五禽戏联合悬吊循经弹拨技术治疗腰椎间盘突出症临床观察

李非++李丽++许强强++王建玲++张家鹏++丁懿++王宁

【摘 要】目的：观察五禽戏联合悬吊循经弹拨技术治疗腰椎间盘突出症的康复疗效。方法：将

90例腰椎间盘突出症患者按照随机数字表法分为五禽戏组、悬吊循经弹拨组和联合组，每组30例。

五禽戏组采用五禽戏锻炼治疗，悬吊循经弹拨组采用悬吊循经弹拨技术治疗，联合组采用五禽戏联合悬吊循经弹拨技术治疗。3组均以15 d为1个疗程，共观察3个疗程。采用疼痛视觉模拟评分法（VAS），Oswestry功能障碍指数（ODI）于治疗前、治疗后和治疗后5个月随访时进行疗效评定。结果：治疗后及治疗后5个月，3组VAS评分和ODI评分均较治疗前降低，差异有统计学意义（P < 0.05），且联合组VAS评分和ODI评分优于五禽戏组和悬吊循经弹拨组，差异有统计学意义（P < 0.05）。结论：五禽戏联合悬吊循经弹拨技术对腰椎间盘突出症的康复有较好的疗效，可明显提高腰椎间盘突出症患者的腰部功能。

【关键词】 腰椎间盘突出症；悬吊循经弹拨技术；五禽戏

Clinical Observation on the Treatment of Lumbar Disc Herniation with Five Mimic-animal Boxing Combining Meridian Plucking Manipulation and Sling Exercise Therapy

LI Fei，LI Li，XU Qiang-qiang，WANG Jian-ling，ZHANG Jia-peng，DING Yi，WANG Ning

【ABSTRACT】Objective：To observe the rehabilitative effect of five mimic-animal boxing combining meridian plucking manipulation and sling exercise therapy（SET）in the treatment of lumbar disc herniation.Methods：Ninety cases of lumbar disc herniation were randomly divided into a five mimic-animal boxing group，a meridian plucking manipulation and SET group and a combination group，30 cases in each group.The FMAB group were treated by practicing five mimic-animal boxing，the MPM and SET group was treated by meridian plucking manipulation and SET，and the combination group was treated by five mimic-animal boxing combining meridian plucking manipulation and SET.The three groups were treated for three courses，with fifteen days as one course.The visual analogue scale（VAS）and the Oswestry dysfunction

index（ODI）were used to evaluate the effects respectively before，after and 5 months after the treatment.Results：Just after and 5 months after treatment，the VAS scores and ODI scores of the three groups were decreased，the difference being statistically significant（P < 0.05），and the VAS scores and ODI scores of the combination group were better than the other two groups，the difference being statistically significant（P < 0.05）.Conclusion：Five mimic-animal boxing combining meridian plucking manipulation and SET has a better curative effect in the treatment of lumbar disc herniation，which can significantly improve patients lumbar function.

【Keywords】 lumbar disc herniation；meridian plucking manipulation and sling exercise therapy；five mimic-animal boxing

腰椎間盘突出症（lumbar disc herniation，LDH）是指由于多种病因导致的腰部椎间盘变性，纤维环破裂，髓核突出，刺激和（或）压迫神经根、马尾神经所引起的一种疾病。其主要症状为腰部疼痛及沿坐骨神经放射痛。LDH是腰腿痛最常见的原因之一，每年LDH就诊人数占腰腿痛就诊人次的25%～36%[1]，LDH的发病率、复发率高且呈年轻化[2]，严重影响人们的生活质量，临床上亟需寻找安全有效、易于接受的治疗方法。目前，LDH的治疗手法很多，包括手术和保守治疗。随着康复医学的发展，康复疗法在LDH的治疗中取得了巨大进步。五禽戏是一套使全身肌肉和关节都能得到舒展的医疗体操[3]。悬吊循经弹拨法能提高腰背伸肌肌力，缓解疼痛[4]。本研究观察五禽戏联合悬吊循经弹拨技术治疗LDH的临床疗效，现总结报告如下。……