| 手法整复为主治疗腰椎间盘突出症临床对照试验 |
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Received:December 04, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张维斌 |
ZHANG Wei-bin |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 曹宇 |
CAO Yu |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 孙永安 |
SUN Yong-an |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 王春生 |
WANG Chun-sheng |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 王莹 |
WANG Ying |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 董世龙 |
DONG Shi-long |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 任国忠 |
REN Guo-zhong |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 杨英昕 |
YANG Ying-xin |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 张敬中 |
ZHANG Jing-zhong |
沈阳军区总医院北方医院软伤科，辽宁 沈阳 110032 |
The Beifang Hospital of General Hospital of Shenyang Military Command,Shenyang 110032,Liaoning,China |
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| 期刊信息：《中国骨伤》2008年21卷，第4期，第273-275页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨以手法整复为主的综合治疗对腰椎间盘突出症患者疼痛和临床疗效的影响。
方法：选择1986年11月至2007年6月收治的腰椎间盘突出症11 128例，分为对照组、治疗组。治疗组5 760例，男2 882例，女2 878例；年龄13～86岁。对照组5 368例，男2 688例，女2 680例；年龄20～85岁。对照组采用腰椎牵引和各种理疗进行治疗，治疗组在对照组治疗的基础上加用手法整复治疗。以上治疗每日1次，10次为1个疗程，3个疗程后进行疗效评定。
结果：经疼痛视觉模拟评分法(VAS)评价，治疗组治疗后评分平均为(2.13±1.46)分，对照组平均为(4.65±2.14)分，两组比较，差异有统计学意义 (P<0.01),具有可比性。对照组治愈率为47.28%,治疗组治愈率为73.44%,2组比较，治疗组优于对照组(P<0.01).
结论：手法整复为主的方法治疗腰椎间盘突出症，能明显改善腰痛症状，提高临床疗效。 |
| [关键词]:椎间盘移位 手法，骨科 临床对照试验 |
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| Manipulative reduction for lumbar intervertebral disc herniation:a controlled clinical trial |
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Abstract:
Objective: To investigate the effects of manipulative reduction on pain and clinical curative effect in patients with lumbar intervertebral disc herniation.
Methods: Eleven thousands one hundred and twenty-eight patients with lumbar intervertebral disc herniation from our hospital were enrolled from November 1986 to June 2007. They were randomly divided into control group and treatment group. Patients of the control group received lumbar traction and various physiotherapies. Patients of the treatment group received manipulative reduction,besides the treatment in the control group. The treatment was performed once a day,ten times as a course. Curative effects were assessed three courses later. Pain was evaluated by visual analogue scale before and after the treatment.
Results: No significant difference in the score of visual analogue scale was found before the treatment in the two groups(P>0.05). As compared with the score before treatment,it was decreased by 4.73 points after treatment in the control group,and decreased by 6.37 points in the treatment group. The decrease was more significant in the treatment group than the control group(P<0.01). The healing rate was 47.28% and total effective rate was 96.37% in the control group;The healing rate was 73.44% and total effective rate was 98.61% in the treatment group(P<0.01).
Conclusion: Man- ipulative reduction for lumbar intervertebral disc herniation can remarkably relieve lumbar pain and improve clinical curative effect. |
| KEYWORDS:Intervertebral disk displacement Manipulation,orthopedic Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张维斌,曹宇,孙永安,王春生,王莹,董世龙,任国忠,杨英昕,张敬中.手法整复为主治疗腰椎间盘突出症临床对照试验[J].中国骨伤,2008,21(4):273~275 |
| 英文格式: | ZHANG Wei-bin,CAO Yu,SUN Yong-an,WANG Chun-sheng,WANG Ying,DONG Shi-long,REN Guo-zhong,YANG Ying-xin,ZHANG Jing-zhong.Manipulative reduction for lumbar intervertebral disc herniation:a controlled clinical trial[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(4):273~275 |
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