“四步法”推拿手法对腰椎间盘突出症缓解期的疗效及腰椎生物力学和生活质量的影响

Effect of“Four-Step”Massage Technique on Lumbar Disc Herniation in Remission Period,Lumbar Spine Biomechanics and Quality of Life

目的探讨对腰椎间盘突出症(LDH)缓解期的患者,采取“四步法”推拿手法治疗的效果及对患者腰椎生物力学、生活质量的影响。方法选取72例研究对象并随机分成治疗组与对照组,每组各36例,对照组采取单纯电针治疗,治疗组在对照组的基础上加用“四步法”推拿手法治疗,治疗10d对比2组治疗效果。结果治疗组治疗总有效率为94.44%,显著高于对照组77.78%(P<0.05);治疗后2组PT、AP均较治疗前提高,F/E较治疗前降低,治疗组指标变化幅度较对照组显著(P<0.05);治疗后治疗组患者在生理功能、心理功能、精神健康与社会功能各生活质量评分上均显著高于对照组(P<0.05)。结论对LDH缓解期的患者采取“四步法”推拿治疗的效果满意,有效改善患者腰椎生物力学及提高患者生活质量,值得推广。

Objective:To study the effect of“four-step”massage technique for patients with lumbar disc herniation(LDH)in remission and its impact on the biomechanics and quality of life of the patients'lumbar spine.Methods:72 patients were selected as subject of study and randomly divided into a treatment group and a control group,36 cases per group.The control group was treated with electro-acupuncture alone and the treatment group was added“four-step”massage on the basis treatment of the control group.The curative effect of the two groups was compared 10 days later.Results:The total effective rate of the treatment group was 94.44%,significantly higher than that(77.78%)of the control group(P<0.05).After treatment,the PT and AP of the two groups increased when compared with that of prior treatment,but the F/E of the two groups decreased when compared with that of prior treatment.The index changes of the treatment group were significantly higher than that of the control group(P<0.05).After treatment,the patients in the treatment group had significantly higher quality of life scores in the aspects of physiological function,psychological function,mental health and social function than the patients in the control group(P<0.05).Conclusion:The effect of“four-step”massage technique for patients in remission of LDH is satisfactory,and can effectively improve the biomechanics of the lumbar spine and improve the quality of life of the patients,worthy of wide application.