直腿抬高扳腿法对推拿治疗腰椎间盘突出症临床疗效的影响

Effect of Two Different Straight Leg Raise Method on The Clinical Efficacy of Massage on the Treatment of Lumbar Intervertebral Disc Protrusion

目的观察直腿抬高扳腿法对推拿治疗腰椎间盘突出症临床疗效的影响。方法选取广西中医药大学第一附属医院及广西中医药大学第三附属医院推拿科门诊与住院患者100例,随机分为观察组及对照组,每组50例。对照组采用常规推拿法治疗,观察组在常规推拿治疗基础上配合直腿抬高扳腿法进行治疗。两组均以连续治疗5次为1个疗程,共治疗4个疗程,其中每疗程之间间隔2 d。观察两组间的临床疗效及治疗前后患侧直腿抬高角度、疼痛视觉模拟评分(VAS)、日本骨科学会腰椎功能量表评分(JOA)和治疗过程中可能发生的不良反应。结果两组临床疗效比较,观察组优于对照组(P<0.05);治疗后两组患者患侧直腿抬高角度显著大于本组治疗前(P<0.05),VAS评分与JOA评分均显著低于治疗前(P<0.05);治疗后观察组患侧直腿抬高角度显著大于对照组(P<0.05),VAS与JOA评分均显著低于对照组(P<0.05)。结论常规推拿联合直腿抬高扳腿法治疗腰椎间盘突出症临床疗效确切,且简单易行,适宜在临床中推广应用。

Objective To observe the effect of straight leg raising and pulling leg method on the clinical efficacy of massage for lumbar disc herniation.Methods 100 outpatients and inpatients of the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine and the Third Affiliated Hospital of Guangxi University of Traditional Chinese Medicine were randomly divided into an observation group and a control group,with 50 cases in each group.The control group was treated with conventional massage,and the observation group was treated with the straight leg raising method based on conventional massage therapy.The two groups were treated as 5 consecutive treatment for a course of treatment,with a total of 4 courses of treatment,with an interval of 2 days between each course.The clinical efficacy between the two groups,the angle of the straight leg elevation before and after treatment,the visual analog scale of pain(VAS score),the lumbar spine function scale of the Japanese Orthopaedic Association(JOA score),and the possible adverse reactions during the treatment were observed.Results The clinical efficacy of the two groups was better than that of the control group(P<0.05).After treatment,the angle of vertical leg elevation in the two groups was significantly higher than that before treatment(P<0.05),and the VAS and JOA scores were significantly lower than before treatment(P<0.05).After treatment,the angle of straight leg elevation in the observation group was significantly higher than that in the control group(P<0.05),and the VAS and JOA scores were significantly lower than the control group(P<0.05).Conclusion The straight leg raising method is effective for improving the clinical efficacy of massage for the treatment of lumbar disc herniation.It is simple and easy to implement and is suitable for clinical promotion.