臭氧结合推拿治疗腰椎间盘突出症70例.docVIP

臭氧结合推拿治疗腰椎间盘突出症70例 南京中医药大学2011年7月第27卷第4期 J(TJRNALOFNANJINGTCMUNIVERSITYVo1.27No.4July2011 臭氧结合推拿治疗腰椎间盘突出症70例 杜建明,田小武,杨智杰,陈剑峰,陈思,刘一奇 (江苏省无锡市中医医院脊柱科,江苏无锡214001) 一 387一 摘要:目的探讨臭氧结合推拿治疗的机制,分析突出程度轻重不一的腰椎间盘突出症患者的疗效.方法在2008年5 月至2009年11月住院期间,随机选择臭氧结合推拿治疗腰椎间盘突出症7O例(脱垂型33例,非脱垂型37例)为治疗 组;臭氧治疗腰椎间盘突出症47例(脱垂型23例,非脱垂型24例)为对照组;并按J0A疗效标准改良评定2组的疗效. 结果出院时,治疗组中脱垂型优良率为96.97,非脱垂型优良率81.O8;对照组中脱垂型优良率为6O.87,非脱垂 型优良率54.17.治疗组平均随访11..9月,脱垂型优良率67.86,非脱垂型优良率71.88;对照组平均随访l1.7O 月,脱垂型优良率为38.1O,非脱垂型优良率4O.91.2组疗效具有统计学差剐(Plt;0.05);而同一组中脱垂型与非 脱垂型的疗效无统计学差别(Pgt;0.05).结论臭氧结合推拿治疗腰椎间盘突出症具有更好的临床疗效,且与腰椎间 盘突出轻重程度无关;因操作简单,安全性高,是不愿接受手术患者的有效方法之一. 关键词:臭氧;推拿;脱垂型;腰椎间盘突出症 中图号:R274.34文献标志码:A文章编号:1672—0482(2O11)O4—0387一O3 ClinicalResearchonOzoneCombinedwithMassageTherapyinTreating70CasesofLumbarDiscHerniation DUJian-ming,T/ANXiao-wu,YANGZhi-jie,CHENJian.feng,CHENSi,LIUYi-qi pineColumnDepartment,WuxiHospitalofTraditionalChineseMedicineinJiangsuProvince,Wuxi,214001 China) ABSTRACT:OBJECTIVEToexplorethemechanismofozonecombinedwithmassagetherapyandtheirtherapeutic effectsonpatientswithdifferentdegreesoflumbardischerniation.METHODSDuringinpatientperiodfromMay2008 toNovember2009,70cases(33prolapsedcases,and37non—prolapsedcases)adoptedbyozoneandmassagetotreat lumbardischerniationwererandomlyselectedtobetreatmentgroup;47cases(23prolapsedcases,24non-prolapsedca— ses)givenozonetocurelumbardischerniationwereascontrolgroupandthetherapeuticeffectoftwogroupswereim— provedandevaluatedaccordingtoJOAcriteria.RESULTSWhenpatientsweredischarged,excellenteffectiverateof prolapsedtypeandnon—prolapsedtypeinthetreatmentgroupwere96.97and81.08respectively,whereasinthe controlgroup,excellenteffectiveratesofprolapsedtypeandnon-prolapsedtypewere60.87and54.17respectively. Thetreatmentgroupwith11.09monthsaveragefollow—uphad67.86%excellenteffectiverateofprolapsedtypeand71. 88ofnon-prolapsedtype;thecontrolgroupwith11.70monthsaveragefollow-uphad38.10excellenteffectiverate ofprolapsedtypeand40.91ofnon—prolapsedtype.Thetherapeuticeffectoftreatmentgroupa