单下肢机械牵引配合推拿治疗腰骶管综合征临床研究.PDFVIP

·694 · 国际中医中药杂志2017年8月第39卷第8期 Int J Trad Chin Med, August 2017, Vol. 39, No.8 ·论著 · 单下肢机械牵引配合推拿治疗 腰骶管综合征临床研究 田少飞 樊炜骏 杨莹 房纬 李淳 【摘要】 目的 评价单下肢机械牵引配合推拿治疗腰骶管综合征的疗效。方法 将符合入选标准 的 80 例腰骶管综合征患者采用随机数字表法分为观察组 38 例和对照组 39 例。观察组采用推拿手法配合 单下肢机械牵引治疗，对照组采用推拿手法配合骨盆牵引治疗。2 组均治疗 2 周。采用日本骨科协会评分 (Japanese Orthopaedic Association Scores, JOA)对患者主观症状、体征、功能活动及膀胱功能进行评分， 评价临床疗效。结果 观察组总有效率为 94.7% (36/38)、对照组为 82.1% (32/39)，2 组比较差异有统计 学意义(χ2 ＝12.160，P ＝0.007)。治疗后 1 周观察组 JOA 评分[(20.2 ±2.0)分比(18.3±2.8)分，t ＝3.419]、 治疗后 2 周观察组 JOA 评分[(24.4 ±1.4)分比(22.6 ±3.0)分，t ＝3.359]均高于对照组(P ＜0.05)。结论 单 下肢机械牵引配合推拿可改善腰骶管综合征患者临床症状，疗效优于骨盆牵引。 【关键词】 腰骶部；复合性局部疼痛综合征；牵引术；正骨推拿 Clinical studies on the combiantion of single lower limb traction and massage therapy for * * the lumbosacral tunnel syndrome Tian Shaofei , Fan Weijun, Yang Ying, Fang Wei, Li Chun. Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China Corresponding author: Li Chun, China Academy of Chinese Medical Sciences, Beijing 100700, China; Email: lichunchris@ 【Abstract 】 Objective To observe the therapeutic effect of single lower limb traction plus massage for the lumbosacral tunnel syndrome. Methods The selected 80 candidate patients were divided into the observation group with 38 patients and treatment group with 39 patients. The observation group received single lower limb traction plus massage and the treatment group received pelvic traction plus massage. Both groups therapy last 5 days, The Japanese orthopaedic association scores (JOA) was evaluated for subjective symptoms, signs, functional activity and bladder function score. The therapeutic effect was evaluated. Results The total effective rate (94.7% vs. 82.1%; χ2=12.16