单下肢机械牵引配合推拿治疗腰骶管综合征临床研究

Clinical studies on the combiantion of single lower limb traction and massage therapy for the lumbosacral tunnel syndrome

目的 评价单下肢机械牵引配合推拿治疗腰骶管综合征的疗效.方法 将符合入选标准的80例腰骶管综合征患者采用随机数字表法分为观察组38例和对照组39例.观察组采用推拿手法配合单下肢机械牵引治疗,对照组采用推拿手法配合骨盆牵引治疗.2组均治疗2周.采用日本骨科协会评分（Japanese Orthopaedic Association Scores,JOA）对患者主观症状、体征、功能活动及膀胱功能进行评分,评价临床疗效.结果 观察组总有效率为94.7%（36/38）、对照组为82.1%（32/39）,2组比较差异有统计学意义（χ2=12.160,P=0.007）.治疗后1周观察组JOA评分[（20.2±2.0）分比（18.3±2.8）分,t=3.419]、治疗后2周观察组JOA评分[（24.4±1.4）分比（22.6±3.0）分,t=3.359]均高于对照组（P〈0.05）.结论 单下肢机械牵引配合推拿可改善腰骶管综合征患者临床症状,疗效优于骨盆牵引.

Objective To observe the therapeutic effect of single lower limb traction plus massage for the lumbosacral tunnel syndrome.Methods The selected 80 candidate patients were divided into the observation group with 38 patients and treatment group with 39 patients. The observation group received single lower limb traction plus massage and the treatment group received pelvic traction plus massage. Both groups therapy last 5 days, The Japanese orthopaedic association scores （JOA） was evaluated for subjective symptoms, signs, functional activity and bladder function score. The therapeutic effect was evaluated.Results The total effective rate （94.7% vs. 82.1%;χ2=12.160,P=0.007） in the observation group was significantly higher than that in the control group. O, The scores of JOA at one week after treatment （20.2 ± 2.0 vs. 18.3 ± 2.8;t=3.419, P〈0.01） and two weeks after treatment （24.4 ± 1. 4vs. 22.6 ± 3.0;t=3.359,P〈0.01） in the observation group were significantly higher than those in the control group.Conclusions The single lower limb traction plus massage can improve the clinical symptoms of patients with lumbosacral tunnel syndrome, and be superior to the pelvic traction plus massage.