二步十法治疗腰椎间盘突出症60例的临床研究.docVIP

二步十法治疗腰椎间盘突出症60例的临床研究 【摘要】nbsp; 　　目的 观察二步十法治疗腰椎间盘突出症的实际效应，探讨腰椎间盘突出症的发病机制和手法二步十法治疗腰椎间盘突出症的作用机理。 方法 本实验的临床研究选择腰椎间盘突出症90例，采用随机对照组，分为手法治疗组60例，药物治疗组30例，治疗时间均为15天。以治疗前后患者临床症状、体征等的变化作为疗效评定标准。结果 手法治疗组对于腰椎间盘突出症症状和体征的改善，临床治愈率63.3%，总有效率91.7%。药物治疗组临床治愈率26.7%，总有效率83.3%。两组比较，统计学上有显著意义（Plt;0.05）。结论 说明“二步十法”具有改变突出髓核位置、松解神经根与椎间盘粘连，消除神经根水肿，缓解血管痉挛，增强代谢，改善局部组织营养的作用。 【关键词】nbsp; 腰椎间盘突出症　二步十法　松解　代谢 　　Clinical study of treamtment on 60 cases of slipped lumbar intervertebral disc with Er bu shi fa manipulationnbsp; nbsp;nbsp;nbsp; 【Abstract】nbsp; Objectivenbsp; Clinical study to observe and research the effection on Er bu shi fa manipulation treatment on slipped lumbar intervertebral disc （SLID） patients .Methodsnbsp; A total of 90 SLID patients randomly divided into two groups;a test group and a control group.The test group of total 60 patients were treated by Er bu shi fa manipulation,the control group of 30 patients were treated by medication, The comprehensive efficiency ,the symptom, responsiveness, effectiveness between the test group and the control group evaluated by means of clinical assessment scale （CAS）. Resultsnbsp; The total effective rate is 91.7% , completely cure rate 63.3% as in the test group;completely cure rate 26.7% and total effective rate of 83.3% in drug control group. Comparing the test group and the control group , shown that the test group being significantly superior and effective than the control group.Conclusionnbsp; Er bu shi fa manipulation has obvious effectiveness, by reposition the slip intervertebral dise position ,remission the nerve root , improve the blood circulation and metabolism,it is a ideal better regiment treatment on SLID in clinical work. nbsp;nbsp;nbsp; 【Key words】nbsp; slipped lumbar intervertebral disc;Er bu shi fa; remission;metabolism nbsp;nbsp;nbsp; 腰椎间盘突出症 （SLID），简称腰突症或腰脱症，其发病率是腰腿痛疾病的前三甲。在新加坡高科技发达的国家，工人因腰痛缺勤的比率较其他部位多。由于腰突症好发于中青年，往往因劳累或遭受外力作用下引起本病发生；严重地影响了劳动能力和经济收入、学习和生活。 nbsp;nbsp;nbsp; 本研究为了进一步验证手法