南少林理筋整脊手法治疗腰椎间盘突出症89例临床观察

Clinical Observation on 89 Cases of Lumbar Disc Herniation Treated by Manipulation of Adjusting Tendons and Spines of South Shaolin Temple

目的:观察南少林理筋整脊手法治疗腰椎间盘突出症的临床疗效。方法:将173例腰椎间盘突出症患者随机分为治疗组89例和对照组84例。治疗组采用南少林理筋整脊手法治疗,对照组采用传统手法治疗,2组均隔日1次,共治疗2周。观察2组临床疗效,采用Mc Gill疼痛问卷简表的疼痛评级指数(PRI)、视觉模拟评分法(VAS)评分及腰椎日本骨科协会评估治疗分数(JOA评分)评价腰背疼痛及功能恢复情况。结果:2组共完成治疗162例,其中治疗组82例,对照组80例。治疗组治愈27例,好转48例,未愈7例,总有效率为91.46%;对照组治愈18例,好转50例,未愈12例,总有效率为85.00%。2组比较,差异有统计学意义(P <0.01)。治疗后,2组PRI、VAS评分、JOA评分较治疗前均有改善(P <0.01或P <0.05),且治疗组优于对照组(P <0.01)。结论:南少林理筋整脊手法能有效改善腰椎间盘突出症患者的腰背疼痛、腰椎活动功能,提高生活质量。

Objective:To observe the clinical effect of the treatment of lumbar disc herniation by manipulation of adjusting tendons and spines of South Shaolin Temple.Methods:One hundred and seventy-three patients with lumbar disc herniation were randomly divided into a treatment group(89 cases)and a control group(84 cases).The treatment group was treated with manipulation of adjusting tendons and spines of South Shaolin Temple,while the control group was treated with traditional manipulation.Both groups were treated once every other day for 2 weeks.The clinical efficacy of the two groups was observed.The pain rating index(PRI),visual analogue score(VAS)and JOA score of Japanese Orthopaedic Association(JOA)were used to evaluate the lumbar back pain and functional recovery.Results:A total of 162 patients were treated in the two groups,82 in the treatment group and 80 in the control group.In the treatment group,27 cases were cured,48 cases were improved,7 cases were not cured,and the total effective rate was 91.46%;while in the control group,18 cases were cured,50 cases were improved,12 cases were not cured,and the total effective rate was 85.00%.There was a significant difference between the two groups(P < 0.01).After treatment,the PRI,VAS score and JOA score of the two groups were improved compared with those before treatment(P < 0.01 or P < 0.05),and the treatment group was better than the control group(P < 0.01).Conclusion:Manipulation of adjusting tendons and spines of South Shaolin Temple can effectively improve lumbar back pain,lumbar motor function and quality of life of patients with lumbar disc herniation.