健翔理筋推拿治疗腰椎髓核摘除术后残余神经症状疗效观察

Jianxiang Tendon Massage Treatment For Lumbar Discectomy Efficacy of Residual Neurological Symptoms After Surgery

目的:评价健翔理筋推拿治疗腰椎髓核摘除术后残余神经症状的临床疗效和并发症。方法:分析2016年3月~2016年9月在我院接受健翔理筋推拿治疗的腰椎髓核摘除术后残余神经症状患者35例的临床资料,治疗前、出院当天和治疗后3个月采用简式McGill疼痛问卷进行评价,对比治疗前后患者疼痛的改善程度。结果:出院当天和治疗后3个月McGill疼痛问卷的选词阳性项目数、疼痛指数分(PRI)、视觉模拟评分(VAS)和现有疼痛(PPI)评分均比治疗前显著降低,差异有统计学意义(P<0.01);治疗后3个月患者各项指标较出院当天继续改善,有显著性统计学差异(P<0.01)。所有病例无出现腰椎内固定物松脱及脊柱失稳等并发症。结论:健翔理筋推拿是治疗腰椎髓核摘除术后残余神经症状的安全有效的推拿手法。

Objective： To evaluate the clinical efficacy and complications of Jianxiang tendon massage for treating residual neurological symptoms after lumbar discectomy. Methods： Clinical data of 35 patients with residual neurological symptoms after lumbar discectomy and received Jianxiang tendon massage therapy in our hospital were analyzed from March 2016 to September 2016. The McGill questionnaire was used to evaluate their pain degree before treatment, on the day of discharge and 3 months after the treatment, and improve the degree of pain in patients before and after treatment were compared. Results： On the day of discharge and 3 months after the treatment, the number of positive items, the pain index （PRI）, visual analogue scale （VAS） and present pain （PPI） score of the McGiU pain questionnaire was significantly lower than before treatment（P〈0.01 ）; indicators of patients 3 months after treatment was discharged the same day to continue to improve （P〈0.01）. All cases without the lumbar fixation From loosening and spinal instability and other complications. Conclusion： Jianxiang tendon massage is a safe and effective manipulation maneuver for treating residual neurological symptoms after lumbar discectomy.