针灸牵引推拿等综合治疗与单纯牵引治疗腰椎间盘突出症疗效对比研究.docVIP

针灸牵引推拿等综合治疗与单纯牵引治疗腰椎间盘突出症疗效对比研究 　　【摘要】目的 以两组腰椎间盘突出症患者治疗的随机对照研究，来证实针灸、推拿、牵引等综合治疗的有效性，为腰椎间盘突出症的治疗、疗效判定提供科学的方法。方法 将320例腰椎间盘突出患者随机分成两组，对照组160例予以单纯牵引治疗；治疗组予以针灸、牵引及推拿等综合治疗。结果 对照组有效率为75.6%，治疗组有效率为95.6%，治疗组明显优于对照组（p0.05）。结论 针灸、牵引、推拿等综合治疗和单纯牵引治疗对腰椎间盘突出症均有一定疗效，针灸、牵引、推拿等综合治疗较单纯牵引治疗更为显著，针灸、牵引、推拿治疗发挥了两种治疗的协同作用，提高和巩固了疗效。 　　【关键词】腰椎间盘突出症 综合治疗 单纯牵引治疗 　　中图分类号：R681.533.1 文献标识码：B 文章编号：1005-0515（2011）7-064-02 　　【Abstract】Objective To adopt randomized control study of two group patients with heriation of lumar intervertebraldisc and prove its effectiveness of comprehensive treatment with acupuncture and moxibustion, manipulation, traction, then to provide method of treatment and judgement effectiveness for heriation of lumar intervertebraldisc. Method 320 patients of heriation of lumar intervertebraldisc were randomized divided into two group, treatment group adopted comprehensive treatment with acupuncture and moxibustion, manipulation, traction, while control group adopted only traction. Result Effective rate of treatment group was 95.65%, while control group was 75.6%, treatment group was superior to control one(P0.05).Conclusion As to treatment of heriation of lumar intervertebraldisc, both comprehensive treatment with acupuncture and moxibustion, manipulation, traction and treatment of only traction were effective, the former was superior, it had synergistic effect of two methods, also it improved and consolidated effectiveness. 　　【Key word】heriation of lumar intervertebraldisc comprehensive treatment Simple traction 　　 　　针灸、推拿、牵引等综合治疗腰椎间盘突出症，是临床行之有效并具有中医传统特色最常用的一种非手术治疗方法。它常发于青壮年，但随着现代生活的改变，临床中老年患者正日益增多。它严重影响了患者的日常生活，并带来了巨大的痛苦。其中80%―90%的患者首选针灸、推拿、牵引等非手术综合治疗。自2006年以来，笔者采用针灸、推拿、牵引等综合治疗该病357例，取得了良好疗效，现介绍如下： 　　1 中医病证诊断标准 　　根据1994年国家中医药管理局发布的中华人民共和国中医药行业标准[1]（中医病证诊断标准），腰椎间盘突出症的诊断标准为：①有腰部外伤、慢性劳损或寒湿史，大部分患者在发病前有慢性腰病史；②常发于青壮年；③腰痛向臀部及下肢放射，腹压增加（如咳嗽、喷嚏）时疼痛；④脊柱侧弯、腰椎生理弧度消失、病变部位椎旁有压痛并向下肢放射、腰活动受限；⑤下肢受累神经支配区有感觉或迟钝。病程长者可现肌肉萎缩，直腿抬高或加强试验阳性，膝、跟腱反射减弱或消失，拇指背伸力减弱；⑥X线射片检查、脊柱侧弯、腰生理前凸消失、病变椎间盘可能变窄，相应