[1]杨灿,张兆杰△,李锐,等.疏筋整复手法治疗腰椎间盘突出症的疗效观察[J].中国中医骨伤科杂志,2023,31(04):47-50+55.[doi:10.20085/j.cnki.issn1005-0205.230409 ]
 YANG Can,ZHANG Zhaojie,LI Rui,et al.A Efficacy Study on the Treatment of Lumbar Disc Herniation by Sinew Dredging and Reduction Manipulation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(04):47-50+55.[doi:10.20085/j.cnki.issn1005-0205.230409 ]
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疏筋整复手法治疗腰椎间盘突出症的疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年04期
页码:
47-50+55
栏目:
临床研究
出版日期:
2023-04-15

文章信息/Info

Title:
A Efficacy Study on the Treatment of Lumbar Disc Herniation by Sinew Dredging and Reduction Manipulation
文章编号:
1005-0205(2023)04-0047-04
作者:
杨灿1张兆杰1△李锐1张世民1章永东1吴冠男1黎作旭1刘昱彰1靳蛟1郝俊涛1
1中国中医科学院望京医院脊柱一科(北京,100102)
Author(s):
YANG Can1ZHANG Zhaojie1△LI Rui1ZHANG Shimin1ZHANG Yongdong1WU Guannan1LI Zuoxu1LIU Yuzhang1JIN Jiao1HAO Juntao1
1Spine Division Ⅰ,Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China.
关键词:
腰椎间盘突出症 疏筋整复手法 腰痛 阳病治阴
Keywords:
lumbar disc herniation sinew dredging and reduction manipulation low back pain treating Yin for Yang disease
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.230409
文献标志码:
A
摘要:
目的:观察疏筋整复手法治疗腰椎间盘突出症的临床疗效。方法:根据纳入标准选择60例腰椎间盘突出症患者,进行随机分组,治疗组30例采用疏筋整复手法,对照组30例采用腰椎牵引治疗,疗程均为2周,病例入组4周后分别对两组患者进行随访。比较两组患者治疗前后及随访时腰腿疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)问卷表评分及日本骨科协会(JOA)评分的变化。结果:治疗组治疗后及随访时的有效率为93.33%和96.67%,分别高于对照组的70.00%和76.67%,治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗组治疗后及随访时的VAS评分、ODI评分、JOA评分均有改善,且均优于对照组,差异有统计学意义(P<0.01)。结论:疏筋整复手法治疗腰椎间盘突出症疗效确切,安全性高。
Abstract:
Objective:To observe the clinical efficacy of sinew dredging and reduction manipulation on the treatment of lumbar disc herniation(LDH). Methods:60 patients with lumbar disc herniation were randomly divided into treatment group(30 cases)and control group(30 cases)according to the inclusion criteria. The treatment group was given sinew dredging and reduction manipulation, and the control group was given lumbar mechanical traction. Both of them lasted 2 weeks. After the enrollment, patients were followed up for 4 weeks.The visual analogue scale(VAS)scores, Oswestry disability index(ODI)and Japanese orthopaedic association(JOA)scores were compared respectively.Results:The effective rate of the treatment group after treatment and at follow-up were 93.33% and 96.67%, while those of the control group were 70.00% and 76.76%(P<0.05)respectively. Whether after treatment or at follow-up, two groups had progress in the VAS scores, the ODI scores and the JOA scores, and the treatment group was superior to control group(P<0.01).Conclusion:That the efficacy and safety of sinew dredging and reduction manipulation treating lumbar disc herniation is proved exact.

参考文献/References:

[1] KNEZEVIC N N,CANDIDO K D,VLAEYEN J W S,et al.Low back pain[J].Lancet,2021,398(10294):78-92.
[2] 王博,王旭凯,李云飞,等.腰骶部正骨手法治疗腰椎间盘突出症合并骶髂关节紊乱[J].吉林中医药,2022,42(1):107-110.
[3] GBD 2017 Disease and Injury Incidence and Prevalence Collaborators.Global,regional,and national incidence,prevalence,and years lived with disability for 354 diseases and injuries for 195 countries and territories,1990-2017:a systematic analysis for the Global Burden of Disease Study 2017[J].Lancet,2018,392(10159):1789-1858.
[4] 刘金才,许鸿智,艾呈斌.保守治疗腰椎间盘突出症疗效与椎间盘突出指数的相关性研究[J].中国中医骨伤科杂志,2019,27(4):37-39.
[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:201-202.
[6] 中华医学会骨科学分会脊柱外科学组,中华医学会骨科学分会骨科康复学组.腰椎间盘突出症诊疗指南[J].中华骨科杂志,2020,40(8):477-487.
[7] 丁兴,许金海,莫文,等.施氏脊柱平衡手法结合筋骨导引术治疗中老年腰椎间盘突出症的多中心随机对照临床研究[J].上海中医药杂志,2022,56(4):50-55.
[8] 李硕,刘丽爽,周金娜,等.核心稳定性训练联合体外冲击波治疗腰椎间盘突出症疗效观察[J].康复学报,2019,29(6):16-20.
[9] 张承哲,胡零三,赵烨,等.强筋功法改善腰椎躯干肌力和活动度的临床研究[J].中国骨伤,2021,34(10):959-964.
[10] 张德宏,王兴盛,毕华焱,等.从生物力学角度探究腰椎管狭窄症术后残留下腰痛的可能机制及中医药研究进展[J].西部中医药,2019,32(3):140-144.
[11] 邹荣琪,郭黎,王大安,等.运动疗法结合脉冲短波治疗运动员慢性下腰痛的疗效[J].中国临床研究,2022,35(6):819-822.
[12] 姚利兵.腰椎间盘突出症患者经皮椎间孔镜术前焦虑、抑郁状态及相关影响因素分析[J].临床骨科杂志,2019,22(2):159-164.
[13] 孔博,颜威,刘素君,等.腰椎间盘突出症非药物保守治疗的研究进展[J].上海中医药杂志,2022,56(4):97-101.
[14] 王磊磊,殷继超,胡兴律,等.腰椎间盘突出后重吸收机制与中医疗法研究概况[J].辽宁中医药大学学报,2022,24(8):177-181.
[15] 李鑫,王楚怀.慢性腰痛的物理治疗新进展[J].中国康复医学杂志,2021,36(6):738-742.
[16] 韩涛,朱立国,魏戌,等.手法治疗腰椎间盘突出症知识图谱可视化分析[J].世界中西医结合杂志,2021,16(12):2176-2183.
[17] 赵继荣,李玮农,朱换平,等.手法治疗腰椎间盘突出症临床研究进展[J].中医药学报,2022,50(4):103-108.

备注/Memo

备注/Memo:
基金项目:中国中医科学院望京医院院级课题(WJYY2020-21)
通信作者 E-mail:zhangzhaojie2010@163.com
更新日期/Last Update: 2023-04-10