脊柱手法推拿术治疗腰椎间盘突出症的作用研究

The Study of Spinal Manipulation Massage in Treatment of Lumbar Intervertebral Disc Herniation

目的:比较分析牵引疗法与脊柱手法推拿术治疗腰椎间盘突出症的临床效果。方法:80例腰椎间盘突出症患者根据治疗方式不同分为两组:A组患者采用牵引治疗;B组患者采用脊柱手法推拿法治疗。比较两组患者的临床疗效。结果:两组患者均获得至少1年随访,两组患者治疗前与治疗后1年随访比较,其平均VAS腰腿痛评分与Birdwell腰椎间盘突出症评分均明显降低,差异有统计学意义(P<0.05)。A组患者治疗后的平均VAS腰腿痛评分为(2.1±1.5)分,明显高于B组的(1.5±1.2)分;A组的平均Birdwell腰椎间盘突出症评分为(60.8±6.8)分,明显高于B组的(38.4±8.2)分,差异均有统计学意义(P<0.05)。结论:脊柱手法推拿术治疗腰椎间盘突出症的疗效优于牵引疗法,值得临床推广应用。

Objective：To compare the therapeutic effect of traction therapy and spinal manipulation massage in treatment of lumbar intervertebral disc herniation. Methods：According to the different methods of treatment, 80 patients with lumbar intervertebral disc herniation were divided into two groups： the patients in group A were treated with traction therapy; while the patients in group B were treated by spinal manipulation massage. The therapeutic effects of both groups were compared. Results. The patients in both groups were obtained at least 1 years of follow-up. The average VAS low back pain score and Birdwell lumbar disc herniation score decreased significantly than that before the treatments in both groups, the difference was statistically significant （P^0.05）. The av- erage VAS low back pain score was （2.1：t：1.5） in group A, it was significantly higher than that of group B （1.5±1.2） ; the aver- age BirdwelI lumbar disc herniation score in group A was （60.8±6.8）, it was significantly higher than that of group B（38.4±8.2）, the differences were statistical significance （P〈0.05）. Conclusion：Spinal manipulation massage showed better therapeutic effect than that of traction therapy in the treatment of lumbar intervertebral disc herniation, it worthy of clinical application.