特异性短杠杆手法治疗腰椎间盘突出症的临床研究

Clinical Study on the Treatment of Lumbar Disc Herniation with Specific Short Lever Manipulation

目的:观察短杠杆手法治疗腰椎间盘突出症的临床疗效,探索特异性手法对比非特异性手法的优势,为手法治疗腰椎间盘突出症提供参考。方法:将60例腰椎间盘突出症患者随机分为非特异性长杠杆手法组(长杠杆组)和特异性短杠杆手法组(短杠杆组),每组30例。2组患者每周治疗3次,共治疗4周。采用疼痛视觉模拟评分法(VAS)和Oswestry功能障碍指数问卷表(ODI)评分对2组患者治疗前后疼痛缓解情况和患者自我量化功能障碍进行疗效评价。结果:治疗后,2组VAS评分较治疗前均有改善(P<0.05);且短杠杆组VAS评分较长杠杆组低(P<0.05)。2组ODI评分较治疗前均有改善,差异有统计学意义(P<0.05)。结论:本研究所用非特异性长杠杆手法和特异性短杠杆手法治疗腰椎间盘突出症均有一定疗效,短杠杆手法在改善疼痛、恢复关节功能、提高生活质量方面优于长杠杆手法,且具有操作简便、安全经济的优点。

Objective：To observe the clinical therapeutic effect of short lever manipulation and its advantages in the treatment of lumbar disc herniation.Methods：Sixty cases of lumbar disc herniation were randomly divided into two groups：the non-specific long lever manipulation group （ the long lever group ） and the specific short lever manipulation group （ the short lever group ） ,30 cases in each.Both groups were treated for four weeks,3 times a week.The pain relief before and after treatment and the self-quantizing dysffmction were evaluated with visual analogue scale （ VAS ） and Oswestry dysfunction index （ ODI ） questionnaire for the two groups.Results：After treatment,VAS scores of the two groups were improved compared with those before treatment （ P 〈 0.05 ） ,and those of the short lever group were lower than the long lever group （ P 〈 0.05 ） .The ODI scores of the two groups were improved than before treatment,and the difference was statistically significant （ P 〈 0.05 ） .Conclusion：Both manipulations in the study have certain curative effect,with the short lever manipulation being better than the long one in relieving pain,restoring joint function and improving the quality of life,convenient,safe and economical.