McKenzie技术治疗椎间盘源性下腰痛的临床效果

Effect of McKenzie Technique on Discogenic Low Back Pain

目的观察中医推拿配合McKenzie技术对椎间盘源性下腰痛的临床影响。方法 80例入选者随机分为对照组和观察组各40例(对照组脱失1例),对照组采用中医推拿治疗,观察组采用中医推拿结合McKenzie技术治疗,并于治疗前和治疗3周后采用Oswestry功能障碍指数(ODI)、视觉模拟评分(VAS)和Zung抑郁自评量表(SDS)进行评价。结果治疗后,两组患者的ODI、VAS评分和SDS评分较治疗前显著降低(P<0.001),观察组患者ODI和VAS评分低于对照组(P<0.05),两组SDS评分无显著性差异(P>0.05)。结论中医推拿结合McKenzie技术对椎间盘源性下腰痛有较好的疗效。

Objective To observe the clinical effect of manipulation combined with McKenzie technique on discogenic low back pain. Methods 80 patients were randomly divided into control group （n=39, 1 case was lost） and observation group （n=40）. The patients in obser-vation group received manipulation and McKenzie technique, while the control group received manipulation only. All the patients were eval-uated with Oswestry Disability Index （ODI）, Visual Analogous Scale （VAS） and Self-rating Depression Scale （SDS） before and 3 weeks af-ter treatment. Results The scores of ODI, VAS and SDS decreased after treatment in both groups （P〈0.01）. The score of ODI and VAS were lower in the observation group than in the control group （P〈0.05）, while there was no significant difference in the score of SDS between two groups after treatment （P〉0.05）. Conclusion Manipulation combined with McKenzie technique is more effective on discogenic low back pain.