过伸位腰椎牵引结合腰骶肌锻炼治疗腰椎间盘突出症的疗效观察

目的探讨过伸位腰椎牵引结合腰骶肌锻炼对L4s单节段腰椎间盘突出症患者的疗效。方法选取2017年10月至2019年10月L4s单节段椎间盘突出症患者62例,通过随机数字表分成对照组、观察组,每组各31例,对照组给予伸直位腰椎牵引,观察组腰下垫枕予过伸位牵引,两组患者均指导腰骶肌锻炼。结果两组患者疗程结束后与治疗前相比均取得疗效,而观察组NRS评分及JOA评分均优于对照组,差异有统计学意义(P<0.05)。结论过伸位腰椎牵引结合腰骶肌锻炼较伸直位牵引对L4s单节段腰椎间盘突出症患者疗效更佳,值得临床推广。

Objective To observe the efeer of hyperextension lumbar traction combined with lumbodorsal muscles exercise in patients with lumbar 4-5 dise hemiation.Method From October 2017 to October 2019,sixty-two patients with lumbar 4-5 disc herniation were sclected and randomly divided into control group and observation group(n=31).The control group was given supine lumbar traction,which the observation group was perfomned hyperextension lumbar traction.All patients were instructed to exercise their lumbodorsal muscles.Result Symptoms significant improved in all patients after treatment.The NRS score and JOA score of the observation group were better than the control group(P<0.05).Conclusion Hyperextension lumbar traction combined with lumbodorsal muscles exercise has a better effect on patients with lumbar 4-5 dise hermiation than supine lumbar traction,which is worthy of clinical promotion.