推拿手法联合腰椎牵引治疗腰椎间盘突出症急性发作期患者的效果

目的:观察推拿手法联合腰椎牵引治疗腰椎间盘突出症急性发作期患者的效果。方法:选取90例腰椎间盘突出症急性发作期患者为研究对象,按照随机数字表法分为对照组和观察组各45例。对照组采用腰椎牵引治疗,观察组在对照组基础上联合推拿治疗,两组均治疗4周。比较两组治疗前后视觉模拟评分法(VAS)评分、腰椎功能日本骨科协会评估治疗分数(JOA)]评分、腰椎活动度、炎性因子白细胞介素-1β(IL-1β)、IL-6、肿瘤坏死因子-α(TNF-α)]水平和治疗总有效率。结果:治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,两组JOA评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组腰椎前屈、后伸、左弯、右弯角度均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为95.56%,高于对照组的82.22%,差异有统计学意义(P<0.05);治疗后,两组IL-1β、TNF-α、IL-6水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:推拿手法联合腰椎牵引治疗腰椎间盘突出症急性发作期患者可提高治疗总有效率、JOA评分,改善腰椎活动度,降低疼痛评分和炎性因子水平,优于单纯腰椎牵引治疗效果。

Effects of massage manipulation combined with lumbar traction in treatment of patients with lumbar disc herniation at acute stage

Objective:To observe effects of massage manipulation combined with lumbar traction in treatment of patients with lumbar disc herniation at acute stage.Methods:90 patients with lumbar disc herniation at acute stage were selected as the research objects,and were divided into control group and observation group according to the random number table method,45 cases in each group.The control group was treated with lumbar traction,while the observation group was combined with massage therapy on the basis of that of the control group.Both groups were treated for 4 weeks.The visual analogue scale(VAS)score,the lumbar functionJapanese orthopedic association assessment score(JOA)]score,the lumbar range of motion,the inflammatory factorsinterleukin-1β(IL-1β),IL-6,tumor necrosis factor-α(TNF-α)]levels and the total effective rate of treatment were compared between the two groups before and after the treatment.Results:After the treatment,the VAS scores of the two groups were lower than those before the treatment,and that of the observation group was lower than that of the control group;the JOA scores of the two groups were higher than those before the treatment,and that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).After the treatment,the angles of lumbar flexion,extension,left and right bending of the two groups were greater than those before the treatment;those of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 95.56%,which was higher than 82.22%in the control group,and the difference was statistically significant(P<0.05).Further,after the treatment,the levels of IL-1β,TNF-α,and IL-6 in the two groups were lower than those before the treatment;those of the observation group were lower than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:Massage manipulation combined with lumbar traction in the treatment of the patients with lumbar disc herniation at acute stage can increase the total effective rate of treatment and the JOA score,improve the lumbar range of motion,and reduce the pain score and the inflammatory factor levels.Moreover,it is superior to single lumbar traction.