改良仰卧位摇腰法治疗退行性腰椎滑脱症患者的临床观察

Clinical Research on the Effect of Improved Waist-Shaking Treatment in Supine Position on Patients with Degenerative Lumbar Spondylolisthesis

目的观察改良仰卧位摇腰法、传统仰卧位按压法治疗退行性腰椎滑脱症的的临床疗效。方法将患者90例按照随机数字表法分为改良仰卧位摇腰法(治疗组)、传统仰卧位按压法(对照组),统计患者治疗前、治疗后1周、2周、4周的JOA评分、视觉模拟量表(VAS)评分、腰椎前凸角、腰骶椎间盘角、骶骨倾斜角,评价两组正骨手法在治疗退行性腰椎滑脱症的疗效。结果与对照组比较,治疗组患者腰椎功能及缓解疼痛症状改善更显著(P<0.05);但在腰椎前凸角、腰骶椎间盘角及骶骨倾斜角的改善方面,两组差异无统计学意义(P>0.05)。结论改良仰卧位摇腰法在治疗退行性腰椎滑脱症患者方面优于传统仰卧位按压法。

Objective： To investigate the effect of the improved waist-shaking treatment and traditional waist- pressing treatment in supine position on patients with degenerative lumbar spondylolisthesis. Methods： Totally 90 patients with degenerative lumbar spondylolisthesis were divided into the improved waist-shaking treatment group （45 cases） and the traditional waist-pressing treatment （45 cases） according to the randomized digital table method. Statistics on the JOA score, VAS pain grade,lumbar lordosis angle, angle of lumbosacral disc and sacral slope angle before the treatment,in 1 week after the treatment,2 weeks after the treatment and 4 weeks after the treatment were collected. The curative effect of the two groups was evaluated. Results： Compared with the tradi- tional waist-pressing treatment group,the improved waist-shaking treatment group could improve the lumbar function and relieve the pain more rapidly （P〈 0.05）. Conclusion： The improved waist-shaking treatment in supine position is superior to traditional waist-pressing treatment in supine position in the treatment of degenerative lumbar spine disease.