火功疗法配合推拿、牵引治疗腰椎间盘突出症的临床观察.pdfVIP

ABSTRACT Fire attack treatment coordinates manipulation , drags theclinical observation curing middle protrusion of theintervertebral discs ABSTRACT [Objective] To observe the fire attack with traction therapy, therapeutic massage lumbar disc herniation. [Methods] 150 cases of spinal disease were randomly divided into two groups conflict. 75 cases of the use of Chinese heat with traction, massage therapy, another 75 cases of the use of fire attack therapy with traction, massage therapy. [Result] The result of Chinese heat with traction, massage has the efficiency of the treatment group 81.33%, fire attack with traction therapy, massage therapy group has 92.00% efficiency, the statistical treatment. P 0.05, the difference has statistical significance. [Conclusions] fire attack with traction therapy, therapeutic massage lumbar disc herniation is superior Chinese heat with traction, massage therapy group, note the fire attack rehabilitation therapy can promote the disease. [ Key words] prolapse of lumbar intervertebral disc; fire attack therapy; Chinese heat ;traction; Massage; 2 前言 前 言 腰椎间盘突出症(Lumbar disc herniation，简称LDH)是因椎间盘变性、纤维环破裂、 髓核突出后刺激或压迫神经根、马尾神经而出现的以腰痛、下肢放射痛为主要表现的疾病， 属于临床上难以治愈的顽症之一。 人体的腰段脊柱是脊柱的主要承载部位，几乎所有的身体活动都会增加腰椎的负荷。 这些载荷由两部分结构组成，一是韧带、椎间盘与椎骨，它们是被动承载装置，将所受载 荷向邻近部位传导，并通过变形而贮存能量。二是肌肉，它具有主动平衡载荷的作用，通 过肌肉的收缩，在保持身体平衡的同时，也给脊柱施加了一定强度的载荷。脊柱周围的韧 带承载了脊柱的大部分张力载荷，除黄韧带以外，延伸率均极低，因此可与椎间盘一同提 供脊柱内源性稳定。脊柱各韧带的协同作用既保持了脊柱相邻椎骨之间的正常关系，又保 证了适度的生理活动，限制脊柱的过多活动，而且在快速高载荷创伤环境中还可吸收施加 的大量能量，保护脊髓不受损伤。而脊柱周围的肌肉则给予脊柱外源性稳定，对维持脊柱 的整体稳定和抵抗外来载荷起重要作用。随着年龄的增长，脊柱的内源性稳定因素和外源 性因素均发生不同程度的退行性变，其中椎间盘退变尤为明显。由于在日常生活中腰椎负 重大、运动多，又处在人体力学纵轴的应力集中部位，所以腰