[1]高春雨 高景华△ 朱立国 杨克新 张威 冯敏山.三搬法联合功能锻炼治疗腰3横突综合征的临床研究[J].中国中医骨伤科杂志,2017,25(11):11-14.
　GAO Chunyu GAO Jinghua ZHU Liguo YANG Kexin ZHANG Wei FENG Minshan.Clinical Study on Three-Pulling Manipulation Combined with Functional Training in Treating Third Lumbar Vertebra Transverse Process Syndrome[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(11):11-14.
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三搬法联合功能锻炼治疗腰3横突综合征的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年11期
页码:
11-14
栏目:
临床研究
出版日期:
2017-11-15

文章信息/Info

Title:
Clinical Study on Three-Pulling Manipulation Combined with Functional Training in Treating Third Lumbar Vertebra Transverse Process Syndrome
文章编号:
1005-0205(2017)11-0011-04
作者:
高春雨1; 2 高景华1; 2△ 朱立国1; 2 杨克新1; 2 张威1; 2 冯敏山1; 2
1中国中医科学院望京医院脊柱二科(北京,100102) 2中医正骨技术北京市重点实验室 △通信作者 E-mail:gaojinghua64@sina.com
Author(s):
GAO Chunyu1; 2 GAO Jinghua1; 2△ ZHU Liguo1; 2 YANG Kexin1; 2 ZHANG Wei1; 2 FENG Minshan1; 2
1Department of the Second Spinal Orthopedics,Wangjing Hospital of China Academy of Traditional Chinese Medicine Sciences,Beijing 100102,China; 2Beijing Municipal Key Laboratory of Traditional Chinese Medicine Bone-setting Technology,Beijing 100102,China.
关键词:
三搬法;  功能锻炼;  腰3横突综合征
Keywords:
Keywords: three pulling manipulation;  functional training;  third lumbar vertebra transverse process syndrome
分类号:
R681.5
文献标志码:
A
摘要:
目的:客观评价三搬法联合功能锻炼治疗腰3横突综合征的临床疗效。方法:从2015年1月至2017年1月,将66例腰3横突综合征患者用随机数字表法分为A,B两组,A组34例,B组32例。A组采用三搬法+功能锻炼进行治疗,B组采用口服扶他林+妙纳进行治疗,记录治疗前后两组患者的VAS评分及ODI评分。结果:所有患者均获得随访,时间为3个月。1)两组患者治疗后、随访期的VAS和ODI评分与治疗前相比,差异有统计学意义(P<0.01); 2)治疗后A,B两组患者的ODI和VAS评分相对比有差异,差异无统计学意义(P>0.05); 随访期A,B两组患者的ODI和VAS评分相对比有差异,差异有统计学意义(P<0.05); 3)治疗后,A,B两组患者的临床疗效相对比有差异,差异无统计学意义(P>0.05); 两组患者随访期的临床疗效比较,差异有统计学意义(P<0.05)。结论:三搬法联合功能锻炼治疗腰3横突综合征疗效确切,且远期疗效要优于药物口服,具有推广意义。
Abstract:
Abstract Objective:To objectively evaluate the curative effect on three-pulling manipulation combined with functional training in treating third lumbar vertebra transverse process syndrome,which can lay the foundation for the further extensive popularization.Methods:From Jan.2015 to Jan.2017,66 out-patients with third lumbar vertebra transverse process syndrome were randomly divided into group A and B,A had 34 cases,B had 32 cases.In group A,three pulling manipulation combined with functional training were applied.In group B,voltaren and eperisone were orally taken.The curative effect were evaluated by VAS score and Oswestry Disability Index(ODI).Results:All patients were followed up for 3 months.1)Compared with prior treatment,2 groups had highly significant difference on VAS score and ODI score after 2 weeks treatment and follow-up period(P<0.01).2)Compared with group B,group A had no significant difference on VAS score and ODI score after 2 weeks treatment(P>0.05).Compared with group B,group A had significant difference on VAS score and ODI score in the follow-up period(P<0.05).3)Compared with group B,group A had no significant difference on curative effect after 2 weeks treatment(P>0.05).Compared with group B,group A had significant difference on curative effect in the follow-up period(P<0.05).Conclusion:Three-pulling manipulation combined with functional training in treating third lumbar vertebra transverse process syndrome had obvious curative effect,and the long-term outcome was better than oral drug.Therefore,Three-pulling manipulation combined with functional training had the significance for extensive popularization.

参考文献/References:

[1] 王兵,武明泽.小针刀联合神经阻滞术治疗腰3横突综合征的临床疗效分析[J].光明中医,2016,31(8):1135-1137.
[2] 宋秀军.针刺加手法治疗高血压患者腰三横突综合症的临床体会[J].中西医结合心血管病电子杂志,2016,4(18):156.
[3] 国家中医药管理局.中医病症诊断疗效标准[M].南京:南京大学出版社,1994:202-203.
[4] 孙树椿.实用推拿手法彩色图谱[M].北京:中国医药科技出版社.1988:96-97.
[5] 孙树椿.实用推拿手法彩色图谱[M].北京:中国医药科技出版社.1988:247.
[6] Firbank J,Pynsent P.The Oswestry disaility index[J].Spine(Phila Pa 1976),2000,25(22):2940-2953.
[7] Toyone T,Takahashi K,Kitahara H,et al.Visualisation of symptomatic nerve roots.Prospective study of contrast-enhanced MRI in patients with lumbar dise herniation[J].J Bone Joint Surg Br,1993,75(4):529-533.
[8] 周占文,董宝强,林星星.基于CT影像评价针刺结筋病灶点治疗腰三横突综合征临床疗效[J].辽宁中医药大学学报,2017,19(6):174-177.
[9] 黄勇,周英杰,杨晓姣,等.独活寄生丸联合小针刀治疗腰三横突综合症临床观察[J].世界中西医结合杂志,2016,11(6):836-839.
[10] 燕勇,殷继超,胡兴律.X线片定位下电针治疗第三腰椎横突综合征的临床研究[J].中国中医骨伤科杂志,2017,25(2):24-27.
[11] 帅波,沈霖,杨艳萍,等.小针刀联合神经阻滞术治疗腰3横突综合征疗效观察[J].中国中医骨伤科杂志,2015,23(8):14-21.
[12] 孙雨桐,王希琳.针灸治疗腰三横突综合征研究概况[J].中医药临床杂志,2016,28(10):1495-1497.
[13] Rossi M,Ianigro G,Liberatoscioli G,et al.Eperisone versus tizanidine for treatment of chronic low back pain[J].Minerva Med,2012,103(3):143-149.
[14] 牛宁奎,马文鑫,王自立,等.双氯芬酸、乙呱立松及甲钻胺联合治疗下腰痛的临床疗效分析[J].中国中医骨伤科杂志,2011,19(9):34-35.
[15] 刘正风.组合手法治疗腰三横突综合症的体会[J].世界最新医学信息文摘,2015,15(23):128.

备注/Memo

备注/Memo:
基金项目:国家中医药管理局国家中医临床研究基地
更新日期/Last Update: 1900-01-01