两种牵引疗法治疗腰椎间盘突出症的疗效对比

Efficacy comparison of two traction therapies for lumbar intervertebral disk protrusion

目的比较三维快速牵引与腰椎持续牵引治疗腰椎间盘突出症的临床疗效及复发情况。方法腰椎间盘突出症患者治疗组105例,采用三维快速牵引法治疗,1次/周;对照组105例,采用腰椎持续牵引法治疗,30分钟/次,5次/周;两组均同时配合针灸、超短波及推拿疗法,30分钟/次,5次/周。1周为1个疗程,4个疗程后评价疗效;随访2年比较复发率。结果治疗组与对照组组有效率分别为91.43%,79.05%,两年复发率分别为21.88%,41.56%,差异均有显著性意义(P<0.05)。结论三维快速牵引加针灸、超短波及推拿是治疗腰椎间盘突出症的有效方法,且能减少复发。

Objective To compare the efficacy and recurrence rate of two therapies for lumbar disk prolapse （ LDP ） , three-dimensional rapid traction （TDRT） and continuous lumbovertebral traction （ CLT） ,both of which received acupuncture and moxibustion ,ultrashort wave and Tuina at the same time. Methods 210 LDP voluntary cases were randomly divided into therapy （n = 105 cases） group and control （n = 105 cases） group. The therapy group was treated by TDRT once a week, whereas the control group by CLT, which was manipulated for 30 minutes each time and 5 times a week. Each group received auxiliary treatments of acupuncture, moxibustion, ultrashort wave and Tuina at the same time, for 30 minutes each time and 5 times a week, 7 days as a course. After 4 curates, each therapy effect was evaluated. After 2 years follow-up, each group＇s recurrence rate was compared. And SPSS 12.0 software was used for statistical analysis. Results The effective rates of TDRT and CLT groups were 91.43 % and 79.05 % , respectively. The recurrence rates alter 2 years were 21.88% and 41.56%, respectively. There were significant differences between these two groups （ P 〈 0. 05 ）. Conclusion TDRT and CLT plus acupuncture and moxibustion, ultrashort wave and Tuina are two effective therapies for LDP. However, the clinical effect of TDRT is much better than CLT, and the recurrence rate is lower as well.