牵引配合推拿治疗腰椎间盘突出症68例

Treatment of Lumbar Intervertibral Disc Protrusion (LDP) by Traction Combined with Massage: Report of 68 Cases

目的 观察牵引配合推拿法治疗腰椎间盘突出症的疗效。方法 采用牵引配合推拿法和单纯牵引法治疗腰椎间盘突出症各 6 8例 ,对 2种方法 3个疗程后的疗效结果进行对照分析。结果 治疗组 (牵引推拿组 ) 6 8例中 ,治愈 35例 ,治愈率为5 1.5 % ,总有效率为 95 .6 % (6 5 / 6 8)。对照组 (单纯牵引组 ) 6 8例中 ,治愈 18例 ,治愈率为 2 6 .5 % ,总有效率为 76 .5 % (5 2 / 6 8) ,对治愈率和总有效率分别进行统计学处理 ,P <0 .0 5 ,均有显著差异。结论 单纯牵引能使椎间孔增大和椎间隙增宽 ,有利于突出髓核的回纳 ,而牵引后配合推拿手法 ,不仅能巩固牵引的治疗效果 ,且能通过推拿的“外力”作用使突出的髓核回纳更成为可能 ,从根本上减轻或解除神经根的刺激和压迫 ,达到“标本兼治”的目的。

OBJECTIVE: To observe the therapeutic effect of LPD by traction supported with massage. METHOD: Control group was applied traction; and treatment group was supported with massage in addition, each group had 68 cases, the therapeutic effects of two groups were compared and analyzed after 3 courses of treatment. RESULT: In treatment group, the curative rate was 51.5%, total effective rate was 95.6%. In control group, they were 26.5% and 76.5% respectively. Statistic analysis showed that there were significant differences (P< 0.05) . CONCLUSION: Pure traction could increase the foramen intervertebrale and vertebral space, and was good for the return of protruding nucleus pulposus. Traction supported with massage could not only consolidate the therapeutic effect of traction, but also make the return of protruding nucleus pulposus even more possible. Therefore, the stimulation and constriction of nerve root could be relieved in essence, and treatment of both principal and secondary aspects of disease could be realized.