干扰电疗法治疗腰椎间盘突出症疗效的对照研究

Study on treatment of lumbar disc herniation with interferential electric current stimulation

目的:评价牵引加干扰电疗法治疗腰椎间盘突出症的临床效果,并与单纯牵引治疗相比较。方法:对180例腰椎间盘突出症患者分为牵引加干扰电疗法治疗(B组)和单纯牵引治疗(A组)。A组89例,男45例,女44例,采用持续牵引,牵引力300～400N;B组91例,男46例,女45例,使用干扰电作疼痛区局部刺激。各病程分级(<2个月、2个月～2年、>2年),A组为29、30、30例,B组有31、30、30例;各年龄段(<40岁、40～55岁、>55岁)两组分别为30、29、30例及30、29、32例。对治疗前及治疗中期、治疗后分别以日本矫形外科学会制订的“腰椎疾患治疗成绩评分表”进行评分,对其评测结果进行比较分析。结果:两组不同病程疗效结果比较,对于病程<2个月和2个月～2年的患者评分显示牵引加干扰电疗组较牵引组疗效好(P<0.01)。两组不同年龄段中,对于年龄<40岁和40～55岁的患者评分显示牵引组加干扰电疗组较牵引组疗效好(P<0.01)。结论:对于病程<2年、年龄<55岁患者,牵引加干扰电疗法治疗腰椎间盘突出症较单纯牵引治疗疗效佳。

Objective： To evaluate the clinical effect of treatment of lumbar disc herniation with interferential electric current stimulation. Methods： One hundred and eighty patients were divided into two groups. In control group,89 patients（45 male,44 female） were treated with traction;In experimental group 91 patients （46 male,45 female） were treated with interferential electric and traction. There were 29,30,30 patients in each historical degree （ 〈2 months,2 months to 2 years, 〉2 years） in control group and there were 31,30,30 in treating group. There were 30,29,30 patients in each age stage （ 〈40 years,40 to 55 years, 〉55 years） in control group and there were 30,29,32 patients in experimental group. The clinical results were measured by the Japanese lumbar treatment standard. Results： After treating,the results of those in experimental group with history of 〈 2 months and 2 months to 2 years were better than those in control group, the difference was significant （P 〈0. 01 ）. The results of those in experimental group in age stage of 〈40 years and 40 to 55 years were better than those in control group,the difference was significant （P 〈 0. 01 ）. Conclusion： Interferential electric current stimulation had significant advantages in the treatment of lumbar disc bemiation for those who were younger than 55 years and the history shorter than 2 years.