[1]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(04):37-39.
　LIU Jincai XU Hongzhi AI Chengbin.Correlation between Lumbar Disc Herniation Index and Effect of Lumbar Disc Herniation Patients Treated by Conservative Treatment[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(04):37-39.
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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()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年04期
页码:
37-39
栏目:
临床论著
出版日期:
2019-04-12

文章信息/Info

Title:
Correlation between Lumbar Disc Herniation Index and Effect of Lumbar Disc Herniation Patients Treated by Conservative Treatment
文章编号:
1005-0205(2019)04-0037-03
作者:
刘金才1 许鸿智2 艾呈斌3
1云南楚雄州中医院骨五科(云南 楚雄,675000) 2广东省中医院骨科 3云南楚雄州中医院骨一科
Author(s):
LIU Jincai1 XU Hongzhi2 AI Chengbin3
1No.5 Department of Orthopaedics,Chinese Medicine Hospital of Chuxiong,Chuxiong 675000,Yunnan China; 2Department of Orthopaedics,Guangdong Province Hospital of Traditional Chinese Medicine,Guangzhou 510120,China; 3No.1 Department of Orthopaedics,Chinese Medicine Hospital of Chuxiong,Chuxiong 675000,Yunnan China.
关键词:
腰椎间盘突出症;  保守治疗;  椎间盘突出指数
Keywords:
lunbar disc herniation;  conservative treatment;  lumbar disc herniation index
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨保守治疗腰椎间盘突出症的疗效,及其与椎间盘突出指数的相关性。 方法:纳入2017年1月至2017年12月在本院门诊就诊腰椎间盘突出症患者共80例,采用腰椎推拿手法及牵引进行规范化保守治疗,利用MRI测量椎间盘突出指数(STI和SI),并作疗效随访评价。评价指标包括VAS疼痛评分及JOA评分。 结果:77例患者得到有效随访,其中有5例患者在随访期间改为手术治疗,手术率为6.49%.剩余72例患者中,治疗后及随访6个月时的VAS评分均较治疗前明显降低,JOA评分均较治疗前明显升高,差异均具有统计学意义(P<0.01)。77例患者的总体疗效分为3级:显效8例(占比10.39%),2级为有效58例(占比75.32%),3级为无效11例(占比14.29%),总有效率为85.71%.77例患者中,STI平均为0.241±0.137,SI平均为0.368±0.143.相关性分析显示,疗效评级与STI和SI指数之间的相关系数分别为r1=-0.014(P1=0.934),r2=-0.041(P2=0.804),均无显著相关性。 结论:LDH保守治疗的疗效与椎间盘突出指数无明显相关,无论椎间盘突出的大小或位置如何,LDH患者都应首先接受保守治疗,而且绝大部分都能起效。
Abstract:
Objective:To investigate the efficacy of conservative treatment for lumbar disc herniation and its correlation with intervertebral disc herniation index.Methods:A total of 80 patients with lumbar intervertebral disc herniation were treated in our hospital from January to December in 2017.The lumbar vertebra massage manipulation and traction were standardized and conservative treatment.MRI was used to measure the intervertebral disc herniation index STI and SI, and the curative effect was followed up.The evaluation index included VAS pain score and JOA 29 score.Results:77 patients were effectively followed up, of which 5 patients were converted to surgical treatment during the follow-up period, with an operative rate of 6.49%.Among the remaining 72 patients, VAS scores after treatment and 6 months follow-up were significantly lower than pretherapy, and JOA scores after treatment and 6 months follow-up were significantly higher than pretherapy.The differences were both statistically significant(P<0.01).The overall efficacy of 77 patients was divided into three grades: 8 cases(10.39%)were markedly effective, 58 cases(75.32%)were effective, 11 cases(14.29%)were ineffective, and the total effective rate was 85.71%.Of the 77 patients, the average STI was 0.241±0.137, and the average SI was 0.368±0.143.Correlation analysis showed that the correlation coefficients between curative effect rating and STI,SI index were:r1=-0.014(P1 =0.934)and r2=-0.041(P2=0.804),respectively.There was no significant correlation. Conclusion:There is no significant correlation between the efficacy of LDH conservative treatment and the disc herniation index.Regardless of the size or location of the disc herniation, the LDH patients should be treated with conservative treatment first, and most of them are effective.

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更新日期/Last Update: 2019-04-12