中医正骨手法联合腰椎牵引治疗腰椎间盘突出症的疗效

Efficacy of traditional Chinese medicine bone setting manipulation （中医正骨手法） combined with lumbar vertebrae traction in the treatment of lumbar intervertebral disc herniation

目的探讨中医正骨手法联合腰椎牵引治疗腰椎间盘突出症的临床疗效。方法腰椎间盘突出症患者452例，随机分为正骨组和微波组，正骨组236例采用中医正骨手法联合腰椎牵引治疗，微波组216例采用腰椎牵引联合微波治疗。记录两组患者治疗前和治疗1个和两个疗程后的疼痛视觉模拟评分（VAS）。于治疗后3个月采用改良MacNab法评价两组患者的疗效。结果两组患者在第1疗程和第2疗程结束后VAS评分显著低于治疗前（P〈0．05），正骨组的VAS评分显著低于微波组（P〈0．05）。治疗结束3个月后正骨组优良率和总有效率分别为79．7％（169／212例）和96．7％（205／212例），显著高于微波组39．9％（79／198例）和86．9％（172／198例）（P〈0．05）。结论中医正骨手法联合腰椎牵引治疗腰椎间盘突出症疗效显著。

Objective To investigate the clinical efficacy of traditional Chinese medicine bone setting manipulation （中医正骨手法） combined with lumbar vertebrae traction in patients with lumbar disc herniation. Methods Four hundred and fifty-two patients with lumbar disc herniation were randomly divided into bone setting group （n=236） by using bone setting manipulation combined with lumbar vertebrae traction, and microwave group （n=216） by using lumbar vertebrae traction combined with microwave. Visual analogue scale （VAS） was recorded in all patients before the treatment and after one and two courses of the treatment. The efficacy was evaluated with improved MacNab method at the third month after the treatment. Results VAS in the two groups decreased significantly at one and two courses after the treatment. Compared with microwave group, VAS in the bone setting group was lower obviously （P 〈 0.05）. The excellent and good rate （79.7%, 169/212 cases） and total effective rate （96.7%, 205/212 cases） in the bone setting group were higher than those in the microwave group 39.9% （79/198 cases）, 86.9% （172/198 cases） （P 〈 0.05）. Conclusion The bone setting manipulation of traditional Chinese medicine combined with lumbar vertebrae traction is an effective method to treat the lumbar intervertebral disc herniation.