[1]翟绅,樊金辉,王甜,等.仰卧下肢悬吊牵引结合中医理筋治筋疗法治疗腰椎滑脱症40例[J].中国中医骨伤科杂志,2025,33(04):85-90+96.[doi:10.20085/j.cnki.issn1005-0205.250417 ]
　ZHAI Shen,FAN Jinhui,WANG Tian,et al.40 Cases Treatment of Lumbar Spondylolisthesis by Supine Lower Limb Suspension Traction Combined with Traditional Chinese Medicine Tendon-Regulating Therapy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(04):85-90+96.[doi:10.20085/j.cnki.issn1005-0205.250417 ]
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仰卧下肢悬吊牵引结合中医理筋治筋疗法治疗腰椎滑脱症40例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年04期
页码:
85-90+96
栏目:
临床报道
出版日期:
2025-04-10

文章信息/Info

Title:
40 Cases Treatment of Lumbar Spondylolisthesis by Supine Lower Limb Suspension Traction Combined with Traditional Chinese Medicine Tendon-Regulating Therapy
文章编号:
1005-0205(2025)04-0085-06
作者:
翟绅1; 樊金辉2; 王甜2; 石淇允2; 胡闯北2; 宋永伟2△
1河南中医药大学骨伤学院(郑州,450046); 2河南省洛阳正骨医院(河南省骨科医院)
Author(s):
ZHAI Shen1; FAN Jinhui2; WANG Tian2; SHI Qiyun2; HU Chuangbei2; SONG Yongwei2△
1School of Orthopedics,Henan University of Chinese Medicine,Zhengzhou 450046,China; 2Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471000,Henan China.
关键词:
仰卧悬吊牵引;  三屈位牵引;  腰椎滑脱症
Keywords:
supine suspension traction;  traction in three-flexion position;  lumbar spondylolisthesis
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250417
文献标志码:
B
摘要:
目的:观察仰卧下肢悬吊牵引结合中医理筋治筋疗法治疗腰椎滑脱症的疗效及安全性。方法:将80例腰椎滑脱症患者随机分为观察组(40例)和对照组(40例),在均进行中医理筋治筋疗法治疗(熏洗、透药、针刺、手法治疗)基础上,对照组患者采用常规三屈位牵引进行治疗,观察组患者行仰卧下肢悬吊牵引治疗。观察两组患者治疗前后视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分、腰椎-骨盆矢状位参数等各项指标的变化。结果:经治疗后两组患者的VAS评分、JOA评分、腰椎-骨盆矢状位参数较前均明显改善,差异有统计学意义(P<0.05); 且与对照组相比,治疗后观察组患者VAS评分、JOA评分、腰椎-骨盆矢状位参数的改善更为明显,差异有统计学意义(P<0.05); 治疗期间两组患者不良反应发生率差异无统计学意义(P>0.05)。结论:采用仰卧下肢悬吊牵引疗法治疗腰椎滑脱症与传统三屈位牵引相比,可快速缓解患者症状与体征,且安全性高。
Abstract:
Objective:To observe the efficacy and safety of supine lower limb suspension traction combined with the tendon-regulating and tendon-treating therapy of traditional Chinese medicine in the treatment of lumbar spondylolisthesis.Methods:80 patients with lumbar spondylolisthesis were randomly divided into observation group(40 cases)and control group(40 cases).On the basis of all receiving the tendon-regulating and tendon-treating therapy of traditional Chinese medicine(fumigation and washing,drug penetration,acupuncture,and manipulation therapy),the control group was treated with conventional traction in the three-flexion position,while the observation group was treated with supine lower limb suspension traction.The changes in various indicators such as visual analogue scale(VAS)scores,Japanese orthopaedic association(JOA)scores,and lumbar-pelvic sagittal parameters before and after treatment in the two groups were observed.Results:After treatment,the VAS scores,JOA scores and lumbar-pelvic sagittal parameters of the patients in both groups were significantly improved compared with those before treatment(P<0.05).Moreover,compared with the control group,the improvements in VAS scores,JOA scores and lumbar-pelvic sagittal parameters in the observation group were more remarkable after treatment(P<0.05).During the treatment period,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Compared with the traditional three-flexion position traction,the supine lower-limb suspension traction therapy in the treatment of lumbar spondylolisthesis can quickly and effectively relieve the symptoms and signs of patients with high safety.

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备注/Memo

备注/Memo:
基金项目:河南省2023年科技发展计划项目(232102310134) △通信作者 E-mail:zgyysyw@163.com
更新日期/Last Update: 2025-04-10