杠杆定位整复手法治疗腰椎间盘突出症临床对照试验.docVIP

杠杆定位整复手法治疗腰椎间盘突出症临床对照试验 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：杠杆定位整复手法治疗腰椎间盘突出症临床对照试验 1 1 临床资料 2 2 方法 3 3 治疗结果 4 4 讨论 4 文2：杠杆定位手法治疗腰椎间盘突出症前后CT观察 5 1 临床资料 6 2 观察方法 6 3.观察结果 7 4 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 杠杆定位整复手法治疗腰椎间盘突出症临床对照试验 文1：杠杆定位整复手法治疗腰椎间盘突出症临床对照试验 Clinical Controlled Trial of Lumbar Intervertebral Disc Herniation Treated by Leverage Replacement Manipulation Lv Lijiang1，Yuan Xianglong1，Wang Fangjun2 , et al Third Clinical Medical College of Zhejiang TCM Univeity,Hangzhou (310053); Chinese and Western Medicine Hospital of Zhejiang Province Abstract:［Objective］Observe the clinical effect of leverage replacement manipulation on lumbar intervertebral disc herniation. ［Method］299 hospitalized patients were divided into two groups. 153 cases were in trial group and 146 patients were in controlled group. Trial group accepted cotant traction and leverage replacement manipulation. While the controlled group accepted the same traction and muscular massage.［Result］In trial group, 90 patients were cured, 57 improved and 6 no improvement. The total effective rate was %; in controlled group，21 were cured, 75 cases improved, and 50 no improvement. The total effective rate was %. The effect of trial group was better than the controlled group (P). ［Conclusion］Leverage replacement manipulation is more effective than conventional massage(tuina) methods. It is worthy to be popularized. Key words：lumbar disc herniation; Tuina; traction；bonesetting manipulation; clinical controlled trial 我们对153例腰椎间盘突出症患者采用杠杆定位整复手法并与对采用常规平面手法治疗对照组进行比较，现将结果报告如下。 1 临床资料 观察对象为2007年6月至2008年10月在浙江中医药大学附属第三 医院 、浙江省中西医结合医院、浙江省中医院、杭州市中医院、杭州市下城区中医院收治的住院患者299例，按随机数字表法随机分为两组，试验组153例，男80例，女73例；龄25～65岁，平均（±）岁；病程11d～16年，平均（±）月,其中膨出型21例，突出型86例，游离型46例，因急性外力损伤而发病的116例；对照组146例，男83例，女63例，年龄22～65岁，平均（±）岁；病程4d～14年，平均（±）月，其中膨出型24例，突出型73例，游离型49例，因急性外力损伤而发病的119例；两组在性别、年龄、病程、突出类型、发病因素等方面比较差异均无统计学意义(P＞)，具有可比性。诊断、分型标准 参考 《中医病症诊断疗效标准》规定的腰椎间盘突出症诊断标准［1］ 2 方法 试验组 患者使用腰椎治