[1]戚晴雪 刘华 甄朋超 周乔 赵环宇△.夏氏六步手法对血瘀气滞型腰椎间盘突出症患者下肢神经传导的影响[J].中国中医骨伤科杂志,2020,28(04):24-28.
　QI Qingxue LIU Hua ZHEN Pengchao ZHOU Qiao ZHAO Huanyu.Effect of Xia's Six-step Technique on Nerve Conduction of Lower Extremity in Patients of Lumbar Disc Herniation with Blood Stasis and Qi Stagnation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(04):24-28.
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夏氏六步手法对血瘀气滞型腰椎间盘突出症患者下肢神经传导的影响()
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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04期
页码:
24-28
栏目:
临床研究
出版日期:
2020-04-06

文章信息/Info

Title:
Effect of Xia's Six-step Technique on Nerve Conduction of Lower Extremity in Patients of Lumbar Disc Herniation with Blood Stasis and Qi Stagnation
文章编号:
1005-0205(2020)04-0024-05
作者:
戚晴雪1 刘华1 甄朋超1 周乔1 赵环宇1△
1北京中医药大学附属护国寺中医医院(北京,100029)
Author(s):
QI Qingxue1 LIU Hua1 ZHEN Pengchao1 ZHOU Qiao1 ZHAO Huanyu1△
1Huguosi Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Traditional Chinese Medicine, Beijing 100029, China.
关键词:
夏氏六步手法;  腰椎间盘突出症;  血瘀气滞;  下肢神经传导
Keywords:
Xia's six-step manipulation;  lumbar disc herniation;  blood stasis and qi stagnation;  nerve conduction in lower limb
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察夏氏六步手法对血瘀气滞型腰椎间盘突出症患者下肢神经传导的影响,判定其临床疗效。方法:选取血瘀气滞型腰椎间盘突出症患者80例,随机分为2组:手法治疗组40例,牵引治疗组40例。手法治疗组予夏氏六步手法治疗,牵引治疗组予腰椎牵引,连续治疗3周。治疗前后检测患肢胫神经、腓总神经的运动传导,腓浅神经、腓肠神经的感觉传导及H反射,判定临床有效率。结果:下肢运动神经传导:治疗后2组患者胫神经及腓总神经潜伏期、传导速度及波幅均无明显变化(P>0.05)。下肢感觉神经传导:治疗后2组患者腓浅神经及腓肠神经传导速度无明显变化,差异无统计学意义(P>0.05),手法治疗组治疗后腓浅神经及腓肠神经波幅较治疗前升高,差异有统计学意义(P<0.05),且优于牵引对照组,差异有统计学意义(P<0.05)。H反射:手法治疗组患者治疗后H反射潜伏期较前缩短,与牵引治疗组相比差异有统计学意义(P<0.05); 另9例患者治疗前未诱发出H反射,治疗结束后2例患者诱发出H反射。临床疗效:手法治疗组40例中,治愈4例,显效9例,有效22例,无效5例,总有效率为87.5%,显著优于牵引治疗组总有效率75.0%,差异有统计学意义(P<0.05)。结论:夏氏六步手法可以升高血瘀气滞型腰椎间盘突出症患者腓浅神经及腓肠神经波幅,缩短H反射潜伏期,具有良好的临床疗效。
Abstract:
Objective:To observe and evaluate the effect of Xia's six-step technique on nerve conduction of lower extremity in patients of lumbar disc herniation with blood stasis and qi stagnation, and to evaluate its clinical effect. Methods:80 patients were randomly divided into 2 groups: 40 patients received manipulation therapy and 40 patients received traction therapy. The manipulation group received Xia's six-step manipulation therapy, and all patients received 3 weeks treatment. Before and after treatment, the motor conduction of tibial nerve, common peroneal nerve, sensory conduction of the superficial peroneal nerve and gastrocnemius nerve, and the H reflex of affected limb were measured to determine the clinical effectiveness. Results:Lower extremity motor nerve conduction: after treatment, there was no significant change in the latency of the conduction velocity and the amplitude of tibial nerve and common peroneal nerve in the 2 groups(P>0.05).Sensory nerve conduction of lower extremities: there was no significant change in the conduction velocity of superficial peroneal nerve and sural nerve in the 2 groups after treatment(P>0.05), while the amplitude of superficial peroneal nerve and sural nerve in the manipulative group were higher than that before treatment(P<0.05), and it was better than that in traction group(P<0.05). After treatment, the H reflex latency of patients in the manipulation group was shortened, which was different from that in traction group(P<0.05). The other 9 patients did not induce H reflex before treatment, but 2 patients induced H reflex after treatment.Clinical efficacy: among the 40 cases in the manipulation group: 4 cases were cured, 9 cases were obviously effective, 22 cases were effective,and 5 cases were not effective. The total effective rate was 87.5%, which was significantly better than that in the traction treatment group 75.0%(P<0.01). Conclusion:Xia's six-step technique can increase the amplitude of superficial peroneal nerve and sural nerve in patients with lumbar disc herniation with blood stasis and qi stagnation, shorten incubation period of H reflex, and has a good clinical effect.

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备注/Memo

备注/Memo:
基金项目:北京市首都临床特色应用研究与成果推广项目 (Z161100000516123) △通信作者 E-mail:taky163@aliyun.com(收稿日期:2019-09-10)
更新日期/Last Update: 2020-04-06