“三步六法”推拿干预腰椎间盘突出症的远期效应观察

Long-term effect observation of“three steps and six methods”massage intervention for lumbar disc herniation

目的探讨"三步六法"推拿干预腰椎间盘突出症的远期临床效应。方法随机将腰椎间盘突出症患者分为对照组30例和治疗组30例,对照组采用传统舒筋手法进行治疗,治疗组采用"三步六法"推拿手法进行治疗。每天1次,每次约20 min,2组均治疗20 d,随访6个月。运用下腰痛评分系统(JOA)、视觉模拟评分(VAS)、改良中文版Oswestry功能障碍指数评价临床效应。结果治疗组总有效率为96. 67%,对照组总有效率为80. 00%,治疗组临床疗效明显优于对照组(P <0. 05); 2组患者治疗后、随访6个月时JOA积分均较治疗前明显升高(P均<0. 05),VAS评分、改良Oswestry评分均较治疗前明显降低(P均<0. 05),且治疗组JOA积分、VAS评分、改良Oswestry评分改善情况均明显优于对照组(P均<0. 05);对照组的复发率为16. 67%,治疗组复发率为6. 67%,治疗组复发率明显低于对照组(P <0. 05)。结论 "三步六法"推拿方案治疗腰椎间盘突出症可缓解患者疼痛症状和改善腰椎功能,降低复发率,远期疗效显著。

Objective It is to explore the long-term clinical effects of“three-step and six-method”massage intervention for lumbar disc herniation.Methods The patients with lumbar disc herniation were randomly divided into the control group(n=30)and the treatment group(n=30).The control group was treated with the traditional Shujin massage method.The treatment group was treated with“three-step and six-method”massage method.Once a day,about 20 minutes each time,both groups were treated for 20 days and followed up for 6 months.The clinical effects were evaluated using the Low Back Pain Score System(JOA),Visual Analog Scale(VAS)and the improved Chinese version of the Oswestry Dysfunction Index.Results The total effective rate was 96.67%in the treatment group and 80.00%in the control group.The clinical efficacy of the treatment group was significantly better than that of the control group(P<0.05).The JOA scores were significantly increased while VAS and modified Oswestry scores were significantly decreased in the two groups after treatment and in 6 months of following up compared with those before treatment(P<0.05),and the improvements of JOA scores,VAS scores and improved Oswestry scores in the treatment group were better than those in the control group(P<0.05).The recurrence rate of the control group was 16.67%,and the recurrence rate of the treatment group was 6.67%.The recurrence rate of the treatment group was lower than that of the control group(P<0.05).Conclusion The“three-step six-method”massage regimen can alleviate the pain symptoms and improve lumbar function,reduce the recurrence rate,and have a good long-term effect in the treatment of lumbar disc herniation.