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三通推拿法治疗腰椎间盘突出症:多中心、随机对照研究 被引量:43

Lumbar intervertebral disc protrusion treated with Santong tuina therapy:a multi-central randomized controlled trial
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摘要 目的:观察三通推拿法与常规推拿法治疗腰椎间盘突出症的疗效差异。方法:采用多中心、随机对照的临床试验研究方法,将120例腰椎间盘突出症患者随机分成观察组和对照组,每组60例。观察组采用三通推拿法,对照组采用常规推拿法进行治疗。观察两组的临床疗效,同时记录两组治疗前后的腰椎功能评分。结果:观察组总有效率为95.0%(57/60),对照组总有效率为96.7%(58/60),两组比较差异无统计学意义(P>0.05);观察组愈显率为81.7%(49/60),对照组愈显率为63.3%(38/60),两组比较差异有统计学意义(P<0.05)。治疗前后腰椎功能评分自身比较,观察组治疗前后分别为12.25±3.15、25.56±5.27,对照组分别13.32±3.26、20.46±4.25,两组自身前后比较差异均有统计学意义(均P<0.05),且两组治疗后组间比较差异亦有统计学意义(P<0.05),观察组所采用的方法在改善腰椎功能方面更为显著。结论:在应用推拿治疗腰椎间盘突出症时,三通推拿法较常规推拿法具有更好的临床疗效。 Objective To observe the difference in the efficacy on lumbar intervertebral disc protrusion (LIDP) be-tween Santong tuina therapy and conventional tuina therapy. Methods Multi-central, random and controlled clinical trial was carried out. One hundred and twenty cases of LIDP were randomized into an observation group and a control group, 60 cases in each one. In observation group, Santong tuina therapy was used. In control group, conventional tuina therapy was adopted. The clinical efficacy was observed in two groups, and lumbar vertebral function was scaled before and after treatment in two groups. Results The total effective rate was 95.0% (57/60) in observation group and was 96.7% (58/60) in control group, without significant statistical difference in comparison (P〉0.05). The cured and markedly effective rate was 81.7%(49/60) in observation group and was 63.3%(38/60) in control group, indicating significant statistical difference in comparison (P〈0. 05). The self-comparison of lumbar vertebral function before and after treatment presented statistical significance in either observation group (12.25 ± 3.15, 25.56± 5: 27) or control group (13.32±3.26, 20. 46±4. 25, both P〈0. 05); additionally, there was significant difference in the comparison between groups after treatment (P〈0.05). The therapy adopted in observation group improved lumbar vertebral function much significantly. Conclusion In the treatment of LIDP, Santong tuina therapy achieves much better clinical efficacy as compared with conventional tuina therapy.
出处 《中国针灸》 CAS CSCD 北大核心 2011年第3期253-257,共5页 Chinese Acupuncture & Moxibustion
基金 2009年度广西壮族自治区卫生厅重点科研课题:桂卫科教[2009]29号 合同编号:重200937
关键词 腰椎间盘突出症 推拿 三通推拿法 Intervertebral Displacement Tuina Santong Tuina Method
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