镇痛牵引下脊柱推拿疗法对腰椎间盘突出影响的B超分析

B ultrasonic analysis on influence or spinal Tuina therapy under analgesic traction in treating protrusion of lumbar intervertebral disc

本文报告３８例腰椎间盘突出症患者，４３个节段突出，运用镇痛牵引下脊柱推拿疗法治疗后，３～６个月复查，疗效优良率分别为７１％和８７％；Ｂ超复查显示：有９个节段突出物消失，１３个明显缩小，８个稍缩小，７个不变，６个增大（Ｐ＞０．０５），突出物总体变化虽呈一定的缩小趋势（Ｐ＜０．０５），但与疗效未呈相关性（Ｐ＞０．０５）。结果提示：脊柱推拿疗法的疗效机制可能在于使突出物变位（位移）、变形以及由此不同程度地解除突出物对神经根或硬膜囊的病理性影响。突出物能否回纳并不是决定疗效的唯一因素。

Forty three segments of 38 cases of protrusion of lumbar intervertebral disc were reported.After treated with spinal Tuina therapy under analgesic traction 3 to 6 months the therapeutic results of rate of good and fair were 71% and 87% respectively.The B ultrasonic examination revealed that there were disappearance of the protruded mass in 9 segments,markedly shrinkage in 13.slight shrinkage in 8 no change in 7,enlarged in 6(p>0.05).Though there was a tendency of shrinkage of the protruded mass as a whole(P<0.05),there was no correlation as compared with the therapeutic effects(P>0.05).The results indicated that the mechanism of the therapy might be due to displacement and changing of the shape of the protruded mass and removing the pathological factor of the protruded mass exerting on the nerve root ordural sac in various degrees.Whether the protruded mass could return to its original place is not decisive factor in the therapeutic effect.