首页|推拿手法联合冲击波治疗腰椎间盘突出症的临床效果

推拿手法联合冲击波治疗腰椎间盘突出症的临床效果

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目的 探讨推拿手法联合冲击波治疗腰椎间盘突出症的临床效果.方法 选取 2019 年 10 月—2022 年10月扬州友好医院收治的 62 例腰椎间盘突出症患者为研究对象,随机分为对照组与观察组,每组 31 例.对照组采用推拿手法治疗,观察组在此基础上采用冲击波治疗.比较两组患者的疼痛程度、腰痛症状改善情况、腰椎关节活动度及腰椎功能.结果 治疗 3 周后,观察组的疼痛视觉模拟评分为(2.86±1.19)分,低于对照组的(4.41±1.25)分,日本骨科协会评估治疗分数为(25.03±3.42)分,高于对照组的(21.38±3.72)分,组间差异有统计学意义(P<0.05).治疗 3 周后,观察组的腰椎前屈、后伸、向左侧弯、向右侧弯活动度均大于对照组,组间差异有统计学意义(P<0.05).治疗 3 周后,观察组的功能独立性评测量表中行进、转移、括约肌控制、自理活动评分均高于对照组,组间差异有统计学意义(P<0.05).结论 腰椎间盘突出症患者采用推拿手法联合冲击波治疗,可明显减轻腰痛程度,改善腰椎功能.
Clinical Effect of Massage Manipulation Combined with Shockwave Therapy in the Treatment of Lumbar Disc Herniation
Objective To investigate the clinical effect of massage manipulation combined with shockwave therapy in the treatment of lumbar disc herniation.Methods 62 patients with lumbar disc herniation admitted to Yangzhou Friendship Hospital from October 2019 to October 2022 were selected as the study objects randomly divided into a control group and an observation group,with 31 patients in each group.The control group was treated with massage manipulation,and the observation group was treated with shockwave therapy on this basis.The pain degree,improvement of lumbago symptoms,lumbar joint motion and lumbar function were compared between the two groups.Results After 3 weeks of treatment,the pain Visual Analogue Score of the observation group was(2.86±1.19)points,which was lower than(4.41±1.25)points of the control group,and the treatment score evaluated by the Japanese Orthopaedic Association was(25.03±3.42)points,which was higher than(21.38±3.72)points of the control group,the differences between the groups were statistically significant(P<0.05).After 3 weeks of treatment,the lumbar anterior flexion,posterior extension,left curvature and right curvature of the observation group were greater than those of the control group,and the differences between the groups were statistically significant(P<0.05).After 3 weeks of treatment,the scores of progression,metastasis,sphincter control and self-care activities in the functional independence measure in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of massage manipulation and shockwave therapy in patients with lumbar disc herniation can significantly reduce the degree of lumbar pain and improve the function of lumbar spine.

Lumbar disc herniationMassage manipulationShockwave therapyDegree of painLumbar function

李军

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扬州友好医院康复科,江苏扬州 225000

腰椎间盘突出症 推拿手法 冲击波 疼痛程度 腰椎功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
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