牵引加微波治疗腰椎间盘突出症的疗效评价

Evaluation of the therapeutic effect of traction plus microwave diathermy on lumbar intervertebral disc herniation

目的 评价牵引加微波治疗腰椎间盘突出症的效果 ,并与单纯牵引相比较。方法 将 90例腰椎间盘突出症患者随机分为牵引加微波治疗组和单纯牵引组 ,腰椎牵引采用Fowler体位 ,间歇和脉动式牵引方式。微波疗法使用脉冲式微波 ,与腰椎牵引同步在局部进行治疗。治疗前后分别测定腰椎疾患治疗成绩评分表的得分 ,对其评测结果进行比较分析。结果 治疗前 2组腰椎功能评分差异无显著性 (P >0 .0 5 )。治疗后 2组评分分值差异有显著性 (P <0 .0 1) ,牵引加微波治疗后腰椎功能改善优于单纯牵引治疗。 2组治疗后评分均与其疗前评分值有显著性差异 (P <0 .0 1)。结论 牵引加微波治疗腰椎间盘突出症较单纯牵引疗效佳。

Objective To evaluate the therapeutic effect of traction plus microwave diathermy on patient with lumbar intervertebral disc herniation and compare that treated with traction alone. Methods Ninety patients diagnosed as having lumbar intervertebral disc herniation were randomly divided into traction plus microwave diathermy group and traction group. Lumbar traction was applied in way of intermittent and pulsatile pattern, with the patient in the Fowler′s position. Microwave therapy was used in way of pulse, with the lumbar traction performed at the same time. Results Before the treatment, the total scores of lumbar function had no significant difference between the 2 groups( P >0.05). There were significant differences between the 2 groups after the treatment ( P <0.01). The improvement of lumbar function was more remarkable in the group with traction plus microwave therapy than that with traction therapy alone. Lumbar function was improved in 2 groups after the treatment as compared with their previous state( P <0.01). Conclusion Traction plus microwave therapy are more effective than traction alone for treating the lumbar intervertebral disc herniation.