手法整复为主治疗腰椎间盘突出症临床对照试验

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11月至2007年6月收治的腰椎间盘突出症11128例,分为对照组、治疗组。治疗组5760例,男2882例,女2878例;年龄13～86岁。对照组5368例,男2688例,女2680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,10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±1.46）分,对照组平均为（4.65±2.14）分,两组比较,差异有统计学意义（P〈0.01）,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（P〈0.01）。结论：手法整复为主的方法治疗腰椎间盘突出症,能明显改善腰痛症状,提高临床疗效。

Manipulative reduction for lumbar intervertebral disc herniation:a controlled clinical trial

Objective: To investigate the effects of manipulative reduction on pain and clinical curative effect in patients with lumbar intervertebral disc herniation. Methods: Eleven thousands one hundred and twenty-eight patients with lumbar intervertebral disc herniation from our hospital were enrolled from November 1986 to June 2007. They were randomly divided into control group and treatment group. Patients of the control group received lumbar traction and various physiotherapies. Patients of the treatment group received manipulative reduction,besides the treatment in the control group. The 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 difference in the score of visual analogue scale was found before the treatment in the two groups(P>0.05). As compared with the score before treatment,it was decreased by 4.73 points after treatment in the control group,and decreased by 6.37 points in the treatment group. The decrease was more significant in the treatment group than the control group(P<0.01). The healing rate was 47.28% and total effective rate was 96.37% in the control group;The healing rate was 73.44% and total effective rate was 98.61% in the treatment group(P<0.01).Conclusion: Man- ipulative reduction for lumbar intervertebral disc herniation can remarkably relieve lumbar pain and improve clinical curative effect.