旋转复位手法配合牵引与单纯牵引治疗腰椎间盘突出症的观察

The effect of rotatory reduction manipulation plus traction and traction alone in lumbar disk herniation

目的 :对比旋转复位手法配合牵引与单纯牵引的疗效。方法 :单纯牵引治疗组 (2 1例 )使用ATA -ⅡD型腰椎自动牵引床行间歇牵引 ;旋转复位手法配合牵引治疗组 (2 1例 )针对棘突偏歪情况施行旋转复位手法后配合牵引 ,治疗 6周及 12周后评定疗效。结果 :在 6周后单纯牵引组总有效率为 5 7.14% ,旋转复位手法配合牵引组总有效率为 85 .71% ,两组有显著性差异 (P <0 .0 5 )。在 12周后单纯牵引组总显效率为 5 2 .38% ,旋转复位手法配合牵引组总显效率为 80 .95 % ,也有显著性差异 (P <0 .0 5 )。结论

Objective:To compare the effect of rotatory reduction manipulation plus traction with traction alone in lumbar disk herniation. Method: The traction group in 21 cases used the ATA-ⅡD automatic traction bed.The manipulation and traction group,ATA-ⅡD traction bed after rotatory reduction manipulation in 21 cases.Effects after six weeks and twelve weeks. Result: 57.14% cases of the traction group showed effective,and 85.71% cases of the rotatory reduction manipulation plus traction group.There was significant difference between the two groups( P <0.05). 52.38% cases of the traction groups, 80.95% cases of the rotatory reduction manipulation plus traction group showed good result at 12th week( P <0.05). Conclusion: Rotatory reduction manipulation plus traction are more effective than traction alone. Author′s address\ Dept. of Rehabilitation Medicine,First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou, 510080