悬浮式牵引床治疗腰椎间盘突出症的效果

王之娟++++++郭勇++++++贾国庆

[摘要]目的 探讨悬浮式牵引床治疗腰椎间盘突出症的效果。方法 选取我院2013年1月～2014年12月收治的130例腰椎間盘突出症患者作为研究对象，随机分为治疗组（67例）和对照组（63例）。治疗组采用悬浮式牵引床进行治疗，对照组使用传统手法治疗。比较两组的效果。结果 两组治疗后的症状及日常活动总评分显著低于治疗前，差异有统计学意义（P<0.05）。治疗组治疗后的症状及日常活动总评分低于对照组治疗后，差异有统计学意义（P<0.05）。治疗组出院后1年的症状评分、日常活动评分及总分显著低于对照组，差异有统计学意义（P<0.01）。结论 使用悬浮式牵引床治疗腰椎间盘突出症的远期效果优于未使用悬浮式牵引床的效果。

[关键词]腰椎间盘突出症；悬浮式牵引床；远期效果

[中图分类号] R681.5+5 [文献标识码] A [文章编号] 1674-4721（2017）07（a）-0065-03

Effect of suspended traction bed in the treatment of lumbar disc herniation

WANG Zhi-juan1 GUO Yong2 JIA Guo-qing2

1.Department of Rehabilitation Medicine，Hospital of Traditional Chinese and Western Medicine of Daxing District in Beijing City，Beijing 100076，China；2.Department of Orthopaedics and Traumatology，Hospital of Traditional Chinese and Western Medicine of Daxing District in Beijing City，Beijing 100076，China

[Abstract]Objective To investigate the effect of suspended traction bed in the treatment of lumbar disc herniation.Methods 130 patients with lumbar disc herniation treated in our hospital from January 2013 to December 2014 were selected and randomly divided into the treatment group （n=67） and the control group （n=63）.The treatment group was treated with suspended traction bed，while the control group was treated with traditional technique.The effects of the two groups were compared.Results The total scores of symptoms and daily activities in the two groups were significantly lower than those before treatment，with significant difference （P<0.05）.The total scores of symptoms and daily activities after treatment in the treatment group were lower than those in the control group after treatment，with significant difference （P<0.05）.The symptom score，daily activity score and total score of the treatment group after discharge at 1 year were significantly lower than those of the control group，with significant difference （P<0.05）.Conclusion The long-term effect of the treatment of lumbar disc herniation by suspended traction bed is better than that of not use suspended traction bed.

[Key words]Lumbar disc herniation；Suspended traction bed；Long-term effect

腰椎间盘突出症属中医学“腰腿痛”“痹证”范畴，是临床常见病、多发病[1]。国内外学者进行了大量研究，发现部分手术患者远期疗效不佳，复发率较高。80%～85%的腰椎间盘突出症患者可以采用非手术疗法治愈或缓解[2]，因而非手术疗法仍然是最主要的治疗方法。目前采用的非手术治疗方法主要包括腰椎牵引、理疗、针灸等常规治疗手段[3]，牵引作为非手术治疗腰椎间盘突出症的常规疗法，临床应用广泛[4]。悬浮式牵引床是贾国庆主任医师根据中医的“拉压复位手法”“中医斜扳理论”发明，能将牵引和手法组合起来，发挥更好的作用[4]。本研究旨在观察悬浮式牵引床治疗腰椎间盘突出症患者的远期效果，现报道如下。

1资料与方法

1.1一般资料

选取2013年1月～2014年12月我院收治的130例患者，年龄17～67岁，将其随机分为治疗组（67例）和对照组（63例）。治疗组中，男33例，女34例；年龄（42.5±6.85）岁；其中L4～5间盘突出31例，L5～S1间盘突出25例，L4～5及L5～S1间盘突出11例。对照组中，男31例，女32例；年龄（40.50±8.47）岁；其中L4～5间盘突出28例，L5～S1间盘突出27例，L4～5及L5～S1间盘突出8例。……