综合康复疗法治疗腰椎间盘突出症的疗效分析.docVIP

综合康复疗法治疗腰椎间盘突出症的疗效分析 　　【摘要】 目的：探讨综合康复疗法治疗腰椎间盘突出症的临床疗效。方法：将120例腰椎间盘突出症患者按照入院顺序随机分为两组，各60 例。观察组采用微波、中频、牵引、推拿、针灸拔罐和康复运动训练，对照组采用牵引、推拿、针刺与拔罐治疗，对比两组治疗效果和疼痛VAS 评分。结果：观察组治疗痊愈率、总有效率均明显高于对照组（P0.01）。治疗后，两组患者VAS疼痛指数评分较治疗前均明显降低（P0.01），且观察组疼痛VAS 评分明显优于对照组（P0.05）。结论：综合疗法治疗腰椎间盘突出症疗效显著，能明显缓解疼痛。 　　【关键词】 腰椎间盘突出症； 综合康复； 疗效 　　中图分类号 R68 文献标识码 B 文章编号 1674-6805（2015）31-0026-03 　　【Abstract】 Objective：To investigate the clinical effect of comprehensive therapy in patients with lumbar disc herniation.Method： 120 patients with lumbar disc herniation were randomly divided into the observation group and the control group，60 cases in each group.The observation group was treated by Microwave，intermediate frequency，mechanical traction，massage，Acupuncture and Cupping for Asthma，rehabilitation motion therapy.While the control group was treated with mechanical traction，massage Acupuncture and Cupping for Asthma.The cure rate，the total effective rate and the pain VAS score of two groups were evaluated.Result：The cure rate and the total effective rate of the observation group were significantly better than those of the control group（P0.01）.After treatment，the pain VAS score of two group were both obviously lower than before（P0.01），and score of the observation group was lower than that of the control group（P0.05）.Conclusion：The effect of comprehensive therapy in patients with lumbar disc herniation is significant.It’s valuable to relieve the symptoms of pain in patients. 　　【Key words】 Lumbar disc herniation； Comprehensive therapy； Curative effect 　　First-author’s address：The NO.2 People’s Hospital of Hefei City，Hefei 230011，China 　　doi：10.14033/j.cnki.cfmr.2015.31.012 　　腰椎间盘突出症（lumbar disc herniation，LDH）是脊柱外科的常见病、多发病，病程长且易复发。该病主要表现为腰痛、坐骨神经痛、感觉和反射异常、肌力下降及直腿抬高试验阳性等。腰椎间盘突出症常见于20～50岁患者，中青年高发。当今社会由于人们生活习惯、学习、工作等原因面对电脑长时间久坐，使该病发病率有增高和年轻化的趋势[1-2]。研究表明，大多数腰椎间盘突出症患者经理疗、牵引、推拿、针刺、拔罐及康复运动训练均取得满意疗效[3]。笔者所在科室采用综合康复治疗腰椎间盘突出症取得一定疗效，现报告如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2012年3月-2013年9月在安徽医科大学附属合肥医院康复医学科住院治疗的腰椎间