牵顿挤压复位手法配合温针灸治疗腰椎间盘突出症的临床研究

Clinical Research of Dragging and Extrusion Manipulation Combined with Warming Needle Moxibustion in the Treatment of Lumbar Disc Herniation

目的:观察牵顿挤压复位手法配合温针灸治疗腰椎间盘突出症的临床疗效及安全性。方法:采用单盲、随机、对照研究方法,将合格受试者随机分为治疗组及对照组各31例。其中治疗组采用牵顿挤压复位手法配合温针灸治疗,对照组采用口服布洛芬片配合微电脑多功能腰椎牵引机治疗,观察两组患者治疗前后的症状体征、功能评分、起效时间、疗程及副反应等多维效应指标,评价疗效及安全性。结果:治疗组疗效明显优于对照组;两组比较,治疗组起效更快,疗程更短并且无副反应,安全性更高。结论:牵顿挤压复位手法配合温针灸是一项治疗腰椎间盘突出症安全效好的创新技术,值得临床广泛应用和推广。

Objective：To observe the clinical efficacy and safety of dragging and extrusion manipulation combined with warming needle moxibustion for treating lumbar disc herniation （LDH）. Methods：A single--blind, randomized, and control study was applied. All 62 eligible subjects were randomly divided into treatment group and control group. The patients of treatment group were treated by dragging and extrusion manipulation combined with warming needle moxibustion methods. The patients of control group were taken ibuprofen combined with mechanical traction through multifunctional microcom- puter. The signs and symptoms, function scores, onset time, course of treatment, and side effects of both groups were observed to evaluate the efficacy and safety. Results： The clinical efficacy of treatment group was better than control group, and it has advantages of faster onset, shorter course of treatment, and higher safety. Conclusion：The dragging and extrusion manipulation combined with warming needle moxibustion is a safe, effective, and innovative treatment for LDH. So it is worthy for wide application and promotion.