手法整复为主治疗腰椎间盘突出症临床对照试验.pdfVIP

中国骨伤2008年4月第21卷第4期 China J Orthop＆Trauma，Apr．2008。Vo1．21。No．4 ·273· 临床 研 究 · 手法整复为主治疗腰椎问盘突出症临床对照试验 张维斌，曹宇，孙永安，王春生，王莹，董世龙，任国忠，杨英昕，张敬中 (沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032) 【摘要】 目的：探讨以手法整复为主的综合治疗对腰椎间盘突出症患者疼痛和临床疗效的影响。方法：选择1986年 l1月至2007年6月收治的腰椎间盘突出症ll 128例，分为对照组、治疗组。治疗组5 760例，男2 882例，女2 878例； 年龄 13-86岁。对照组5 368例，男2 688例，女2 680例；年龄20-85岁。对照组采用腰椎牵引和各种理疗进行治疗， 治疗组在对照组治疗的基础上加用手法整复治疗。以上治疗每日1次，l0次为1个疗程，3个疗程后进行疗效评定。 结果：经疼痛视觉模拟评分法(VAS)评价，治疗组治疗后评分平均为(2 13+l、46)分，对照组平均为(4．65~2．14)分，两组 比较，差异有统计学意义(P0．01)，具有可比性。对照组治愈率为47、28％，治疗组治愈率为73 44％，2组比较，治疗组 优于对照组( o．01)。结论：手法整复为主的方法治疗腰椎问盘突出症，能明显改善腰痛症状，提高临床疗效。 【关键词】椎间盘移位； 手法，骨科； 临床对照试验 Manipulative reduction for lumbar intervertebral disc herniation：a controlled cHnical trial ZHANG Wei—bin，cA0 Yu，SUNYong-an，WANG Chun-sheng，WANG Ying，DONGShi—long，RENGuo-zhong，YANG Ying-xin，ZHANG Jing-zhong． TheBeifangHospitalofGeneralHospital ofShenyangMilitaryCommand，Shenyang 110032，Liaoning，China ABSTRACT Objective：To investigate the effects of manipulative mducfion on pain and clinical curative effect in patients with lumbar intervertebral disc herniation、Methods：Eleven thousands one hundred and twenty—eight patients with lumbar in— tervertebral disc herniation from our hospital were enrolled from November 1986 to June 2007．They were randomly divided in— to control group and treatment group．Patients of the control group received lumb ar traction and various physiotherapies、Pa- tients of the treatment group received manipulative reduction，besides the treatment in the control group、Th e treatment was performed once a day，ten times as a course．Curative effects were assessed three courses later．Pain was evaluated by visual analogue scale before and after the treatment．Results：No significant difierence in the score of visual analogue scale was found beforethetreatmentinthetwogroups(P0．05)．As comparedwiththe