推拿后伸扳法治疗腰椎间盘突出症临床观察

Clinical observation of post-extension pulling massage in treating lumbar disc herniation

目的:观察推拿后伸扳法治疗腰椎间盘突出症的临床疗效。方法:2008年1月至12月治疗腰椎间盘突出症61例,男34例,女27例;年龄17～67岁,平均42.6岁;膨出型9例,突出型22例,游离型30例。采用牵引治疗仪持续牵引30min后,用推拿后伸扳法治疗;隔1d治疗1次,3次为1个疗程,治疗1个疗程后按Macnab腰椎疾患疗效评定标准,从疼痛、腰部活动功能、正常工作与生活等方面观察治疗效果。结果:61例患者均获得随访,时间1～9个月,平均4.6个月。经1个疗程治疗后,患者的症状与体征均较治疗前有较大改善。按Macnab标准:优48例,良10例,可2例,差1例。结论:推拿后伸扳法治疗腰椎间盘突出症能获得满意疗效,它作用点集中、椎体受力小、且力量可控性强,能减少意外损伤发生。

Objective：To observe the clinical effect of post extension pulling massage in treating lumbar disc herniation. Methods：From January 2008 to December 2008,61 patients with lumbar disc herniation,34 males and 27 females,ranging in age from 17 to 67 years with an average of 42.6 years,were treated with post extension pulling massage after continued traction for 30 minutes （on alternate days one time,3 times as a course of treatment）. There was bulging type in 9 cases,hernia type in 22,free type in 30. After a course of treatment,the clinical effects were evaluated according to standard of Macnab,the items included pain,lumbar activity,normal work and life of patients. Results：All patients were followed up from 1 to 9 months with an average of 4.6 months. After treatment,the symptoms and signs of patients had obviously improved in above aspects. Ac-cording to standard of Macnab,48 cases got excellent result,10 good,2 fair,1 poor. Conclusion：The post extension pulling massage in treating lumbar disc herniation can obtain satisfactory results,which have localized site of action,small compression for vertebral body and can reduce accidental injury.