腰椎间盘突出症综合治疗与单纯牵引治疗疗效分析

Comprehensive treatment of lumbar disc prolapse with pure traction treatment

目的探讨牵引联合中药口服及骶管治疗的综合疗法对腰椎间盘突出症的疗效。方法对符合纳入标准的110例门诊及住院的腰椎间盘突出症患者随机分成2组,综合治疗组59例行中药口服、牵引、骶管治疗等综合治疗,单纯牵引组51例单纯行牵引治疗。采用JOA评分分别于治疗前、治疗后1个月、6个月进行评定。结果 2组治疗后1个月、6个月的JOA评分与治疗前比较均有统计学意义;治疗后1、6个月的JOA评分比较,综合治疗组优于单纯牵引组(P<0.05);治疗后1、6个月改善率2组比较,综合治疗组优于单纯牵引组(P<0.05)。结论应用牵引联合中药口服及骶管治疗的综合疗法治疗腰椎间盘突出症疗效显著。

Objective Traction combine oral medicine and sacral canal treatment the curative effect of comprehensive therapy on lumbar intervertebral disc protrusion. Methods Included in the standard of 110 cases of outpatient and hospitalization of patients with lumbar disc prolapse randomly divided into two groups,A group of patients with oral medicine,traction,sacral canal comprehensive treatment,such as group B pure line traction treatment as control group 51 cases of 59 cases of group A and group B. The JOA score before treatment respectively,1 month after treatment and 6 months were assessed. Results Two group 1 month after treatment and 6 months JOA scores compared with before treatment were statistically significant. The comparison between the two groups,1 months and 6months of JOA score all P 〈0. 05,the difference was statistically significant,group A is better than that of group B（see table 2）. The comparison between the two groups,1 months and 6 months period,P 〈0. 05,the difference was statistically significant,group A is better than that of group B. Conclusion Application of combined oral medicine and traction of sacral canal treatment the curative effect of comprehensive therapy to treat lumbar intervertebral disc protrusion.