不同脊柱旋转手法对腰椎间盘突出症治疗的有效性和安全性分析.docVIP

不同脊柱旋转手法对腰椎间盘突出症治疗的有效性和安全性分析 姜亮 渭南市第一医院骨神经外科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨不同脊柱旋转手法对腰椎间盘突出症治疗的有效性和安全性。方法 选取2013年2月至2017年2月我院收治的72例腰椎间盘突出症患者, 根据治疗方法分为两组。其中36例采用传统的侧卧位斜扳法进行治疗 (传统组) , 另外36例则采用冯氏脊柱定点旋转法进行治疗 (研究组) 。比较两组治疗的有效性及安全性。结果 与治疗前相比, 治疗1个月后两组BP、PF评分均明显上升 (P0.01) ;且研究组BP、PF评分[ (63.73±12.78) 、 (71.85±7.83) 分]均略高于传统组[ (60.52±10.65) 、 (69.41±6.79) 分], 差异无统计学意义 (P0.05) 。两组均未发生相关不良反应。结论 两种不同脊柱旋转手法治疗腰椎间盘突出症, 均可取得不错的临床效果, 且疗效相近, 安全可靠, 值得推广。 关键词： 侧卧位斜扳法; 冯氏脊柱定点旋转法; 腰椎间盘突出症; 作者简介：姜亮 (1978-) , 男, 汉族, 陕西渭南人, 主治医师, 学士。研究方向:骨科。 Analysis of effectiveness and security of different spinal manipulations in the treatment of lumbar discherniation JIANG Liang Department of Bone Neurosurgery, Weinan First Hospital; Abstract： Objective To investigate the effectiveness and security of different spinal manipulations in the treatment of lumbar discherniation. Methods Seventy-two patients with lumbar discherniation treated in our hospital from February2013 and February 2017 were selected, and divided into two group according to treatment methods, 36 cases of the patients received traditional lateral position inclined pull treatment (the traditional group) and the other 36 cases received Fengs spinal fixed-point rotation method (the study group) . The effectiveness and security were compared between the two groups. Results Compared with before treatment, the BP and PF assessment scores had significantly risen after one months treatment (P0.01) ; and the BP and PF assessment scores in the study group were (63.73±12.78) , (71.85±7.83) respectively, which were both slightly higher than (60.52±10.65) , (69.41±6.79) in the traditional group, but the differences between the two groups were not statistically significant (P0.05) . There was no adverse reaction in either group. Conclusion The two different spinal manipulations in the treatment of lumbar discherniation both can achieve satisfactory results, with similar efficacy and sa