宫廷正骨手法为主治疗腰椎间盘突出症疗效观察

Effect of Treatment Based on Palace Bone-setting Manipulation for Lumbar Disc Herniation

目的:观察宫廷正骨手法为主治疗腰椎间盘突出症的效果。方法:选取本院骨伤科2018年12月~2019年12月收治的腰椎间盘突出症患者100例,根据随机数字表分为对照组和观察组。对照组给予中药热敷+牵引治疗,观察组给予宫廷正骨手法+牵引治疗。比较两种治疗方案的安全性以及两组患者治疗前后视觉模拟评分法(VAS)、下腰痛评分表(JOA)和中文版健康调查简表(SF-36)评分的变化。结果:治疗期间,两组患者各项检查均正常、也未发生不良事件;治疗后,两组患者VAS评分均降低、JOA评分和SF-36各项评分均升高(P<0.05);治疗后当天,两组患者VAS、JOA评分以及SF-36各项评分均无差异(P>0.05);但治疗1周及4周后,观察组VAS评分均低于对照组、JOA评分和SF-36各项评分均高于对照组(P<0.05)。结论:中药热敷+牵引与宫廷正骨手法+牵引治疗腰椎间盘突出症均安全有效,其中以宫廷正骨手法治疗为主的宫廷正骨手法+牵引疗法的效果更佳。

Objective:To observe the effect of palace bone-setting manipulation for lumbar disc herniation.Methods:100 patients with lumbar disc herniation treated in the orthopedics department at the hospital between December 2018 and December 2019 were selected and divided into controlled group and observation group according to the random number table.The controlled group were treated with traditional Chinese medicine(TCM)hot compress and traction,while the observation group were treated with palace bone-setting manipulation and traction.The safety of the two treatment regimens,changes in scores of the visual analogue scale(VAS),lower back pain(JOA)and Chinese health checklist(SF-36)before and after treatment were compared between the two groups.Results:During the treatment,all examinations of the two groups were normal and there were no adverse events.After treatment,the VAS scores of both groups decreased,and the JOA scores and SF-36 scores increased(P<0.05).There were no differences in VAS scores,JOA scores or SF-36 scores between the two groups at the end of treatment(P>0.05).However,after 1 week and 4 weeks of treatment,VAS scores of the observation group were lower than those of the controlled group,and JOA scores and SF-36 scores were higher than the controlled group(P<0.05).Conclusion:Both TCM hot compress combined with traction and palace bone-setting manipulation combined with traction are safe and effective in treating lumbar disc herniation.However,the later is more effective.