三维正脊仪治疗腰椎间盘突出症的辩证施治分析-dialectical treatment of lumbar disc herniation with three-dimensional chiropractor.docxVIP
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三维正脊仪治疗腰椎间盘突出症的辩证施治分析-dialectical treatment of lumbar disc herniation with three-dimensional chiropractor
中文摘要目的:通过对三维正脊仪辩证施治治疗腰椎间盘突出症的临床疗效观察,探讨辩证施治的具体指标及合理的牵引参数,为今后的临床治疗提供参考。方法:临床收集120例腰椎间盘突出症患者,随机分为实验组和对照组各60例,实验组根据LDH病员的临床评分、病程及身高、体重等进行辩证,作为调节牵引参数的依据;对照组则单纯按照参考参数(根据普通电脑液压三维正脊仪技术参数结合多年临床经验制定)进行牵引。两者牵引后都予甘露醇、复方丹参液、地塞米松静滴,疗程两周。观察治疗后疗效,进行统计学分析。结果:120例病人全部完成治疗。试验组在总体临床疗效(实验组与对照组分别为98.33%和95%)、治愈率(实验组与对照组分别为40%和33.33%)、显效率(实验组与对照组分别为70%和58.33%)、症状与体征积分及疼痛积分等多方面均优于对照组。结论:三维正脊疗法治疗腰椎间盘突出症有较好的疗效,治疗的关键是根据病人的具体病情辩证施治,设置合适的牵引参数。研究发现LDH的临床评分、病程及身高、体重等辩证指标有一定的临床意义。关键词:三维正脊腰椎间盘突出症辩证施治AbstractObjective:Three-dimensionalcurespineMiriamtreatmentoflumbardischerniationclinicalobservation,toexplorethetreatmentoflumbardischerniationintheroleofmechanisms,thenecessityofthedialecticaltreatmentofthedialecticandthespecifictargetsforfutureclinicaltreatment.Methods:120casesofcollectionofclinicalpatientswithlumbardischerniationwererandomlydividedintoexperimentalgroupand60casesofcontrolgroup,experimentalgrouppatientsaccordingtoLDHclinicalscore,durationandphysicalcharacteristics(height,weight)dialectic,andcombinedwiththree-dimensionalcurespineMiriamGeneraltechnicalparameterstosetthetractionparameters,thecontrolgroupinaccordancewiththeordinarythree-dimensionalcomputercurespineHydraulicTechnologytractionparameters,bothtomannitolaftertraction,Danshenfluid,intravenousdexamethasone,atwo-weekcourseoftreatment.Observedbeforeandaftertreatmentefficacy,wereanalyzedstatistically.Results:120casesofpatientswhocompletedtreatment,thetreatmentgroupinthetotaleffectiverate,andpainsymptomsandsigns,etc.toimprovetheratesarebetterthanthecontrolgroup,especiallyfortheinitialissuanceofthesinglesegmentofthelumbarintervertebraldiscprolapsepatients,theeffectismoreisobvious.Conclusion:Thethree-dimensionalcurespinetreatmentoflumbardischerniationeffective,safeandreliable,theeconomyissimple,worthyoffurtherresearchandextension.Thekeytotreatmentisbasedonthepatientsspecificconditionsetparameterssuitabletraction.Butforalongcourseofdisease,patientswithpartialre-adhesioneffectoftherelativelypoor,anditslong-termefficacyrequiresfurtherobs
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