三联疗法治疗腰椎间盘突出症的疗效观察

Clinical Observation of Triple Therapy for the Treatment of Lumbar Intervertebral Disc Hermiation

目的:研究推拿结合牵引加骶管注射对腰椎间盘突出症患者的治疗效果。方法:将180例腰椎间盘突出症患者,随机分为牵引推拿加骶管注射治疗组(A组),牵引推拿治疗组(B组)和单纯推拿手法治疗组(C组),以症状、体征为观察指标,评价各组患者的临床疗效。结果:三种保守法疗法对腰椎间盘突出症均有较好的疗效,其疼痛改善率、临床治愈率由高到低依次为:A组>B组>C组。结论:推拿结合牵引加骶管注射具有起效快,治愈率高的特点,有利于腰椎间盘突出症患者的症状恢复。

Objective：To study the effect of triple therapy of traction, massage and sacral canal injection on lumbar intervertebral disc hermiation （LIDH）. Methods：One hundred and eighty cases of LIDH were randomly divided into group A （treated with traction, massage and sacral canal injection）, group B （treated with traction and massage） and group C （treated with massage）. Signs and symptoms were observed to evaluate the clinical efficacy. Results：The three treatments were all effective to LIDH. The pain improvement rate and clinical cure rate in group B were lower than those in group A but high than those in group C. Conclusion：Triple therapy is helpful to LIDP with the advantage of quick acting and high cure rate.