综合分期疗法对急性期腰椎间盘突出症神经肌电作用影响

目的] 分析比较综合分期法和整复手法对急性期腰椎间盘突出症的神经肌电作用和量表评价。方法] 180例腰椎间盘突出症急性期患者随机分为综合分期疗法治疗组、传统推拿手法组(以整复手法为主)和西医非手术常规治疗组3组,对以上患者治疗前和急性期后进行胫骨前肌和腓肠肌肌电和腰痛量表评估。结果] 治疗后各组肌电和腰痛评估表评分较治疗前均有所下降(P<0.01),其中以综合分期疗法组改善作用最为明显,传统推拿手法组改善作用最差(P<0.01,P<0.05),肌电和腰痛量表评分两者呈正相关。结论] 综合分期法对腰椎间盘突出症急性期神经肌电和腰痛量表评分有较好的改善作用,整复手法不适宜在急性期应用。

Effects of comprehensive and staged therapy on myoelectric activity in patient with acute intervertebral disc protrusion

Objective] To analyze the effect of comprehensive and staged therapy and restitution manipulation on nerve electricity and evaluate with scales in patients with acute lumbar intervertebral disc protrusion.Methods] One hundred and eighty diagnostic patients were randomly divided into comprehensive and staged therapy group, traditional massage therapy group (massotherapy) and modern medicine conservative treatment group. Neural electromyography of anterior tibial muscle and musculi gastrocnemius and Oswestry disability index (ODI) were assessed before and after acute stage.Results] The scores of neural electromyography and ODI among three group were descend (P<0.01). Among them, the improvement of the comprehensive group was the most significant, and traditional massage group was the worst (P<0.01, P<0.05). Neural electromyography had a significantly positive correlation with ODI.Conclusions] The comprehensive therapy produces a better improvement on nerve electricity and on the evaluated scales in patients with acute lumbar intervertebral disc protrusion. but massage therapy seems not to be suitable to use at the acute stage.