| 三种不同脊柱旋转手法治疗腰椎间盘突出症的病例对照研究 |
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投稿时间：2016-02-04
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| 作者 | Author | 单位 | Address | E-Mail |
| 杜红根 |
DU Hong-gen |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Department of Tuina, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China |
duhonggen1212@163.com |
| 魏晖 |
WEI Hui |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Department of Tuina, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China |
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| 蒋忠 |
JIANG Zhong |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Department of Tuina, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China |
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| 王焕明 |
WANG Huan-ming |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Department of Tuina, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China |
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| 叶树良 |
YE Shu-liang |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Department of Tuina, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China |
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| 宋鸿权 |
SONG Hong-quan |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Department of Tuina, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China |
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| 宁喜涛 |
NING Xi-tao |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
Department of Tuina, the First Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310006, Zhejiang, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第5期，第444-448页 |
| DOI：10.3969/j.issn.1003-0034.2016.05.011 |
| 基金项目:浙江省中医药科技计划项目(编号:2016ZB034);浙江省科技厅公益技术研究社会发展项目(编号:2015C33158) |
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| 中文摘要:目的:评价3种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:2011年9月至2013年4月,180例收治入院的腰椎间盘突出症患者按随机数字表法分为坐位定点旋转组、侧卧位斜扳组和仰卧位旋转组,每组60例。最终剔除和脱落10例,纳入统计坐位定点旋转组57例,侧卧位斜扳组57例,仰卧位旋转组56例。各组的年龄、性别、BMI、节段性放射痛、直腿抬高痛、部分神经功能缺失、突出节段及类型、SF-36和ODI差异无统计学意义(P>0.05).手法隔日1 次,3 周为1个疗程。观察3组患者疗程结束后6周、3个月、6个月、1年和2年SF-36躯体疼痛指数(BP)、躯体功能指数(PF)和ODI变化及不良反应情况,并进行比较分析。结果:3组患者的BP、PF得分均较治疗前显着提高,ODI得分较治疗前显着下降,差异有统计学意义(P<0.05),组间各指标差异无统计学意义(P>0.05);均未出现明显和严重的不良反应。结论:基于中医“骨错缝”病机理论运用3种不同脊柱旋转手法均能有效、安全治疗腰椎间盘突出症,且疗效相近。 |
| 【关键词】手法,骨科 腰椎 椎间盘移位 病例对照研究 |
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| Case-control study on three spinal rotation manipulations for the treatment of lumbar disc herniation |
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| ABSTRACT Objective: To evaluate the efficacy and safety of three different spinal rotation manipulations for the treatment of lumbar disc herniation. Methods: From September 2011 to April 2013,180 patients diagnosed as lumbar disc herniation were randomly divided into seat fixed rotation group(A),lateral position rotation group(B) and supine position rotation group(C) by using a digital table. Finally 10 patients were excluded and dropped,170 patients were included in the study. There were 57 patients in group A,57 patients in group B and 56 patients in group C. Baseline demographic characteristics of patients,clinical findings and indexes of health status had no statistically differences among three groups(P>0.05). The manipulation was performed every other day,and the treatment duration for all patients was 3 weeks. Body pain(BP),Physical function(PF) in SF-36,Oswestry Disability Index(ODI) and adverse reactions were observed statistically 6 weeks,3 months,6 months,one year and two years after finishing treatment. Results: BP,PF scores in 3 groups were significantly improved and ODI scores were significantly lower than those before treatment and the differences were statistically significant(P<0.05);However,there was no significant difference among three groups in the BP,PF and ODI scores(P>0.05). There were no obvious and serious adverse reactions among these groups. Conclusion: Based on the theory of dislocation of bone joints in TCM,three kinds of spinal rotation manipulations can be used safely for the treatment of lumbar disc herniation,and the efficacy was similar. |
| KEY WORDS Manipulation,orthopedic Lumbar vertebrae Intervertebral disk herniation Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杜红根,魏晖,蒋忠,王焕明,叶树良,宋鸿权,宁喜涛.三种不同脊柱旋转手法治疗腰椎间盘突出症的病例对照研究[J].中国骨伤,2016,29(5):444~448 |
| 英文格式: | DU Hong-gen,WEI Hui,JIANG Zhong,WANG Huan-ming,YE Shu-liang,SONG Hong-quan,NING Xi-tao.Case-control study on three spinal rotation manipulations for the treatment of lumbar disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(5):444~448 |
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