仰卧牵引时屈髋、伸髋位对腰椎间盘突出症治疗效果的影响

Effects of Hip Flection and Extension in Supine Position on Lumbar Traction for Prolapse of Lumbar Intervertebral Disc

目的探讨屈髋位和伸髋位在腰椎间盘突出症牵引时的疗效差异。方法84例腰椎间盘突出症患者全部采用仰卧位牵引,屈髋组与伸髋组各42例,治疗前后对两组患者采用FairbankJC"腰痛病情计分表"和疼痛视觉模拟评分法(VAS)进行症状体征及疼痛评定。结果屈髋组在病情、体征及疼痛改善等方面均显著优于伸髋组(P<0.001)。结论腰椎间盘突出症仰卧牵引治疗时,屈髋位更有利于改善和缓解病情。

Objective To compare the curative effects of lumbar traction in supine position with hip flection and extension for prolapse of lumbar intervertebral disc （PLID）. Methods 84 PLID patients were all treated by lumbar traction in supine position. But, group A （42 cases） with hip flection and group B （42 cases） with hip extension. Before and after three weeks therapy, all patients were assessed by Fairbank JC index and Visual Analogue Scales （VAS） to observe the symptom and pain condition. Results The scores of Fairbank JC index and VAS scale of the patients in group A were significantly lower than those in the group B （ P〈0. 001 ）. Conclusion Lumbar traction in supine position with hip flection for the PLID can obviously promote the curative effects.