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[腰椎骨软骨病患者手术治疗后早期的物理治疗]

[The physiotherapy of patients with lumbar spinal osteochondrosis in the early period after surgical treatment].

作者信息

Lobzin V S, Komarov L A, Nenasheva T V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1992;92(3):13-6.

PMID:1332316
Abstract

Altogether 130 patients with associated lumbar spinal osteochondrosis and the radicular syndrome were placed under observation after operation in the form of laminectomy and removal of hernia of intervertebral discs. On days 2-3 after the operation the patients were given different physiotherapy modalities: sinusoidal modulated currents (SMC), electroacupuncture by sinusoidal modulated currents (EAP) and acupuncture (AP). The control group patients were administered conventional drug therapy. According to the data on the disease clinical picture and the rate of impulse conduction in the motor nerve, the treatment efficacy was higher in patients on physiotherapy as compared to the controls. In patients with the predominance of the painful syndrome, EAP and AP were most effective; EAP was most effective in associated pains and motor losses; SMC appeared effective in isolated motor disorders. The drugs slightly reduced the pains but did not recover motor function.

摘要

共有130例伴有腰椎骨软骨病和神经根综合征的患者在接受椎板切除术和椎间盘突出摘除术后接受观察。术后第2 - 3天,给予患者不同的物理治疗方式:正弦调制电流(SMC)、正弦调制电流电针(EAP)和针灸(AP)。对照组患者接受传统药物治疗。根据疾病临床表现和运动神经冲动传导速率的数据,物理治疗患者的治疗效果高于对照组。在以疼痛综合征为主的患者中,EAP和AP最有效;EAP在伴有疼痛和运动功能丧失方面最有效;SMC在单纯运动障碍方面似乎有效。药物可轻微减轻疼痛,但不能恢复运动功能。

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