[1]熊轶喆 邓真 沈知彼 王辉昊 石瑛 陈元川 詹红生△.石氏伤科大推拿治疗包容性腰椎间盘突出症的疗效观察[J].中国中医骨伤科杂志,2018,26(09):41-45.
　XIONG Yizhe DENG Zhen SHEN Zhibi WANG Huihao SHI Ying CHEN Yuanchuan ZHAN Hongsheng.Clinical Observation on the Treatment of Inclusive Lumbar Intervertebral Disc Herniation with Shi's Great Manipulation Therapy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(09):41-45.
点击复制

石氏伤科大推拿治疗包容性腰椎间盘突出症的疗效观察()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年09期
页码:
41-45
栏目:
临床论著
出版日期:
2018-09-06

文章信息/Info

Title:
Clinical Observation on the Treatment of Inclusive Lumbar Intervertebral Disc Herniation with Shi's Great Manipulation Therapy
文章编号:
1005-0205(2018)09-0041-05
作者:
熊轶喆1 邓真2 沈知彼1 王辉昊1 石瑛1 陈元川1 詹红生1△
1上海中医药大学附属曙光医院(上海,201203) 2上海中医药大学附属曙光医院宝山分院
Author(s):
XIONG Yizhe1 DENG Zhen2 SHEN Zhibi1 WANG Huihao1 SHI Ying1 CHEN Yuanchuan1 ZHAN Hongsheng1△
1Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China; 2Baoshan Branch of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201900,China.
关键词:
石氏伤科大推拿;  臭氧注射;  包容性腰椎间盘突出症;  连续性硬膜外麻醉
Keywords:
Keywords: Shi's great manipulation;  ozone injection;  inclusive protrusion of lumbar intervertebral disc;  continuous epidural anesthesia
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察石氏伤科大推拿疗法对包容性腰椎间盘突出症的临床疗效。方法:对89例包容性腰椎间盘突出症患者进行大推拿治疗,在治疗后6 h,3 d,14 d,90 d分别采集患者VAS评分,Oswestry功能障碍指数(ODI)评分和直腿抬高试验角度,与治疗前及前一观察节点进行疗效前后对比,观察该治疗方法的临床疗效。结果:该治疗方案痊愈44.4%(36/81),显效30.9%(25/81),有效17.3%(14/81),无效7.4%(6/81),总有效率为92.6%.患者术前VAS评分平均(6.69±2.04)分,术后6 h评分降至(5.34±2.16)分,与术前相比差异有统计学意义(t=3.012,P=0.026); 术后3 d评分为(3.43±2.26)分,与术后6 h相比差异有统计学意义(t=3.274,P=0.017); 患者术前ODI评分平均为(21.97±6.85)分,术后14 d评分降至(11.69±5.64)分,与术后3 d相比差异有统计学意义(t=3.024,P<0.01); 术后90 d评分降至(7.75±3.22)分,与术后14 d相比差异有统计学意义(t=2.976,P=0.021); 患者术前直腿抬高角度平均55.65°±18.64°,术后6 h角度平均为82.33°±17.62°,与术前相比差异有统计学意义(t=3.012,P=0.026); 术后3 d角度平均为68.01°±14.74°,与术后6 h相比差异有统计学意义(t=3.014,P=0.031).结论:石氏伤科大推拿疗法是治疗包容性腰椎间盘突出症安全、创伤小、有效实用的方法。
Abstract:
Abstract Objective:To observe the clinical efficacy of continuous epidural anesthesia combined with Shi's great manipulation therapy.Methods: 89 patients with inclusive protrusion of the lumbar intervertebral disc were treated with Shi's great manipulation.The Visual analogue scale(VAS),Oswestry disability Index(ODI)and straight-leg raising test were evaluated at the date of 6 hours,3days,14 days and 90 days after the treatment.All the outcomes were compared with the previous point to evaluate the curative effect after the treatment.Results:The total effective rate of the therapeutic regimen was 92.6% including recovery rate 44.4%(36/81),apparent rate 30.9%(25/81)and effective rate 17.3%(14/81),and the inefficiency was 7.4%(6/81).The average VAS score of the patients was 6.69±2.04.Comparing the result of 6 hours(5.34±2.16)to preoperative(6.69±2.04),the difference in the change of score was statistically significant(t=3.012,P=0.026).Comparing the result of 3 days(3.43±2.26)to that of 6 hours(5.34±2.16),the difference in the change of score was statistically significant(t=3.274,P=0.017).The average ODI score of the patients was 21.97±6.85.Comparing the result of 14 days(11.69±5.64)to that of 3 days(10.75±6.84),the difference in the change of score was statistically significant(t=3.024,P<0.01).Comparing the result of 90 days(7.75±3.22)to that of 14 days(11.69±5.64),the difference in the change of score was statistically significant(t=2.976,P=0.021); The average angle of the straight-leg raising test was 55.65°±18.64°.Comparing the result of 6 hours(82.33°±17.62°)to preoperative(55.65°±18.64°),the difference in the change of score was statistically significant(t=3.012,P=0.026).Comparing the result of 3 days(68.01°±14.74°)to that of 6 hours(82.33°±17.62°),the difference in the change of score was statistically significant(t=3.014,P=0.031).Conclusion:Shi's great manipulation is an effective,practical and safety method to treat inclusive lumbar intervertebral disc herniation.

参考文献/References:

[1] 李健辉.臭氧对包容性与非包容性青壮年腰椎间盘突出症患者的疗效评价[J].颈腰痛杂志,2017,38(2):121-123.
[2] 李健辉,李建伟,解晓彬,等.椎间盘内联合骶管内臭氧注射治疗包容性青壮年腰椎间盘突出症[J].中国介入影像与治疗学,2017,14(2):82-85.
[3] 黄云鸿,周红海,周诚恩,等.1991-2010年《中医正骨》刊载重要治疗腰椎间盘突出症文献分析[J].中医正骨,2013,25(8):13-14.
[4] 詹红生,马勇,赵明,等.中医筋伤学[M].上海:上海科学技术出版社,2012:34.
[5] 黄松,陈敬有,高皓.臭氧消融术结合针灸治疗腰椎间盘突出症及对相关炎性因子的影响[J].湖南中医药大学学报,2017,37(10):1136-1139.
[6] 王勇,袁伟东.CT引导下臭氧介入治疗97例腰椎间盘突出症疗效观察[J].中国中医骨伤科杂志,2010,18(5):48-49.
[7] 邱永湘,张生权,李树强.臭氧消融术配合三步点扳手法治疗腰椎间盘突出症临床观察[J].中国中医骨伤科杂志,2011,19(5):53-54.
[8] 谢起文,张国忠,唐可.椎间盘内联合椎旁注射臭氧治疗腰椎间盘突出症122例[J].中国中医骨伤科杂志,2012,20(6):42-43.
[9] 窦志刚,李志强.臭氧消融术治疗不同突出类型腰椎间盘突出症的疗效比较[J].中医正骨,2015,27(1):23-26.
[10] 李健辉,李建伟,解晓彬,等.臭氧对不同年龄段腰椎间盘突出症患者治疗后髓核固缩的影响[J].实用骨科杂志,2016,22(10):917-918.
[11] 李芸,傅志俭.臭氧治疗炎性痛的应用研究[J].中国疼痛医学杂志,2017,22(3):168-171.
[12] Muto M,Andreula C,Leonardi M.Treatment of herniated lumbar disc by Intradiacal and intraforaminal oxygen-zozone(O2-O3)injection[J].J Neuroradiol,2004,31(3):183-189.
[13] Pellocano G,Martinelli F,Tavanti V.The Italian oxygen-ozone therapy federation(FIO)study on oxygen-ozone treatment of herniated disc[J].International Journal of Ozone Therapy,2007,6(1):7-15.
[14] 陈东煜,刘志辉,石瑛,等.臭氧注射联合硬膜外麻醉下手法松解治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2012,20(6):4-6.
[15] 陈东煜,何俊,石瑛,等.硬膜外麻醉下手法松解术治疗腰椎间盘突出症的临床研究[J].中国中医基础医学杂志,2012,18(5):545-546.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81473702) 上海市科学技术委员会科研计划项目(14401970402, 16401970102,15401934100) 上海市卫生和计划生育委员会项目(2017ZZ02024, 20170242,ZXYXZ201703,ZYKC201602006, ZY3-LCPT-2-1005) 詹红生上海市名老中医学术经验研究工作室建设 项目(SHGZS-2017025,SZYMZYGZS4013) △通信作者 E-mail:zhanhongsheng2
更新日期/Last Update: 2018-09-06