Clinical observations on the treatment of lumbar intervertebral disc protrusion by acupuncture and Tuina

目的:观察针刺、穴位注射配合推拿复位治疗腰椎间盘突出症的疗效.方法:先针刺,再穴位注射,最后推拿复位治疗,每日1次,6次为1个疗程.并与单纯推拿复位治疗对比.结果:治疗组在临床治疗有效率及相同时间治愈率方面均明显优于对照组.结论:针刺、穴位注射配合推拿复位的综合治疗方法,比单纯推拿复位治疗的疗效好,疗程短.     

电针结合牵引及推拿治疗腰椎间盘突出症

目的：观察电针配合牵引及改良斜扳法治疗腰椎间盘突出症(lumber intervertebral disc herniation, LIDH)的临床疗效。方法：将90例符合诊断标准的患者随机分为3组,每组30例。A组予以电针、牵引及改良斜扳法推拿治疗;B组予以与A组相同的牵引及推拿治疗;C组予以与其他两组相同的牵引治疗。治疗结束后根据日本骨科协会(Japanese Orthopedic Association, JOA)的评估分数评价疗效。结果：治疗后及随访1月后,3组JOA评分均较本组治疗前有改善(均P＜0.01)。A组总有效率为96.7%,B组和C组分别为90.0%和70.0%,A组总有效率明显优于其他两组(P＜0.01)。结论：电针配合牵引及改良斜扳法可提高腰椎间盘突出症的疗效,优于单纯牵引和牵引配合改良斜扳法。     

Treatment of 97 cases of prolapse of lumbar intervertebral disc by manipulations of bone setting plus acupuncture

先应用改良斜扳法和旋转定位扳法对腰椎间盘突出症患者进行手法复位,然后取水沟和委中为主穴,进行针剌治疗.共治疗97例患者,治愈58例,好转35例,无效4例,总有效率95.9%.     

Tuina therapy for prolapsed lumbar intervertebral disc

反复下腰痛和下肢反射性坐骨神经痛是腰椎间盘突出症的两大症状.根据病史、症状、体征以及影像学(包括CT、MRI等)结果,可以确诊.需与以腰痛为主要表现的疾病,以腰痛伴坐骨神经痛为主要表现的疾病和以坐骨神经痛为主要表现的疾病相鉴别.推拿保守治疗多以足太阳膀胱经、足少阳胆经及督脉为主,取相应的夹脊穴、肾俞、大肠俞、腰阳关、环跳、委中、承山、阳陵泉及阿是穴等以一指禅推法、滚法、扳法、按法、揉法和拿法等进行治疗.     

Clinical experience on treatment of lumbar intervertebral disc protrusion by traditional manual techniques plus electric acupuncture

52例L4-S1椎间盘突出的患者，先接受中医传统推拿手法，包括滚法，压法，斜扳法和抖法治疗，然后电针肾俞、腰阳关、大肠俞、小肠俞、命门、上等穴位，经过7～28次治疗后，痊愈40例，显效8例，有效3例，无效1例，总有效率98．1％。     

Treatment of protrusion of cervical intervertebral disc by Tuina

采用滚、按、一指禅、拔伸、斜扳、拿五经、扫散法等手法,治疗颈椎间盘突出症患者25例,结果治愈10例,显效14例,好转1例.     

Treatment of protrusion of cervical intervertebral disc with Tuina therapy plus acupuncture

In application of the bone-setting Tuina therapy plus acupuncture on Jiaji (Ex-B 2), Tianzong (SI 11). Jianyu (LU 15), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) in the treatment of 8 cases of protrusion of cervical intervertebral disc, all the symptoms disappeared and the movements were free after treatments in the patients. Author: Cheng Xiao (1955-) male, attending physician Translator: Huang Guo-qi     

推拿治疗腰椎间盘突出症150 例

目的:观察推拿治疗腰椎间盘突出症的临床疗效.方法:对150 例腰椎间盘突出症门诊患者采用推拿治疗,并对其临床疗效进行回顾性的分析和总结.结果:临床痊愈43 例,显效67 例,有效34 例,无效6 例,总有效率为96.0% .结论:推拿对腰椎间盘突出症具有较好的疗效.     

Clinical observation on the treatment of lumbar intervertebral disc protrusion with electroacupuncture,TDP plus Tuina

将128例腰椎间盘突出症患者随机分为电针、TDP照射配合推拿组70例(治疗组)和电针和TDP照射组58例(对照组)进行观察.治疗组治愈率为64.3%,对照组治愈率为31.0%,治疗组好于对照组(P＜0.01);治疗组总有效率为100%,对照组总有效率为91.3%,治疗组疗效明显优于对照组(P＜0.05).     

Treatment of 96 cases of prolapse of lumbar intervertebral disc of posterior protrusion type by the comprehensive therapy

选择腰椎间盘突出症后凸型患者96例,随机分为观察组50例和对照组46例,观察组采用针刺牵引推拿综合治疗,对照组仅用针刺治疗,对患者治疗后进行疗效评定.治疗组和对照组治疗后的疗效有显著差异(P＜0.05).综合治疗腰椎间盘突出症后凸型疗效确切,方法简便,具有一定的临床指导意义.     

Therapeutic Observation on Treatment of 68 Cases of Prolapse of Lumbar Intervertebral Disc with Lumber Vertebral Traction plus Ding＇s Rolling Technique

目的观察腰椎牵引后结合丁氏滚法推拿治疗腰椎间盘突出症的临床疗效.方法将133例腰椎间盘突出症患者随机分为两组,治疗组68例,采用腰椎牵引后结合推拿治疗;对照组65例,采用单纯腰椎牵引治疗.结果两组差异有统计学意义(x2=6.86,P＜0.01),治疗组效果显著优于对照组.结论腰椎牵引后结合丁氏滚法推拿治疗腰椎间盘突出症的临床疗效优于单纯采用腰椎牵引治疗.     

Treatment of 116 cases of cervical intervertebral disc protrusion by tuina

Objective To observe the clinical efficacy of uplifting massage therapy in the treatment of cervical intervertebral disc protrusion and study the effectiveness of this massage therapy for cervical intervertebral disc protrusion. Methods 116 subjects were randomized into two groups treatment group in which 60 cases were treated by uplifting massage therapy and conventional massage, and control group in which 56 cases were treated by simple conventional massage. Results After 1-2 courses of treatment, the total effective rate was 95.0% in treatment group and 80.4% in control group; the former rate was higher than the latter one(P＜0.05).Conclusion The uplifting massage therapy combined with conventional massage has better effects than simple conventional massage in the treatment of cervical intervertebral disc protrusion.     

Clinical observation on tuina treatment for cervical intervertebral disc herniation

目的：观察推拿治疗颈椎间盘突出症的临床疗效。方法：87例患者根据就诊顺序随机分为治疗组和对照组。治疗纽39例,采用推拿手法治疗;对照纽48例,采用颈椎牵引结合中频脉冲治疗。两组均每星期治疗3次,治疗10次为一个疗程。结果：治疗组治愈22例,显效13例,好转4例,显效率89．7％,总有效率100．0％;对照纽治愈23例,显效17例,有效7例,无效1例。显效率83．3％,总有效率97．9％。两组显效率及总有效率比较,差异均无统计学意义。治疗组平均治疗17．8次,对照组平均治疗26．6次。结论：推拿治疗颈椎间盘突出症疗效与牵引结合中频脉冲治疗相当,但推拿治疗具有见效快,疗程短的优势。     

Treatment of Lumbar Intervertebral Disk Herniation with Electric Acupuncture

目的对电针治疗腰椎间盘突出症的疗效进行客观评价.方法采用随机对照的研究方法,将200例患者分为两组,观察组100例,采用电针疗法进行治疗;对照组100例,采用口服莫比可药物治疗.结果观察组治疗腰突症的总有效率为86.5%,对照组总有效率为75.0%,两组间差异存在显著性意义(P＜0.01).结论电针疗法治疗腰突症疗效显著,安全性高.     

Treatment of 150 cases of lumber intervertebral disk displacement by acupuncture plus traction

Needling Point Jiaji ( Ex-B 2), Dachangshu ( BL 25), Huantiao ( GB 30), Weizhong ( BL 40), and Yanglingquan (GB 34) etc with the cooperation of traction, treated lumbar intervertebral disk displacement.The effective rate was 91.3%.     

Clinical observation on treatment of herniated lumbar disc by manual manipulations plus external herbal application

将162例在病房收治的腰椎间盘突出症患者随机分为3组,其中观察组82例,用手法结合中药贴敷治疗.对照Ⅰ组40例,单用中药贴敷治疗.对照Ⅱ组40例,单用手法治疗.观察组总有效率为90.2%;对照Ⅰ组总有效率为82.5%;对照Ⅱ组,总有效率为85.0%.观察组与对照Ⅰ组及对照Ⅱ组总有效率比较有明显差异(P＜0.05).手法结合药敷治疗腰椎间盘突出症疗效确切,且明显高于单纯的手法治疗和中药贴敷治疗.     

Non-operative therapy for prolapsed lumbar intervertebral discs

目的:分析非手术疗法治疗腰椎间盘突出症的近期、远期疗效.方法:将165例腰椎间盘突出症患者按随机和单盲法分为牵引组、推拿组、推拿加功能锻炼组,治疗2个疗程后,评定近期疗效.然后将取得显效的102例患者按区组随机和单盲法分为功能锻炼组和对照组,随访1年观察两组复发率,并分别于治疗后6和12个月进行腰椎功能评定.结果:推拿组和推拿加功能锻炼组较牵引组近期疗效显效率差异有显著性(χ2=8.359,P＜0.01).功能锻炼组1年内的复发率明显低于对照组(χ2=12.631,P＜0.01).结论:推拿加功能锻炼是防治腰椎间盘突出症的有效方法.     

推拿结合温针治疗腰椎间盘突出症临床观察

目的:观察推拿结合温针治疗腰椎间盘突出症的疗效.方法:将90例腰椎间盘突出症患者随机分为两组,观察组45例,采用推拿结合温针治疗;对照组45例,采用单纯推拿治疗.结果:观察组的总有效率为88.9％,对照组的总有效率为75.6％,两组总有效率具有统计学差异(P＜0.01).结论:推拿结合温针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗.     

Comparison of therapeutic effects between acupuncture plus sacral injection and simple acupuncture for lumbar intervertebral disc herniation

To compare the therapeutic effects between acupuncture plus sacral injection and simple acupuncture for intervertebral disc hemia.MethodsThe patients with lumbar intervertebral disc hernia at the age of 30-45 years old were divided into No.1-80 upon their visiting order,with odd number as Group A and even number as Group B.Group A was treated by acupuncture plus sacral injection,and Group B was treated by simple acupuncture.ResultsThe clinical effective rate was higher in Group A than in Group B,with significant difference (P＜0.05).ConclusionAcupuncture plus sacral injection had the better therapeutic effect than simple acupuncture in treating lumbar intervertebral disc hernia.     

Treatment of 89 Cases of Lumbar Intervertebral Disc Herniation with Acupuncture

采用以针刺为主、辅以腰部牵引和按摩等方法对89例腰椎间盘突出症患者进行综合治疗。经4个疗程的治疗．治愈65例。显效12例。有效7例．无效3例。采用以针刺为主的综合治疗腰椎间盘脱出症，能明显提高治疗效果．值得临床推广应用。