尧建辉 徐卫忠

【摘要】 目的：探討中医骨伤推拿手法治疗腰椎间盘突出症的临床效果。方法：选择本院2018年1月-2019年12月收治的60例腰椎间盘突出症患者作为研究对象。将60例患者随机分为牵引康复组（n=30）和骨伤推拿组（n=30）。牵引康复组采用腰椎牵引+康复训练治疗，骨伤推拿组在牵引康复组基础上增加中医骨伤推拿法治疗，对比两组治疗效果。结果：骨伤推拿组治疗后JOA评分（18.03±2.73）分与Prolo评分（8.49±1.03）分显著高于牵引康复组的（12.26±3.05）、（5.57±1.14）分（P<0.05）。骨伤推拿组治疗后VAS评分（1.53±0.69）分显著低于牵引康复组（2.21±0.58）分，生活质量评分（91.03±7.16）分显著高于牵引康复组（81.22±8.92）分（P<0.05）。骨伤推拿组总有效率（96.67%）显著高于牵引康复组（73.33%）（P<0.05）。骨伤推拿组复发次数与复发率均低于牵引康复组（P<0.05）。结论：中医骨伤推拿手法可进一步提升腰椎间盘突出症治疗效果，有效改善患者腰椎功能及生活质量，减轻患者疼痛感，有助于改善患者预后。

【关键词】 腰椎间盘突出症 中医 骨伤推拿手法 腰椎功能

Clinical Effect of Bone Injury Massage in the Treatment of Lumbar Disc Herniation/YAO Jianhui， XU Weizhong. //Medical Innovation of China， 2021， 18（34）： 0-100

[Abstract] Objective： To explore the clinical effect of bone injury massage in the treatment of lumbar disc herniation. Method： A total of 60 patients with lumbar disc herniation treated in our hospital from January 2018 to December 2019 were selected as the research objects. Sixty patients were randomly divided into traction rehabilitation group （n=30） and bone injury massage group （n=30）. The traction rehabilitation group was treated with lumbar traction + rehabilitation training， and the bone injury massage group was treated with traditional Chinese medicine bone injury massage based on the traction rehabilitation group. The therapeutic effects of the two groups were compared. Result： After treatment， JOA score （18.03±2.73） points and Prolo score （8.49±1.03） points in bone injury massage group were significantly higher than （12.26±3.05） points and （5.57±1.14） points in traction rehabilitation group （P<0.05）. After treatment， VAS score （1.53±0.69） points in bone injury massage group was significantly lower than （2.21±0.58） points in traction rehabilitation group ， and quality of life score （91.03±7.16） points was significantly higher than （81.22±8.92） points in traction rehabilitation group （P<0.05）. The total effective rate of bone injury massage group （96.67%） was significantly higher than 73.33% of traction rehabilitation group （P<0.05）. The recurrence frequency and recurrence rate of bone injury massage group were lower than those of traction rehabilitation group （P<0.05）. Conclusion： Traditional Chinese medicine bone injury massage can further improve the therapeutic effect of lumbar disc herniation， effectively improve patients’ lumbar function and quality of life， reduce patients’ pain， and contribute to the improvement of patients’ prognosis.

[Key words] Lumbar disc herniation Traditional Chinese medicine Bone injury massage Lumbar function

First-author’s address： Maternal and Child Health Hospital of Fuzhou City， Fuzhou 344000， China

doi：10.3969/j.issn.1674-4985.2021.34.023

腰椎间盘突出症是脊柱外科常见的退行性病变，其病因主要为长期累积性损伤、外伤、局部压迫、炎症反应等，该病可导致腰椎结构、形态改变，同时可压迫脊髓，导致腰痛、马尾综合征、下肢感觉与功能异常等疾病，严重者可导致瘫痪，需尽早干预治疗，控制局部病变进展，改善患者预后[1]。腰椎间盘突出症的治疗主要分为保守和手术两大类，手术治疗效果确切但是存在较多限制因素，因此优先考虑保守治疗，以减少创伤。腰椎牵引、康复训练等疗法广泛应用于腰椎间盘突出症治疗中，可在一定程度上改善患者临床症状[2]。……