行了3周随访观察,并对其疗效与突出部位、突出性质、突出方向、突出大小的关系进行了统计分析。结果显示,1次复位手法治疗总有效率达84.66%。其中L4~5椎间盘突出者有效率明显高于L5S1椎间盘突出者(P<0.01);腰椎CT显示椎间盘膨出者有效率明显高于腰椎间盘脱出者(P<0.01);中央偏一侧型突出有效率明显高于中央型和极外侧型椎间盘突出(P<0.01);而中央型突出有效率又明显高于极外侧型突出(P<0.01),极外侧型突出疗效最差;椎间盘突出小于5mm者有效率明显高于椎间盘突出大于5mm者(P<0.01)。表明腰麻下大推拿复位手法治疗腰椎间盘突出症的临床疗效确切,并与突出性质、部位、方向、大小有关。 In order to study the clinical therapeutic effect of great massage reduction manipulations under lumbar anesthesia (GMRM) on lumbar intervertebral disk hernia (LIDH), 2568 LIDH cases treated by GMRM were followed up and observed for three weeks, and a statistical analysis was made on the relation of the therapeutic effect to the location, characteristics, direction and size of the hernia. The results showed that one session of GMRM treatment obtained a total effective rate of 84.66%, including: ① the effective rate of L_~4-5 LIDH was much higher than that of L_5S_1 LIDH (P < 0.01); ② so was the effective rate of CT-shown intervertebral disk prominence than that of CT-shown intervertebral disk herniation (P < 0.01); ③ so was the effective rate of central-monolateral-type LIDH than that of the central-type or the extremely-lateral-type (P < 0.01); ④ so was the effective rate of the central-type than that of the extremely-lateral-type (P < 0.01) and the therapeutic effect of the extremely-lateral-type was the worst; ⑤ so was the effective rate of LIDH < 5 mm than that of the extremely-lateral-type LIDH > 5 mm (P < 0.01), suggesting that the clinical therapeutic effect of GMRM on LIDH is definite but it is related to the location, characteristics, direction and size of the hernia.
出处 《中医正骨》 2005年第5期10-12,65-66,共5页 The Journal of Traditional Chinese Orthopedics and Traumatology
关键词 腰椎间盘突出症/治疗 推拿 临床研究 lumbar intervertebral disk hernia/treatment, massage, clinical study
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