均衡牵引治疗腰间盘突出症对腰椎生理曲度及骨盆影响的临床研究.pdfVIP

目 录 中文摘要 ·············································· 1 英文摘要 ·············································· 2 引 言 ·············································· 4 正 文 ···············································5 1.临床资料 ············································5 1.1一般资料 ·············································5 1.2诊断标准 ·············································6 1.3 病例排除标准 ·········································6 1．4.主要仪器 ··········································· 6 1．5 治疗方法 ············································7 1．6 观察指标 ··········································· 8 1．7 研究方法 ············································9 1．8 疗效评定标准 ········································9 1．9 统计学处理 ········································· 9 2．结果 ················································· 9 3．讨论 ·················································10 4．存在的问题和展望 ·····································20 结 论 ···············································21 参考文献 ··············································22 附 录 ···············································25 1 综 述 ··············································28 致 谢 ··············································41 攻读学位期间发表的学术论文目录 ···················42 作者声明 ··············································43 个人简历 ··············································44 2 中 文 摘 要 目 的：通过观察腰椎间盘突出症患者60 例，均衡牵引与传统牵 引两种方法比较治疗前后测量观察疗效、腰椎生理曲度及骨盆倾斜程度 的变化，选择更好的治疗腰椎间盘突出症的方法推广应用到临床。 方 法：按纳入标准选择腰椎间盘突出症患者 60 例，分成观察组 和对照组，每组 30 例。观察组给予均衡牵引架牵引加手法治疗，对照组 予以传统仰卧牵引加手法治疗四周，观察两种方法的临床疗效，测量两 组病人治疗前后腰椎生理曲度以及骨盆倾斜程度的变化，并行统计学分 析。 结 果 : 治疗四周后分别比较两种方法治疗腰椎间盘突出症的临 床疗效、腰椎生理曲度、骨盆倾斜程度。观察组的总临床疗效为83.33%; 腰曲值治疗前为 2.53 ±0.51 cm ，治疗后为 0.97 ±0.56cm;骨盆倾斜值 治疗前为 2.71 ±0.65cm ，治疗后为 0.97±0.41cm。对照组的总临床疗 效为66.67%;腰曲值治疗