主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (5): 14-18.doi: 10.3969/j.issn.2095-6606.2020.05.004

• 临床研究 • 上一篇    下一篇

俞募推拿联合平板支撑治疗腰椎间盘突出症康复期临床疗效观察*

张坤木1,2, 李长辉1,2, 陈彦1,2, 陈倩婧1,2, 林斌强1,2, 汤丽珠1,2, 钟灼琴3#   

  1. 1 福建中医药大学附属第二人民医院推拿科 福建 350003;
    2 福建省中医药重点研究室腰椎功能康复研究室;
    3 福建省立医院康复科
  • 收稿日期:2020-04-19 出版日期:2020-09-30 发布日期:2020-09-30
  • 通讯作者: # 钟灼琴,女,硕士,主管技师
  • 作者简介:张坤木,男,硕士,主治医师
  • 基金资助:
    * 国家自然科学基金项目(No.81904316),福建省教育厅中青年教师教育科研课题(No.JAT170261),福建省自然科学基金项目(No.2018J01319)

Curative effect of combined massage and plank support in the rehabilitation period of lumbar disc herniation*

Zhang Kunmu1,2, Li Changhui1,2, Chen Yan1,2, Chen Qianjing1,2, Lin Binqiang1,2, Tang Lizhu1,2, Zhong Zhuoqin3#   

  1. 1 Department of Tuina, the Second People’s Hospital affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003;
    2 Fujian Key Research Laboratory of Traditional Chinese Medicine Lumbar Functional Rehabilitation Research Laboratory;
    3 Rehabilitation Department of Fujian Provincial Hospital
  • Received:2020-04-19 Online:2020-09-30 Published:2020-09-30

摘要: 目的 观察腰腹部俞募推拿结合平板支撑治疗腰椎间盘突出症康复期近远期临床疗效。方法 纳入120例腰椎间盘突出症患者,采用随机数字表分为2组,每组60例,对照组采用腰腹部俞募推拿治疗,治疗组在对照组基础上联合平板支撑治疗。分别记录治疗前后患者症状体征改变情况、疼痛视觉模拟评分(VAS) 及腰部功能评分(JOA)数据,并对治疗6个月后的患者进行随访记录以上观察指标及患者复发情况,所得数据资料用SPSS 20.0软件进行统计分析,P<0.05为差异有统计学意义。结果 近期疗效:治疗组患者总有效率85.7%,对照组患者总有效率82.1%,2组之间差异无统计学意义(P>0.05);2组治疗前后VAS评分和JOA评分分别组内比较,差异具有统计学意义(P<0.05),组间比较VAS有统计学意义(P<0.05),JOA无统计学意义(P>0.05);远期疗效:6个月随访,治疗组在VAS、JOA评分及降低复发率等与对照组比较,差异均有统计学意义(P<0.05)。结论 腰腹部俞募推拿联合平板支撑能够更长远地改善腰椎间盘突出症患者的疼痛症状、日常活动能力,并可降低复发率。

关键词: 腰椎间盘突出症, 腹部推拿, 平板支撑, 远期疗效

Abstract: Objective To observe the short and long-term clinical effect of the treatment of lumbar disc herniation with lumbar abdominal massage combined with planking. Methods 120 patients with lumbar disc herniation were selected and assigned to two groups with 60 patients in each group. The control group received treatment of lumbar abdominal massage while the treatment group received additional treatment of planking. Changes in symptoms and signs before and after treatment, visual analogue scale (VAS) and lumbar pain score (JOA:Japanese Orthopedic Association Score) index data were recorded. Six months after treatment, the patients were followed up for the above-mentioned observation indexes and for relapse. The data obtained were analyzed by using SPSS 20.0 Software, and P<0.05 was considered as differences statistically significant. Results As for short-term efficacy, the total effective rate was 85.7% in the treatment group and 82.1% in the control group. The difference between the groups was not statistically significant (P>0.05). The differences in VAS scores and JOA scores before and after treatment were significantly different within the groups(P<0.05). The difference in VAS scores between the two groups were statistically significant (P<0.05), but the difference in JOA scores were not statistically significant (P>0.05). As for long-term efficacy, when patients were followed-up six months after the treatment, their differences in VAS, JOA scores and reduction of recurrence rate were statistically significant in the treatment group, as compared with the control group (P<0.05). Conclusions Lumbar and abdominal massage combined with plank support can relieve pain and improve daily activity ability and reduce the recurrence rate of patients with lumbar disc herniation in a longer term.

Key words: lumbar disc herniation, abdominal massage, tablet support, long-term efficacy

中图分类号: 

  • R274.9