五步推拿法治疗腰椎间盘突出症253例临床观察

Clinical Research of Five-steps Manipulation on Cerebral Hemorrhage,A Report of 253 Cases

目的：观察五步推拿手法治疗腰椎间盘突出症的临床疗效。方法：将353例患者按照随机数字表随机分为2组，治疗组253例运用五步推拿法治疗；对照组100例口服布洛芬、元胡止痛片、麝香壮骨膏外贴，疗程均为30天。结果：治疗组治愈181例，好转72例，无效0例，总有效率为100％（95％CI=99．8％-100．0％）；对照组治愈25例，好转57例，无效18例，总有效率为82％（95％CI=72．1％～88．5％）；两组综合疗效比较（u=7．5689，P=0．0000），差异显著。结论：五步推拿手法治疗腰椎间盘突出症的综合疗效优于对照组，且治疗组治愈患者半年复发的危险性低于对照组（OR=0．11，95％CI=0．02—0．54），治疗组每临床治愈3例患者可较对照组减少1例半年复发的患者（NNT=3.95％CI=1．8—8．4）。

Objective： To observe the curative effect of five-steps manipulation on lubar intervertebral disc protrusion （LIDP）. Method： 353 cases were divided into two groups randomly as random digits table. 253 cases in treatment group were treated by five-steps manipulation, and 100 cases in control group were treated by Brufen, corydalis tuber killing pain tablets and musk streghtening bone paste. The treatment course was 30 days. Result： In treatment group 181 cases were recovered, 72 cases were effective and no case was ineffective. The total effective rate was 100% （95% CI =99.8% - 100.0% ）. In control group 25 cases were recovered, 57 cases were effective and 18 cases were ineffective. The total effective rate was 82% （95% CI = 72. 1% -88.5% ）. The curative effective difference was significant between the two groups （u =7.568 9 ,P = 0. 000 0）. Conclusion： The effect of five-steps manipulation is better than that in control group on LIDP. The recurring chanciness of half year in treatment group is lower than in control group （OR = 0. 11, 95% CI = 0. 02 -0. 54）. And every 3 recovered cases in treatment group can decrease 1 case recurring within half year in control group （NNT =3,95% CI = 1.8 -8.4）.