【作者】 韩梅；

【导师】 何成奇；

【作者基本信息】 四川大学 ， 康复医学， 2003， 硕士

【摘要】 目的：观察“复康牌”药磁腰托疗法对腰椎间盘突出症的治疗效果并探讨其作用机理。方法：按纳入标准将60例腰椎间盘突出症患者随机分为试验组和对照组各30例。对照组采用①腰椎牵引；②中频电疗法；③推拿按摩；试验组在此基础上增加“复康牌”药磁腰托疗法(腰托内含磁片和中药)。治疗前及治疗后一周、两周、四周分别进行疼痛、腰椎功能及躯干肌肌力的评估；并于治疗前和治疗后两周左右行血液流变学检测。所有结果均进行统计学分析(t检验)。结果：治疗后两组患者疼痛、腰椎功能及躯干肌肌力较治疗前都有改善(P＜0.05或P＜0.001)；但随时间推移试验组的疗效逐渐优于对照组(组间比较P＜0.05或P＜0.001)。治疗后两组患者血液流变学大多数指标均较治疗前有所下降(P＜0.05或P＜0.001)；但两组间比较，试验组血液流变性的改善情况优于对照组(P＜0.05)。结论：“复康牌”药磁腰托疗法能有效缓解腰椎间盘突出症患者的疼痛，维持脊柱稳定性，防止再突出，改善腰椎功能，恢复躯干肌肌力，并能降低血液粘度，改善血液流变性，因而是一种治疗腰椎间盘突出症的安全有效的方法，值得进一步研制和推广。更多还原

【Abstract】 Objective: To observe the clinical effects of "Fu-Kang" waistband therapy on lumbar disc herniation and research it’s effective mechanism. Methods: 60 patients chosen by adoption standards and diagnosed with lumbar disc herniation were randomly divided into two groups (trail group 30 cases and control group 30 cases). Patients in the control group were treated with lumbar vertebral traction, medium frequency electrotherapy and massage, while patients in the trial group were treated not only with the methods as the same as the control group, but also with "Fu-Kang" waistband therapy (waistband combining with magnetic disks and traditional Chinese medicine). The pain, the lumbar vertebral function and the myodynamia of trunk of the patients were evaluated before and after treatment (one week, two weeks and four weeks after treatment respectively); and the hemorheological parameters of pre-treatment and post-treatment (about two weeks after treatment) were also measured. All of the data were treated statistically with t-test. Results: Compared with pre-treatment, the pain, the lumbar vertebral function and the myodynamia of trunk of the two groups were improved (p<0.05 or p< 0.001), but the effect of the trail group was better than that of the control group as the time going on (p<0.05 or p< 0.001). Most of the hemorheological parameters descended after treatment in two groups (p<0.05 or p<0.001), but compared with the control group, the hemorheological improvement of the trail group was better (p<0.05). Conclusions: "Fu-Kang" waistband therapy can not only relieve the pain, recover the myodynamia of trunk, improve the lumbar vertebral function and the hemorheology, but also maintain the spinal stabilization and prevent lumbar disc protrusion again, so it is a safe and effective therapy for lumbar disc herniation, and should be applied in clinical treatment.更多还原