脊柱微调手法治疗腰椎间盘突出症急性期临床观察

目的观察脊柱微调手法治疗腰椎间盘突出症急性期的临床疗效。方法将36例腰椎间盘突出症急性期患者随机分为实验组和对照组,各18例;对照组给予甘露醇+地塞米松静脉滴注及中药热敷治疗,实验组在对照组基础上结合脊柱微调手法治疗。观察两组治疗前后疼痛VAS评分和Oswestry功能障碍指数(ODI)评分变化情况。结果治疗后,两组疼痛VAS评分均较治疗前显著降低(P0.01),但两组疼痛VAS评分降幅无显著性差异(P0.05);两组ODI评分均较治疗前显著降低(P0.01),且实验组ODI评分降幅大于对照组(P0.05)。结论脊柱微调手法可有效改善腰椎间盘突出症急性期疼痛和功能障碍。

Clinical observation of slight spinal adjustment for acute stage of lumbar disc protrusion

Objective To observe the clinical efficacy of slight spinal adjustment for acute stage of lumbar disc protrusion. Methods Thirty-six subjects were randomized into two groups, 18 cases in each group; the control group received intravenous drip of mmmitol and hexadecadrol and hot compress of Chinese herbs, while the experiment group was additionally prescribed slight spinal adjustment. The pain VAS score and Oswestry dysfunction index were evaluated. Results After treatment, the VAS scores were decreased in both groups （ P 〈 0.01 ） , with no difference between the two groups （ P 〉 0.05 ） ; the Oswestry dysfunction index scors were decreased in both groups （ P 〈 0.01 ） , with more significant decrease in the experiment group than in the control group （ P 〈 0.05 ）. Conclusion Slight spinal adjustment acts positively on pain and dysfunction in the acute stage of lumbar disc protrusion.