【摘要】 :[目的]探讨硬膜外冲击联合牵引推拿治疗椎间盘突出症的临床疗效。[方法]将144例腰椎间盘突出症患者按就诊顺序分为治疗组与对照组各72例,治疗组采用硬膜外冲击联合牵引推拿治疗,对照组仅采用牵引推拿治疗,观察对比两组疗效。[结果]总有效率治疗组100%,对照组86%,治疗组疗效优于对照组(P<0.05)。 [结论]硬膜外冲击联合牵引推拿治疗椎间盘突出症临床疗效确切,优于单用牵引推拿治疗。
【关键词】 腰椎间盘突出症;硬膜外冲击;牵引;推拿
Abstract:[Purpose]Approach for the clinical effectiveness of prolapse of lumbar interver tebral disc by peridural impact with tractional manipulation.[Method]72 patients in treatment group were treatecl by periclural impact with manipulation.Also 72 patients in controlgroup by using tractional manipulation.[Results]In treatment group 40 patients were cured,32 patients were improved makedly,no inefficacy,the total effective rate was up to 100%.But in control group,32 patients were cured,30 patients were improved,8 were inefficacious,total effective rate was 86%.[Conclusion]The treatment of prolapse of lumbar interveltebral disc by pericdural impact with tractional manipulation is very patent,it is better than the treatment of tractional manipulation.
Key words:prolapse of lumbar intervertebral disc;peridural impact;traction;manipulation
腰椎间盘突出症是指腰椎间盘变性,纤维环破裂,髓核突出压迫神经根引起的以腰痛、下肢放射痛为主要表现的疾病,是骨伤科的常见病、疑难病、多发病。我院2006年至2007年间采用硬膜外冲击联合牵引推拿治疗腰椎间盘突出症72例取得了满意的疗效,报告如下。
1 临床资料
1.1 一般资料
本组病例为2006年1月至2007年12月本院门诊患者,按就诊先后顺序筛选后分两组:治疗组72例,其中男36例,女36例;年龄20至30岁16人,31至40岁30人,41至60岁26人。腰痛伴单侧下肢痛35人,双侧下肢交替痛25人,双下肢麻痛10人,中央型2人。对照组72例,男36例,女36例,年龄20至30岁16人, 31至40岁30人,41至60岁26人。腰痛伴单侧下肢痛35人,双侧下肢交替痛25人,双下肢麻痛10人,中央型2人。两组之间性别、年龄、病程经统计学分析,无显著差异,具有可比性(P>0.05)。
1.2 纳入标准
年龄20至65岁,病程均在6个月左右,均经CT、MRI检查,确认为腰椎间盘突出。
1.3 排除标准
孕妇、产妇,腰椎压缩性骨折或脱位;合并心、脑血管、肝、肾及造血系统严重疾病;精神病患者,腰椎骨质疏松,腰椎结核,腰椎肿瘤,椎弓根部裂,早期的强直性脊柱炎。
1.4 诊断标准
诊断标准依据胡有谷主编的《腰椎间盘突出症》[1]拟订的腰椎间盘突出症诊断标准。
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