[1]周帅亮 岑珏△ 郭艳明 梁永瑛 陈含 张富明 谭政.经皮穴位电刺激结合运动疗法治疗膝骨关节炎的临床研究[J].中国中医骨伤科杂志,2020,28(02):15-18.
　SONG Yantao GUO Ling ZHANG Chen LIU Guanghui ZHU Yongtao ZHAN Jiawen.The Value of Ultrasound in Measuring the Variation Rate of LumbarSpinous Process Distance in Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(02):15-18.
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经皮穴位电刺激结合运动疗法治疗膝骨关节炎的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年02期
页码:
15-18
栏目:
临床研究
出版日期:
2020-02-10

文章信息/Info

Title:
The Value of Ultrasound in Measuring the Variation Rate of LumbarSpinous Process Distance in Lumbar Disc Herniation
文章编号:
1005-0205(2020)02-0011-04
作者:
周帅亮1 岑珏1△ 郭艳明1 梁永瑛1 陈含1 张富明1 谭政1
1上海中医药大学附属光华医院(上海,200052)
Author(s):
SONG Yantao1 GUO Ling1△ ZHANG Chen1 LIU Guanghui1 ZHU Yongtao1 ZHAN Jiawen1
1Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China.
关键词:
经皮穴位电刺激;  运动疗法;  骨关节炎;  膝关节疼痛
Keywords:
ultrasound;  lumbar disc herniation;  low back pain;  lumbar spinous process
分类号:
R684.3
文献标志码:
A
摘要:
目的:观察运动治疗结合经皮穴位电位刺激疗法在膝关节炎临床治疗效果。方法:将66为膝骨关节炎患者随机分为对照组和治疗组,治疗组使用经皮穴位电刺激结合运动疗法治疗,对照组采用单纯药物治疗,3周后比较两组治疗前后VAS疼痛评分与WOMAC评分,对膝关节疼痛及功能进行疗效评价。结果:两组患者干预后VAS疼痛评分以及WOMC评分均低于治疗前,治疗组改善作用优于对照组,差异有统计学意义(P<0.05)。结论:经皮穴位电刺激结合运动疗法治疗膝骨关节炎效果优于单纯药物治疗,可缓解膝骨关节炎患者疼痛,促进膝关节功能恢复。
Abstract:
Objective:To explore the method of evaluating lumbar motion and lumbar pain in patients with lumbar disc herniation by measuring the change rate of lumbar spinous process distance with ultrasound,and to find the best segment for measuring the change rate of lumbar spinous process distance.Methods:Sixty patients with lumbar intervertebral disc herniation were selected as the study group and 60 normal subjects as the control group.VAS scores were given to all patients with lumbar intervertebral disc herniation.The distances of L1～2,L2～3,L3～4,L4～5 and L1S5 segments of lumbar spinous processes were measured by ultrasound during flexion and extension,and the change rates of lumbar spinous process distances were calculated.Results:The average change rate of lumbar spinous process distance in the study group was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05),but the difference between L3～4 segments was the most significant.The change rate of lumbar spinous process distance in the study group was negatively correlated with the degree of lumbar pain,but the correlation between L3～4 segments was the strongest(r=-0.607).Conclusion:The range of lumbar spinous process at each level can be used to evaluate the range of lumbar motion and the degree of low back pain in patients with lumbar disc herniation.L3～4 segment can be used as the best segment for ultrasonography.

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备注/Memo

备注/Memo:
基金项目:上海市长宁区医学名专科(2020100100034)△通信作者 E-mail:kevinzsltcm@163.com(收稿日期:2019-09-15)
更新日期/Last Update: 2020-02-10