推拿结合腰背肌功能锻炼治疗腰椎间盘突出症的临床研究

【作者】 邢杰；

【导师】 丛德毓；

【作者基本信息】 长春中医药大学 ， 针灸推拿学， 2010， 硕士

【摘要】 目的:观察推拿结合腰背肌功能锻炼治疗腰椎间盘突出症的临床疗效,探讨其作用机理,为临床实践提供一种更为有效合理的治疗方案。方法:按纳入标准将60例腰椎间盘突出症患者随机分为治疗组和对照组各30例。对照组采用常规推拿手法,治疗组在常规推拿手法的基础上增加腰背肌功能锻炼(从第二个疗程开始)。对两组患者分别进行组内治疗前后疗效的比较及治疗后两组间疗效的比较。治疗时间均为三个疗程(每个疗程10天,疗程间休息1天)。结果:治疗组30例患者,痊愈12例、有效16例、无效2例。对照组30例患者,痊愈10例、有效15例、无效5例。结论:在应用推拿手法治疗腰椎间盘突出症的同时,指导患者进行腰背肌功能锻炼,可明显减轻患者的临床症状,改善腰椎的活动度和增加腰肌肌力,增强脊柱稳定性,治疗效果显著,是一种治疗腰椎间盘突出症的安全有效的方法,有较好的临床推广价值。更多还原

【Abstract】 Purpose: Through to the topics of clinical research,treatment and course of treatment from the perspective of low back muscle function with exercise massage treatment of lumbar disc herniation and explore its mechanism of action,for the clinical practice to provide a more effective and rational treatment.Method: According to inclusion criteria 60 patients with lumbar disc herniation were randomly divided into treatment group and control group 30 cases. The control group with conventional massage techniques,massage techniques in conventional treatment group based on the increase in back muscle exercise (starting from the second treatment). In two groups of patients were conducted before and after treatment group comparison of efficacy and treatment efficacy comparison between the two groups. Treatment time are the three courses (each course of treatment for 10 days course of treatment breaks 1 day).Treatment time are the three courses (each course of treatment for 10 days course of treatment breaks 1 day).Result: The two group after treatment compared with those before treatment have a significant effect (P <0.01),compared two groups before treatment (P>0.05),difference was not statistically significant; treatment group after treatment compared with the control group (P <0.05 ),the difference was statistically significant.Conclusion: The application of manipulation for lumbar disc herniation at the same time,guiding function in patients with low back muscle exercise,can significantly reduce the patient’s clinical symptoms,improve the activity and increased lumbar psoas muscle strength, enhance spinal stability,treatment significant,a treatment for lumbar disc herniation safe and effective method,and a better value of clinical practice.更多还原