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陆文整骨三步五法治疗腰椎间盘突出症临床规范化研究
Hits: 2291   Download times: 1343   Received:May 18, 2006    
作者Author单位UnitE-Mail
陈建华 CHEN Jian-hua 上海市卢湾区香山中医医院伤骨科,上海200020 Department of Traumatologic,Xiangshan Hospital of TCM,Luwan District,Shanghai,Shanghai 200020,China xssssk@homt ail. com 
孙波 SUN Bo 上海市卢湾区香山中医医院伤骨科,上海200020 Department of Traumatologic,Xiangshan Hospital of TCM,Luwan District,Shanghai,Shanghai 200020,China  
吴云定 WU Yun-ding 上海市卢湾区香山中医医院伤骨科,上海200020 Department of Traumatologic,Xiangshan Hospital of TCM,Luwan District,Shanghai,Shanghai 200020,China  
李麟平 LI Lin-ping 上海市卢湾区香山中医医院伤骨科,上海200020 Department of Traumatologic,Xiangshan Hospital of TCM,Luwan District,Shanghai,Shanghai 200020,China  
王志泉 WANG Zhi-quan 上海市卢湾区香山中医医院伤骨科,上海200020 Department of Traumatologic,Xiangshan Hospital of TCM,Luwan District,Shanghai,Shanghai 200020,China  
石关桐 SHI Guan-tong 上海中医药大学附属曙光医院伤骨科  
黄仕荣 HUANG Shi-rong 上海中医药大学附属曙光医院伤骨科  
吴諝駋 WU Xu-zhao 上海市卢湾区东南医院伤科  
期刊信息:《中国骨伤》2006年19卷,第12期,第705-707页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:上海市卫生局中医药科研基金资助(编号:2002L013A)


目的:规范陆文整骨手法,评价其治疗腰椎间盘突出症效果。

方法:采用三中心、随机、对照的研究方法,对233例腰椎间盘突出症患者进行规范化研究,按照简单随机数字法分为手法组和热敷牵引组。陆文整骨手法组122例,男38例,女84例;平均年龄(48.30~9.95)岁;病程0.1~24个月;病情轻度7例,中度47例,重度68例。热敷牵引组111例,男41例,女70例;平均年龄(47.38±9.59)岁;病程0.1~24个月;病情轻度14例,中度38例,重度59例。

结果:经改良日本骨科学会下腰痛评分表评价,研究组优36例(29.5%),良53例(43.4%),可19例(15.6%),差14例(11.5%),有效108例(88.5%);对照组优22例(19.8%),良34例(30.6%),可27例(24.3%),差28例(25.2%),有效83例(74.8%)。经统计学处理,χ2=13.097,P=0.004<0.05,两者有效率差异有显著性意义。

结论:陆文整骨三步五法治疗腰椎间盘突出症具有较好的临床疗效,临床易于操作,值得推广应用。
[关键词]:椎间盘移位  腰椎  推拿,脊柱
 
Clinical study on lumbar disc herniation treated by Luwen’s traditional Chinese manipulation
Abstract:

Objective:To standardize the Luwen’s manipulation,and valuate the effect of the lumbar disc herniation treated by it.



Methods:
A random and controlled test was carried on,to assess the cure effect and the relation between clinical symptom and cure effect.Two hundred and thirty-three patients were divided to two groups,122 cases in study group,111 cases in control group.In study group,there were 38 males and 84 females,average age was(48.30±9.95)years,course of disease ranged from 0.1 to 24 months,level of illness were light in 7 cases,medium in 47 cases,serious in 68 cases;In control group,there were 41 males and 70 females,average age was(47.38±9.59)years,course of disease ranged from 0.1 to 24 months,level of illness was light in 14 cases,medium in 38 cases,serious in 59 cases.

Results:Assessed by the cure effect valuation standard(modify JOA score):In the study group,excellent of 36,good of 53,fair of 19,bad of 14,the effective rate was 88.5%;In the control group,excellent of 22,good of 34,fair of 27,bad of 28,the effective rate was 74.8%.All cases were statistically analyzed.It was significant difference,χ2=13.097,P=0.004<0.05.

Conclusion:The Luwen’s manipulation is an effective,major treatment of lumbar disc herniation.It is easy to operate,and should be popularized.
KEYWORDS:Intervertebral disc displacement  Lumbar vertebrae  Manipulation,spinal
 
引用本文,请按以下格式著录参考文献:
中文格式:陈建华,孙波,吴云定,李麟平,王志泉,石关桐,黄仕荣,吴諝駋.陆文整骨三步五法治疗腰椎间盘突出症临床规范化研究[J].中国骨伤,2006,19(12):705~707
英文格式:CHEN Jian-hua,SUN Bo,WU Yun-ding,LI Lin-ping,WANG Zhi-quan,SHI Guan-tong,HUANG Shi-rong,WU Xu-zhao.Clinical study on lumbar disc herniation treated by Luwen’s traditional Chinese manipulation[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(12):705~707
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