推拿结合旋转复位手法治疗腰椎间盘突出症的临床观察

Clinical Observation on TuiNa and Rotatory Manual Reduction in Treating Lumbar Disc Herniation

目的:观察推拿结合旋转复位手法治疗腰椎间盘突出症(LDH)的临床疗效。方法:将符合病例入选标准的100例LDH患者随机分为治疗组、对照组各50例。治疗组患者先用揉、一指禅推法等放松腰臀腿部肌肉韧带,同时在肾俞、大肠俞、环跳、委中、昆仑等穴位给予点按手法,再行定点旋转复位术,同时给予牵引治疗,牵引质量30～60 kg,30 mi n/次,1次/d,治疗15天,中间休息1～2天。对照组给予牵引治疗(方法同治疗组)。观察2组临床疗效及治疗前后疼痛评分变化情况。结果:临床治愈率治疗组为76.00%,对照组为50.00%;总有效率治疗组为96.00%,对照组为74.00%,2组相比差异有统计学意义(P<0.05)。视觉模拟评分法(VAS)评分2组治疗后均降低,与治疗前相比差异有统计学意义(P<0.05);2组治疗后组间相比差异有统计学意义(P<0.05)。结果:推拿结合旋转复位手法治疗LDH临床疗效显著,可明显减轻疼痛。

Objective： To explore clinical effects of TuiNa and rotatory manual reduction in treating lumbar disc herniation （LDH）. Method： A total of 100 patients with LDH were randomly divided into treatment group and control group, 50 cases each group. Treatment group were given with manipulation including kneading, one-finger pushing manipulation to relax muscles and ligament, point-pressing manipulation at acupoints ofSheShu （BL23）, DaChangShu （BL25）, HuonTioo（GB30）, WeiZhong （BL40）, KunLun（BL60） and others, fixed rotatory manual reduction and traction, traction weight from 30 to 60 kg, 30 min once, once per day, one session was 15 days, the interval was one to two days. Control group received traction. Clinical effects of both groups and changes of visual analogue scale （VAS） before and after treating were observed. Result： Cure rate of treatment group was 76.00%, higher than 50.00% of control group with statistical meaning （P〈0.05）; total effective rate of treatment group was 96.00%, superior to 74.00% of control group with statistical meaning （P〈0.05）. VAS of both groups after treating decreased compared with that before treating with statistical meaning （P〈0.05）; comparison between both groups suggested statistical meaning after the treatment （P〈0.05）. Conclusion： TuiNa and rotatory manual reduction can obtain notable clinical effects and can obviously alleviate the pain in treating LDH.