神经松动术对腰椎间盘突出症坐骨神经痛的疗效①.docVIP

中国康复理论与实践 2013 年 8 月第 19 卷第 8 期 Chin J Rehabil Theory Pract, Aug. 2013, Vol. 19, No. 8 DOI: 10.3969/j.issn.1006-9771.2013.08.012 神经松动术对腰椎间盘突出症坐骨神经痛的疗效 施加加，刘尊武，蒋丽琴，孙莹，郭靖，厉勇  - 759 - ·临床研究·  [摘要]  目的  观察下肢神经松动术对腰椎间盘突出症坐骨神经痛的疗效。方法  46 例腰椎间盘突出症患者分为治疗组和对 照组各 23 例。对照组采用常规康复治疗手法，治疗组在此基础上增加下肢神经松动术，1 次/d，共 1 个月。于治疗前、后评价患者 坐骨神经痛的视觉模拟评分(VAS)和日本骨科学会下腰痛评分(JOA)。结果 治疗前两组 VAS 评分和 JOA 评分无显著性差异(P 0.05)。治疗后，治疗组 VAS 评分显著低于对照组(P0.001)，治疗组 JOA 评分显著高于对照组(P0.001)。结论 善腰椎间盘突出患者的坐骨神经痛有着明显的疗效。 神经松动术对于改 [关键词] 神经松动术；腰椎间盘突出症；坐骨神经痛  Effect of Nerve Mobilization on Sciatica in Patients with Lumbar Disc Herniation SHI Jia-jia, LIU Zun-wu, JIANG Li-qin, et al. De- partment of Rehabilitation Medicine, Rehabilitation Hospital of Kunshan, Kunshan 215300, Jiangsu, China Abstract: Objective To explore the effect of nerve mobilization on sciatica in patients with lumbar disc herniation. Methods 46 pa- tients with lumbar disc herniation were divided into treatment group (n=23) and control group (n=23). The control group received conven- tional rehabilitation treatment, the treatment group received nerve mobilization everyday in addition for 1 month. The score of Visual Ana- logue Scale (VAS) and Japanese Orthopaedic Association score (JOA score) were observed before and after treatment. Results There was no significant difference in the score of VAS and JOA between 2 groups before treatment (P0.05). The score of VAS was significantly lower (P0.001), and the JOA score was significantly higher (P0.001) in the treatment group than in the control group after treatment. Conclu- sion The nerve mobilization is effective on sciatica in patients with lumbar disc herniation. Key words: nerve mobilization; lumbar disc herniation; sciatica [中图分类号] R681.5 [文献标识码] A [文章编号] 1006-9771(2013)08-0759-03 [本文著录格式] 2013, 19(8): 759-761. 施加加，刘尊武，蒋丽琴，等. 神经松动术对腰椎间盘突出症坐骨神经痛的疗效[J]. 中国康复理论与实践,  腰椎间盘突出症(lumbar disc herniation, LDH)是因 椎间盘退变，纤维环撕裂，髓核向后突出压迫脊髓、 神经根或马尾神经所出现的综合征，临床表现主要是 腰痛和放射性下肢痛 [1]。坐骨神经痛的疼痛部位多为 臀部大腿后侧、