推拿联合肌力训练治疗腰椎间盘突出症随机平行对照研究

Research on Joint Strength Training and Massage Treatment of Lumbar Disc Herniation with Random Parallel Control

[目的]观察推拿联合肌力训练治疗腰椎间盘突出症疗效。[方法]使用随机平行对照方法,将122例住院患者按就诊顺序编号法随机分为两组。对照组61例取俯卧位,在腰部(L1-S1水平两侧)骶棘肌施滚法推拿10min,再采用拇指对肾俞、大肠俞及腰部压痛点弹拨10min,最后用掌揉法对双侧骶棘肌推拿2min,隔日治疗1次。治疗组61例俯卧位抬头、俯卧位抬腿、俯卧位垫高骨盆抬起上身、仰卧位腹肌主动收缩、仰卧位抬头、仰卧位两腿抬离床面等训练。连续治疗10d为1疗程。推拿治疗同对照组。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组临床痊愈18例,显效23例,有效15例,无效5例,总有效率91.80%。对照组临床痊愈9例,显效10例,有效25例,无效17例,总有效率72.13%。治疗组疗效优于对照组(P<0.05)。[结论]推拿联合肌力训练治疗腰椎间盘突出症效果显著,值得推广。

[Objective]To observe the massage combined with strength training on lumbar disc herniation curative effect.[Methods]using randomized controlled Methods,122 patients were randomly divided into two groups randomly numbering method.A control group of 61 patients in the prone position,the waist(both L1S1)sacrospinal muscle was rolling massage about 10min,then the thumb of Shenshu,Dachangshu and waist pain point plucked about 10min,the palm knead method of bilateral sacrospinous muscle massage around 2min,every other day for 1 times.The treatment group of 61 cases of prone position up,prone leg lift,prone position pad high pelvic lift the upper body,active contraction,supine abdominal supine supine legs up,lifted off the bed and other training.Continuous treatment for 10 days to 1 course of treatment.Massage treatment with the control group.Observation of clinical symptoms,adverse reaction.Continuous 1 courses of treatment,the curative effect.18 cases were cured clinically[Results]in treatment group,23 cases markedly effective,effective 15 cases,invalid 5 cases,the total efficiency of 91.80%.The control group 9 cases were cured clinically,10 cases markedly effective,effective 25 cases,invalid 17 cases,the total efficiency of 72.13%.The efficacy of the treatment group than in control group(P<0.05)[.Conclusion]massage combined with strength training significantly on disc herniation of lumbar effect,worthy of promotion.