脊柱定点减压牵引治疗腰椎间盘突出症临床观察

目的 观察脊柱定点减压牵引治疗腰椎间盘突出症的临床疗效。方法 选取2016 年1 月～2018 年12 月在我院治疗的腰椎间盘突出症患者100 例，随机分为观察组和对照组，每组各50 例。两组均给予基础治疗、针灸治疗及中频超声透入治疗。观察组采用脊柱定点减压牵引疗法，对照组采用传统牵引疗法，比较两组患者的临床治疗效果，并检测两组患者治疗前后VAS 评分、JOA 评分、ODI 评分及突出椎间盘最大矢径（AB）。结果 治疗前后两组VAS 评分、JOA 评分及ODI 评分比较，差异有统计学意义（P＜0.001），治疗前后突出椎间盘最大矢径（AB）比较，差异无统计学意义（P>0.05）。观察组总有效率为86%，明显高于对照组的72%（P＜0.05）。结论 脊柱定点减压牵引治疗对腰椎间盘突出症治疗效果更好，临床症状改善明显，临床应用价值高，适合推广使用。

Clinical observation of spinal fixed point decompression and traction in the treatment of lumbar disc herniation

Objective To observe the clinical efficacy of spinal fixed point decompression and traction in the treatment of lumbar disc herniation.Methods One hundred patients with lumbar disc herniation who were treated in our hospital from January 2016 to December 2018 were randomly divided into observation group and control group,with 50 cases in each group.The observation group was treated with spinal fixed point decompression and traction therapy,and the control group was treated with traditional traction therapy.The two groups were given basic treatment,acupuncture treatment and intermediate frequency ultrasound.The clinical effects of the two groups were compared.And the VAS value,JOA score,ODI score and the maximum disc diameter(AB) of the intervertebral disc were measured before and after treatment.Results There were significant differences in VAS,JOA and ODI scores between the two groups before and after treatment(P<0.001).There was no significant difference in the maximum diameter(AB) of the herniated disc before and after treatment(P>0.05).The total effective rate of the observation group(86%),was higher than 72% of the control group(P<0.05).Conclusion Spinal fixed-point decompression and traction therapy has better effect for the treatment of lumbar disc herniation,with obvious improvement of clinical symptoms and high clinical value.It is suitable for popularization.