辨证分期推拿治疗腰椎间盘突出症随机对照研究

Randomized Control Study on Syndrome Differentiation Tuina Therapy in Treatment of Lumbar Intervertebral Disc Protrusion

目的:评价辨证分期推拿治疗腰椎间盘突出症的临床疗效。方法:选取天津中医药大学第一附属医院2011年11月—2012年10月推拿科符合标准患者80例,随机分为辨证分期治疗组和常规对照组,每组各40例。常规对照组采用西药治疗,辨证分期组在常规西药治疗基础上采用辨证分期推拿治疗,治疗3个疗程后采用Oswestry功能障碍指数、JOA评分、VAS评分及《中医病证诊断疗效标准》评估临床疗效。结果:辨证分期组在Oswestry功能障碍指数及JOA评分改善优于常规对照组,差异具有统计学意义(P<0.05);辨证分期治疗组在治愈率、显效率以及总有效率方面均优于常规对照组,差异具有统计学意义(P<0.05)。结论:在常规西药治疗基础上,采用辨证分期推拿治疗可显著改善腰部功能和提高临床疗效。

Objective ： To analyze the effect of syndrome differentiation Tuina therapy in the treatment of lumbar intervertebral disc protrusion. Methods ：80 cases during November 20t 1 to October 2012 in The First Affiliated Hospital of Tianjin University of TCM were randomly divided into treatment group and control group ,40 cases in each group. The control group used routine West- ern medicine therapy and treatment group added syndrome differentiation Tuina therapy. 3 courses later, we used Oswestry Disabil- ity Index ,JOA score, VAS score and the TCM syndrome standard to analyze the effect. Results：The Oswestry Disability Index and JOA score in treatment group were superior to those of control group with significant difference （ P 〈 0.05 ）. The cure rate, effective rate and total effective rate of treatment group were better than those of control group with significant difference（ P 〈 0. 05 ）. Conclusion：Based on Western medicine therapy, syndrome differentiation Tuina therapy can obviously improve lumbar functions and the effect.