腰椎间盘突出症两种非手术疗法比较

THE COMPARISON OF TWO NON-OPERATIVE THERAPIES FOR LUMBAR IYRVERTEBRAL DISK HERNIA

为比较腰椎间盘突出症的牵引推拿法和三步疗法的两种非手术治疗方法的疗效及探讨该方法的效果与发病时间的关系。以牵引推拿法组 (A组 )和三步疗法组 (B组 )的成组对照方法治疗腰椎间盘突出症 4 95例 ,观察牵引推拿法 (A法 )和三步疗法 (B法 )第 1个疗程的治愈率 ,比较A、B两种方法第 1个和第 2疗程的治愈率。结果显示急性期第 1个疗程B组比A组治愈率高 ,差异有显著性意义 (P <0 .0 1) ,恢复期第 1个疗程B组与A组治疗率差异无显著性意义 (P >0 .0 5 ) ;A、B两种方法组的恢复期第 2均比第 1个疗程治愈率高 ,差异均有显著性意义 (P <0 .0 5 )。表明治疗效果与发病时间关系紧密 ;三步疗法优于牵引推拿法 ;腰椎间盘出症有自愈倾向 ;急性期用三步疗法综合治疗 ,可提高治疗效果 ,缩短病程。

The objective of the paper is to compare the therapeutic effects of two non-operative therapies traction-massage method (TMM) and three-step therapy (TST) on lumbar intervertebral disk hernia (LIDH) and to explore the relation between the therapeutic effect of the two methods and the attack time. Four hundred and ninety-five cases of LIDH were divided into Group A and Group B, which were treated by TMM and by LIDH, respectively; the first-treatment-course curative rates of the two therapies were observed, and the first-treatment-course curative rates of the two methods were compared with the second-treatment-course ones. The results showed that the first-treatment-course curative rate of Group B at the acute stage was higher than that of Group A with a significant difference (P < 0.01), while ones of Group B and Group A at the restoration stage had no significant difference from each other (P > 0.05); the second-treatment-course curative rates of the two groups at the restoration stage were higher than the first-treatment-course ones with significant differences (P < 0.05), indicating that the therapeutic effect is closely related to the attack time; TST has an advantage over TMM; LIDH has a spontaneous-cure trend; TST at the acute stage could improve the therapeutic effect and shorten the course of disease.