整脊疗法对腰椎间盘突出症患者疼痛及生活质量的影响

Effect of Spinal Therapy on Pain and Quality of Life in Patients with Prolapse of Lumbar Intervertebral Disc

目的:观察整脊手法对腰椎间盘突出症患者疼痛及生活质量的影响。方法:将符合诊断标准的腰椎间盘突出症的患者40例随机分为整脊手法配合常规腰椎牵引治疗组(简称治疗组)与常规腰椎牵引治疗组(简称对照组)各20例。治疗组和对照组每天1次治疗,4次为1个疗程,连续4次治疗后,休息1d,持续3个疗程为总疗程。以视觉模拟评分法(VAS)评价两组患者疼痛改善的程度,以健康调查问卷(SF-36)评定患者的生活质量。结果:治疗组和对照组在总疗程前VAS评分、SF-36总得分比较,差异无统计学意义(P>0.05);总疗程后,两组VAS评分均降低(P<0.05),SF-36得分均升高(P<0.05),但治疗组比对照组在VAS评分降低更明显,在SF-36得分升高更优(P<0.05)。结论:整脊手法配合常规腰椎牵引治疗能更有效地改善腰椎间盘突出症患者的疼痛和生活质量,值得在实践中深入研究并加以推广应用。

Objective Effect of spinal manipulation on pain and quality of life in patients with prolapse of lumbar intervertebral disc. Methods 40 cases of prolapse of lumbar intervertebral disc were randomly divided into routine treatment group and routine treat- ment group （the treatment group） and the conventional treatment group （control group） with 20 cases in each group. Treatment group and the control group 1 times a day, 4 times for 1 courses of treatment, after 4 consecutive treatment, rest for 1 days, 3 consecutive courses of treatment for the total course of treatment. Analogue scale visual （VAS） was evaluated to evaluate the degree of pain relief in two groups of patients, and to assess the quality of life of patients by health questionnaire （ SF - 36）. Results Compared between the treatment group and the control group in the treatment, the total Chengqian vas and SF - 36 score （ P 〉0. 05 ）, the difference was not statistically significant ; after treatment, VAS scores of the two groups were decreased （ P 〈 0. 05 ）, SF - 36 scores were significantly in- creased （P 〈 0.05 ）, but the treatment group than the control group in the VAS score decreased more significantly, in SF - 36 scores increased better （P 〈 0. 05 ）. Conclusion The spinal manipulation combined with conventional lumbar traction therapy can improve the pain and quality of life of patients with lumbar disc herniation, and it is worth to study and promote the application in practice.