分步斜扳手法治疗腰椎间盘突出症的临床疗效观察

目的:评价腰椎分步斜扳手法治疗腰椎间盘突出症的安全性和有效性。方法:选择门诊收治的腰椎间盘突出症患者65例,通过中央在线网络随机系统实现随机入组,分为分步斜扳手法治疗组(32例)和骨盆牵引对照组(31例),另外脱落病例1例,剔除病例1例。1个疗程结束后采用JOA腰痛疾患疗效评定表、视觉模拟评分法(VAS评分),分别对症状体征、日常生活能力等综合方面,以及腰腿疼痛进行疗效评定,量化比较两组疗法的治疗效果。结果:疗程结束后治疗组疗效控制7例,显效16例,有效8例,无效1例。对照组疗效控制4例,显效10例,有效13例,无效4例。治疗组的临床有效率为96.86%,高于对照组87.10%(P0.05)。治疗组治疗后JOA腰痛疾患表评分、腰腿痛VAS评分改善明显(P0.001),且优于对照组(P0.01)。结论:分步斜扳手法操作技术具有操作简便、可重复性强、疗效明显、安全性高的优点,且易于掌握,便于在临床应用中推广使用。

Observation of clinical curative effect of oblique pulling maneuver in the treatment of lumbar intervertebral disc herniation

Objective:To evaluate the clinical curative effect of oblique pulling maneuver in patients with lumbar intervertebral disc herniation (LIDH). Methods:Sixty five LIDH cases were randomly divided into experimental group and control group. In the experimental group 32 patients were treated by oblique pulling maneuver,and 32 patients in the control group were treated by lumbar traction therapy. One case were excluded from the study and another one case were dropped from the study. After one course of treatment,...