反悬牵引下腰背运动治疗腰椎间盘突出症的临床疗效观察

Clinical Observation of Low Back Exercises under Inverted Traction on Patients with Lumbar Intervertebral Disc Protrusion

目的:观察反悬牵引配合腰背运动治疗腰椎间盘突出症的临床疗效。方法:采用随机、单盲、对照等方法进行设计,采用手指指地距离,电子测角仪、肌肉硬度疼痛测量仪对直腿抬高和脊柱侧弯活动度,肌肉疼痛硬度测量,ADL、VAS、心理测评量表测等方法,观察反悬牵引下腰背运动治疗腰椎间盘突出症的临床疗效,对照组采用电脑平牵。结果:反悬组和平牵组治疗后两组的各项积分明显减小,但反悬组各项测试指标明显优于平牵组,经Ridit分析,反悬组疗效优于平牵组。结论:反悬牵引下腰背运动治疗腰椎间盘突出症疗效优于电脑平牵疗法。

Objective： To evaluate the curative effect of inverted traction combined with low back exercises on lumbar intervertebral disc protrusion （LIDP）. Methods： A randomized, single--blinded, controlled and group designed clinical trial was performed. One hundred and sixty-six cases were randomly divided into treatment group and control group. Aside from fumigation with traditional Chinese medicine, the treatment group also received low back exercise under inverted traction and the control group was given horizontal traction. No statistical differences were found between two groups in baseline data. The total scores including finger face distance （FFD）, straight leg raising （SLR） and scoliosis were measured by electronics gonimeter, the pressure and deformation of tenderness on the low back muscles, activities of daily living（ADL）, visual analog scale （VAS） and psycho--scale were also recorded. Results： The total effective power of the treatment group was 100%, and 84.62% for the control group. Ridit analysis revealed that there was a significant difference between the two groups in curative effect. Conclusion： Inverted traction plus low back exercise was a better treatment for LIDP than horizontal traction.