McKenzie疗法治疗腰椎间盘突出症的近期和远期疗效观察

目的:探讨McKenzie疗法对腰椎间盘突出症患者的近期和远期治疗效果。方法:将76例病人随机分为观察组和对照组,观察组采用牵引、推拿和McKenzie疗法治疗,对照组采用牵引和推拿治疗。观察两组患者治疗前、治疗后即时和治疗后10个月的腰椎功能评分及治疗后10个月的复发率。结果:两组间近期疗效差异不明显(P>0.05),但观察组治疗时间缩短(P<0.05);治疗后10个月观察组复发率明显低于对照组(P<0.01),腰椎功能评分则明显高于对照组(P<0.01)。结论:McKenzie疗法在缩短腰椎间盘突出症患者的治疗时间,提高远期疗效上有明显作用。

Effects on patients with lumbar disc herniation treated by McKenzie therapy

Objective:To investigate the short-term and long-term effect in patients with lumbar disc herniation whom were treated by McKenzie therapy.Method:76patients were randomly divided into experiment group and control group.Using traction,manipulation and McKenzie therapy to treat patients in experiment group and using traction,manipulation in control group.We observed the lumbar functional assessment index at the point time of pro-treat,post-treat and ten months after treatment and the recurrence ratio in patients ten months after treatment.Result:The short-term effect in two group had no significant difference(P>0.05).But had much less therapeutic time in the experiment group,the recurrence ratio in patients ten months after treatment was obviously lower than the control group(P<0.05)and the lumbar functional assessment index obviously higher than the control group(P<0.05).Conclusion:Mckenzie therapy play a significant role in shortening the therapeutic time and improving long-term effect in patients with lumbar disc herniation.