骶管滴注联合物理治疗对驻陕某部官兵腰椎间盘突出症的疗效观察(1)
摘要：目的 观察骶管滴注疗法联合物理治疗对驻陕某部基层官兵腰椎间盘突出症临床疗效的影响。方法 收集我部一线官兵腰椎间盘突出症患者(均有肢体疼痛、麻木症状)50例，其中男42例，女8例。采用随机数字表法分为对照组25例，实验组25例。对照组采用骶管滴注疗法治疗，实验组在上述骶管滴注疗法的基础上联合超短波、中频电疗和腰椎牵引等物理治疗。治疗3个月后分别对两组患者肢体疼痛、麻木情况进行评定和疗效评价。结果 治疗后比较两组患者VAS评分，实验组低于对照组，差异具有统计学意义(P<0.05)；治疗后比较两组患者麻木感改善总有效率：对照组为68.00%，实验组为88.00%，差异具有统计学意义(P<0.05)；治疗后比较两组患者治疗疗效总有效率：对照组有效率76.00%，实验组有效率96.00%，差异具有统计学意义(P<0.05)。结论 基于基层卫生条件下的骶管滴注疗法联合物理治疗对腰椎间盘突出症临床疗效的改善具有积极影响。
关键词：骶管滴注疗法；物理治疗；联合；腰椎间盘突出症
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Abstract：Objective To observe the effect of sacral canal infusion therapy combined with physical therapy on the clinical curative effect of lumbar intervertebral disc herniation at the grassroots level in Shaanxi province.Methods Fifty patients with lumbar disc herniation(including limb pain and numbness)were collected from our department，including 42 males and 8 females.The random number table method was divided into control group(n= 25)and experimental group(n=25).The control group was treated with sacral tube drip therapy.The experimental group was treated with ultrashort wave， intermediate frequency electrotherapy and lumbar traction on the basis of the above-mentioned sacral drip therapy.After 3 months of treatment respectively in two groups of patients with limb pain， numbness and evaluate curative effect.Results After treatment，VAS scores in the two groups，the experimental group was lower than the control group，the difference was statistically significant(P<0.05)；after treatment，compared two groups of patients with numbness improve the total efficiency of control group was 68%.The experimental group was 88.00%，the difference was statistically significant(P<0.05)；after the treatment efficacy of two groups were compared the total efficiency of treatment： the control group was 76.00%，the effective rate of the experimental group 96%，the difference was statistically significant(P<0.05).Conclusion The combination of sacral canal therapy combined with physical therapy under the primary health condition has a positive effect on the improvement of clinical efficacy of lumbar disc herniation.
, 百拇医药
Key words：Sacral instillation；Physical therapy；Combination；Lumbar disc herniation
伴随着国际环境和国内环境的复杂变化，部队所担任的军事任务和非军事任务增多，训练科目和作业方式转变，腰椎间盘突出症(lumbar disc herniation，LDH)的发病率也呈日益增长的趋势，尤其是驻陕某部专业种类的特点，其一线官兵因工作需要强制久坐、久站等被动体位造成腰部慢性劳损，导致腰椎间盘突出症发病率明显升高。腰椎间盘突出症是引起腰腿痛最常见的原因，目前临床治疗方法较多[1]，一般先给予患者肌肉松解、类固醇类药物注射以及物理治疗等保守治疗，经保守治疗后，多数患者症狀和体征都可以得到缓解，但我们在临床中也发现，单一保守治疗方法缓解腰腿痛和肢体麻木的效果有限，且症状易反复。故本研究采用骶管滴注疗法联合物理治疗的方法，试探讨联合治疗对腰椎间盘突出症症状改善率和治疗效果的影响。, http://www.100md.com(白倩 王鑫 李婷 张维 师巧莉 张冉 吴智钢)
关键词：骶管滴注疗法；物理治疗；联合；腰椎间盘突出症
, http://www.100md.com
Abstract：Objective To observe the effect of sacral canal infusion therapy combined with physical therapy on the clinical curative effect of lumbar intervertebral disc herniation at the grassroots level in Shaanxi province.Methods Fifty patients with lumbar disc herniation(including limb pain and numbness)were collected from our department，including 42 males and 8 females.The random number table method was divided into control group(n= 25)and experimental group(n=25).The control group was treated with sacral tube drip therapy.The experimental group was treated with ultrashort wave， intermediate frequency electrotherapy and lumbar traction on the basis of the above-mentioned sacral drip therapy.After 3 months of treatment respectively in two groups of patients with limb pain， numbness and evaluate curative effect.Results After treatment，VAS scores in the two groups，the experimental group was lower than the control group，the difference was statistically significant(P<0.05)；after treatment，compared two groups of patients with numbness improve the total efficiency of control group was 68%.The experimental group was 88.00%，the difference was statistically significant(P<0.05)；after the treatment efficacy of two groups were compared the total efficiency of treatment： the control group was 76.00%，the effective rate of the experimental group 96%，the difference was statistically significant(P<0.05).Conclusion The combination of sacral canal therapy combined with physical therapy under the primary health condition has a positive effect on the improvement of clinical efficacy of lumbar disc herniation.
, 百拇医药
Key words：Sacral instillation；Physical therapy；Combination；Lumbar disc herniation
伴随着国际环境和国内环境的复杂变化，部队所担任的军事任务和非军事任务增多，训练科目和作业方式转变，腰椎间盘突出症(lumbar disc herniation，LDH)的发病率也呈日益增长的趋势，尤其是驻陕某部专业种类的特点，其一线官兵因工作需要强制久坐、久站等被动体位造成腰部慢性劳损，导致腰椎间盘突出症发病率明显升高。腰椎间盘突出症是引起腰腿痛最常见的原因，目前临床治疗方法较多[1]，一般先给予患者肌肉松解、类固醇类药物注射以及物理治疗等保守治疗，经保守治疗后，多数患者症狀和体征都可以得到缓解，但我们在临床中也发现，单一保守治疗方法缓解腰腿痛和肢体麻木的效果有限，且症状易反复。故本研究采用骶管滴注疗法联合物理治疗的方法，试探讨联合治疗对腰椎间盘突出症症状改善率和治疗效果的影响。, http://www.100md.com(白倩 王鑫 李婷 张维 师巧莉 张冉 吴智钢)
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