Zhang Yu, Wu Guan-nan, Li Xing, Zhang Yong-dong, Li Zuo-xu, Ma Ming, Lei Zhong-min, Li Jun-jie
Department of the First Spinal Surgery, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.
Zhongguo Gu Shang. 2011 Nov;24(11):926-9.
To observe and compare the therapeutic effects of two methods to lumbar disc herniation treated by manipulation combined with Chinese herbs and traction with Western medicine.
A multi-center with a central district unit was used to study the patients with lumbar disc herniation from November 28th, 2008 to May 7th, 2010. All the patients were divided into treatment group and control group. The treatment group had 100 cases, including 45 males and 55 females, averaged (43.43 +/- 9.18) years. The treatment group was treated by manipulation combined with Chinese herbs; Control group had 100 cases (5 cases were fall off), including 38 males and 57 females, averaged (42.29 +/- 9.78) years. The control group was treated by traction with Western medicine. The course of treatment was 3 weeks. VAS, M-JOA, LMS (lower limb muscle strength) and classification efficacy was used to evaluate outcome and therapeutic effects before and after treatment.
VAS and M-JOA were improved after the treatment both in treatment group and control group; there was no significant difference in LMS before and after treatment in both groups. VAS and M-JOA in treatment group was superior to those of control group after treatment. There was no significant difference in LMS. According to classification efficacy, 41 cases got excellent result, 34 good, 13 fair and 12 poor in treatment group; in control group, 35 cases obtained excellent results, 16 good, 19 fair and 25 poor. The effect of treatment group was better than that of control group.
Both of two methods can improve the score of VAS, M-JOA, and treatment group is better than that of control group. While for the improvement of LMS, both of two methods have no obvious effects.
观察并比较推拿结合中药与西医牵引两种方法治疗腰椎间盘突出症的疗效。
采用多中心、中心区单位研究2008年11月28日至2010年5月7日的腰椎间盘突出症患者。所有患者分为治疗组和对照组。治疗组100例，其中男性45例，女性55例，平均（43.43±9.18）岁。治疗组采用推拿结合中药治疗；对照组100例（脱落5例），其中男性38例，女性57例，平均（42.29±9.78）岁。对照组采用西医牵引治疗。疗程为3周。采用视觉模拟评分法（VAS）、日本骨科学会腰椎功能评分法（M-JOA）、下肢肌力（LMS）及疗效分级评价治疗前后的结果及疗效。
治疗组和对照组治疗后VAS和M-JOA均改善；两组治疗前后LMS无显著差异。治疗后治疗组VAS和M-JOA优于对照组。LMS无显著差异。根据疗效分级，治疗组优41例，良34例，可13例，差12例；对照组优35例，良16例，可19例，差25例。治疗组效果优于对照组。
两种方法均能提高VAS、M-JOA评分，且治疗组优于对照组。而对于LMS的改善，两种方法均无明显效果。
