基于解剖列车理论康复治疗腰椎间盘突出症的临床研究

Clinical study on rehabilitation treatment of lumbar disc herniation based on Anatomy Trains Theory

目的观察基于解剖列车理论下康复治疗腰椎间盘突出症的临床疗效。方法选取2018年10月至2019年8月东宁市人民医院康复医学科门诊收治的腰椎间盘突出症患者60例。采用随机数字表法将患者分为治疗组和对照组,每组各30例。治疗组采用解剖列车理论指导下康复治疗,对照组采用传统中医推拿治疗,2组均治疗4周。治疗后采用χ^2检验比较2组临床疗效,采用两独立样本t检验比较2组治疗前后视觉模拟评分法(VAS)评分。结果2组患者治疗2周后、4周后及治疗3个月后随访,治疗组与对照组VAS评分比较,差异均有统计学意义(t=6.1050、7.2486、7.2486,P均<0.05)。治疗组治愈22例,显效7例,有效1例,无效0例,治愈率为73.33%(22/30),总有效率为100.00%(30/30);对照组治愈12例,显效10例,有效4例,无效4例,治愈率为40.00%(12/30),总有效率为86.66%(25/32)。2组患者临床治愈率和总有效率比较,差异均有统计学意义(χ^2=6.79、2.41,P均<0.05)。结论基于解剖列车理论康复治疗腰椎间盘突出症疗效显著,值得临床推广应用。

Objective To observe the curative effect of rehabilitation treatment of lumbar disc herniation based on the Anatomy Trains Theory.Methods Sixty patients with lumbar disc herniation admitted to the outpatient department of the Department of Rehabilitation Medicine of Dongning People’s Hospital from October 2018 to August 2019 were selected.With the random number table method,60 patients with lumbar disc herniation were divided into the treatment group and the control group,30 cases in each group.The treatment group received rehabilitation therapy under the guidance of the Anatomy Trains Theory,while the control group received traditional Chinese massage therapy.Both groups were treated for 4 weeks.After treatment,theχ^2 test was used to compare the clinical efficacy of the two groups.Two independent sample t-tests were used to compare the VAS scores of the two groups before and after treatment.Results Thet wo groups of patients were followed up 2 weeks and 4 weeks after treatment and 3 months after the end of treatment.The VAS scores of the treatment group and the control group were significantly different(t=6.1050,7.2486,7.2486,all P<0.05).In the treatment group,22 cases were cured,7 cases were markedly effective,1 case was effective,and 0 cases were ineffective.The cure rate was 73.33%(22/30)and the total effective rate was 100.00%(30/30);the control group was cured in 12 cases and markedly effective in 10 cases,4 cases were effective,4 cases were invalid,the cure rate was 40.00%(12/30),and the total effective rate was 86.66%(25/32).The clinical cure rate and total effective rate of the two groups were statistically significant(χ^2=6.79,2.41,all P<0.05).Conclusion Based on the Anatomy Trains Theory,the rehabilitation treatment of lumbar disc herniation has significant curative effect and is worthy of clinical promotion.