| 本文已被：浏览 1616次 下载 1758次 |
码上扫一扫！ |
|
|
| 腰椎斜扳法治疗L5/S1椎间盘突出症失败原因分析及应对措施 |
|
吴晓庆1, 黄帆2, 赵思怡2, 张文辉3, 卢晓波1, 郭汝松4, 范志勇4, 田强4
|
|
1.揭阳市中医院, 揭阳 522000;2.广州中医药大学针灸康复临床医学院, 广州 510405;3.广州中医药大学医学信息工程学院, 广州 5104053;4.广东省中医院, 广州 510120
|
|
| 摘要: |
| [目的]观察经腰椎斜板法治疗后效果不佳患者改用下肢后伸定点按压法的临床疗效。[方法]将56例入选患者采用腰椎斜板法治疗，观察疗效并探讨疗效与年龄性别病程的相关性，后将治疗失败患者43例改用肢后伸定点按压法，治疗后观察疗效。[结果]采用腰椎斜扳法治疗时，56例患者有效率约23.21%，其与年龄性别病程无相关性，43例疗效不佳患者再经下肢后伸定点按压法治疗后约79.07%患者有效，其中尤以左后、右后和极外侧突出类型的患者改善明显。[结论]下肢后伸定点按压法治疗L5/S1腰椎间盘突出具较好的临床疗效，未来可借助生物力学以及影像学方面探究下肢后伸定点按压法治疗L5/S1腰椎间盘突出症治疗机理。 |
| 关键词: 腰椎斜扳法 椎间盘 下肢后伸定点按压 |
| DOI：10.11656/j.issn.1673-9043.2018.06.07 |
| 分类号:R274.9 |
| 基金项目:2014年度广东省中医院（广东省中医药科学院）中医临床评价研究专项（第二批）立项课题（YN2014PJR201）；广东省财政厅基金项目（粤财教[2016]387号）；广东省中医药局基金项目（2017KT1130）；2018年校级大学生创新创业训练项目（201810572202）；2018年广州中医药大学针灸康复临床医学院学生科研创新基金项目（24）。 |
|
| Analysis of the failure cause of L5/S1 intervertebral disc herniation with lumbar mitral method and countermeasures |
|
WU Xiaoqing1, HUANG Fan2, ZHAO Siyi2, ZHANG Wenhui3, LU Xiaobo1, GUO Rusong4, FAN Zhiyong4, TIAN Qiang4
|
|
1.Department of Rehabilitation, Jieyang Chinese Medicine Hospital, Jieyang 522000, China;2.Acupuncture and Rehabilitation Clinical Medical College, Guangzhou 510405, China;3.University of Traditional Chinese Medicine, Guangzhou 510405, China;4.Department of Massage, Guangdong Chinese Medicine Hospital, Guangzhou 510120, China
|
| Abstract: |
| [Objective] To observe the clinical effect of the patients treating by the point-pressing manipulation with poor clinic effect after treatment by lumbar mitral method.[Methods] The 56 enrolled patients were treated with lumbar mitral method to observe the clinical effect and explore the correlation between the clinical effect and the age and gender of patient, and process of disease, then the patients who failed in the treatment were replaced with the point-pressing manipulation, and the clinical effect was observed after the treatment.[Results] When lumbar oblique manipulation was applied, 56 patients had an effective rate of 23.21%, which was not correlated with the the age and gender of patient, and process of disease. 43 patients with poor clinical effect were treated with the point-pressing manipulation, and about 79.07% of the patients were effective, especially the patients with left posterior, right posterior and far lateral protrusion types were significantly improved.[Conclusion] The point-pressing manipulation has a good clinical effect on L5/S1 lumbar intervertebral disc herniation, and its treatment mechanism can be explored by means of biomechanics and imaging in the future. |
| Key words: lumbar mitral method intervertebral disc the point-pressing manipulation |
