摘要
目的观察硬脊膜松动术治疗腰椎间盘突出症的临床疗效。方法将100例腰椎间盘突出症患者随机分为治疗组和对照组,各50例。对照组给予常规康复治疗,治疗组在常规康复治疗的基础上给予硬脊膜松动术治疗,1次/d,疗程为2周。比较两组患者治疗前后疼痛视觉模拟量表(VAS)评分、日本骨科协会(JOA)腰痛评分以及临床疗效。结果治疗前,两组患者的疼痛VAS评分及JOA腰痛评分比较,差异均无统计学意义(均P>0.05);治疗后,两组的疼痛VAS评分均低于治疗前,JOA腰痛评分均高于治疗前,且治疗组疼痛VAS评分低于对照组,JOA腰痛评分高于对照组(均P<0.05)。治疗组治疗总有效率高于对照组,且临床疗效优于对照组(均P<0.05)。结论在常规治疗的基础上采用硬脊膜松动术治疗腰椎间盘突出症,能更有效地减轻患者疼痛,提高腰椎功能,疗效更好。
Objective To observe the clinical efficacy of spinal dural mobilization for the treatment of lumbar disc herniation.Methods One hundred cases of lumbar disc herniation were randomly divided into treatment group and control group,with 50 cases in each group.The control group was given conventional rehabilitation treatment,and the treatment group was given spinal dural mobilization on the basis of conventional rehabilitation treatment,once a day for two weeks in both groups.The Visual Analogue Scale(VAS)pain scores and Japanese Orthopedic Association(JOA)low back pain scores before and after treatment as well as clinical efficacy were compared between the two groups.Results Before treatment,there was no statistically significant difference in VAS pain score or JOA score for low back pain between the two groups(all P>0.05);after treatment,VAS pain score was lower and JOA score for low back pain was higher in both groups as compared with those before treatment,moreover,the treatment group had lower VAS pain score and higher JOA score for low back pain than the control group(all P<0.05).Compared with the control group,the treatment group exhibited higher total effective rate of treatment as well as superior clinical efficacy(all P<0.05).Conclusion On the basis of conventional treatment,the use of spinal dural mobilization can ameliorate patients'pain more effectively,improve lumbar function,and achieve better efficacy in the treatment of lumbar disc herniation.
作者
蒋黎明
张增乔
于小明
吴绪波
胡笑燊
冯伟
JIANG Li-ming;ZHANG Zeng-qiao;YU Xiao-ming;WU Xu-bo;HU Xiao-shen;FENG Wei(Department of Rehabilitation,Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China;School of Rehabilitation Science,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《广西医学》
CAS
2020年第22期2887-2890,共4页
Guangxi Medical Journal
基金
国家自然科学基金(81873328)
上海市科学技术委员会科研计划(18401900300)
上海市浦东新区“国家中医药发展综合改革试验区”建设项目(PDZY-2018-0401)。
关键词
腰椎间盘突出症
硬脊膜松动术
疼痛
腰椎功能
临床疗效
Lumbar disc herniation
Spinal dural mobilization
Pain
Lumbar function
Clinical efficacy
