[1]孙博文,蔡亚楼,许建峰,等.烙灸联合腰背肌功能锻炼对后纵韧带破裂型腰椎间盘突出症患者髓核重吸收及复发率的影响[J].甘肃中医药大学学报,2019,36(01):60-63.[doi:10.16841/j.issn1003-8450.2019.01.13]
 SUN Bowen,CAI Yalou,XU Jianfeng,et al.Effects of flipping moxibustion combined with lumbodorsal muscle function exercise on pulpiform nucleus reabsorption and recurrence rate of patients with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type[J].Journal of Gansu University of Chinese Medicine,2019,36(01):60-63.[doi:10.16841/j.issn1003-8450.2019.01.13]
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烙灸联合腰背肌功能锻炼对后纵韧带破裂型腰椎间盘突出症患者髓核重吸收及复发率的影响
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
36卷
期数:
2019年01期
页码:
60-63
栏目:
针灸推拿
出版日期:
2019-02-25

文章信息/Info

Title:
Effects of flipping moxibustion combined with lumbodorsal muscle function exercise on pulpiform nucleus reabsorption and recurrence rate of patients with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type
作者:
孙博文1 蔡亚楼2 许建峰34 林瑞珠34 张彦明3 马玉宝3 王英絮3
1. 宁夏医科大学中医学院, 宁夏 银川 750004;
2. 银川市第一人民医院康复医学科, 宁夏 银川 750004;
3. 宁夏医科大学总医院中医骨伤科, 宁夏 银川 750004;
4. 宁夏医科大学回医药现代化教育部重点实验室, 宁夏 银川 750004
Author(s):
SUN Bowen1 CAI Yalou2 XU Jianfeng34 LIN Ruizhu34 ZHANG Yanming3 MA Yubao3 WANG Yingxu3
1. College of TCM, Ningxia Medical University, Yinchuan, Ningxia, 750004, China;
2. Department of Rehabilitation Medicine, the First People Hospital of Yinchuan, Yinchuan, Ningxia, 750004, China;
3. Department of Orthopedics and Traumatology of TCM, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750004, China;
4. Key Laboratory of Ministry of Education on Hui Medicine Modernization, Ningxia Medical University, Yinchuan, Ningxia, 750004, China
关键词:
腰椎间盘突出症后纵韧带破裂型烙灸腰背肌功能锻炼髓核重吸收复发率临床观察
Keywords:
prolapse of lumbar intervertebral discposterior longitudinal lignmentous rupture typeflipping moxibustionlumbodorsal muscle function exercisepulpiform nucleus reabsorptionrecurrence rateclinical observation
分类号:
R246.9
DOI:
10.16841/j.issn1003-8450.2019.01.13
摘要:
目的 观察烙灸联合腰背肌功能锻炼对后纵韧带破裂型腰椎间盘突出症患者髓核重吸收及复发率的影响。方法 将经过常规保守治疗达到临床治愈的24例后纵韧带破裂型腰椎间盘突出症患者随机分为治疗组和对照组,各12例。对照组予腰背肌功能锻炼;治疗组在腰背肌功能锻炼的基础上予烙灸疗法,每周烙灸1次,每次30 min,治疗6月后追踪随访1年,比较2组的髓核吸收率及复发率。结果 治疗组髓核吸收率为41.67%,对照组为16.67%,2组比较差异有统计学意义(P<0.05);经过1年随访,治疗组复发率为25.00%,对照组为50.00%,2组比较差异有统计学意义(P<0.05);治疗组中髓核重吸收的患者复发率为20.00%,未发生髓核重吸收的患者复发率为28.57%,比较差异有统计学意义(P<0.05)。结论 在腰背肌功能锻炼的基础上联合烙灸疗法,可以促进后纵韧带破裂型腰椎间盘突出症患者的髓核重吸收,进而降低腰椎间盘突出症的复发率,值得临床推广。
Abstract:
Objective To observe the effects of flipping moxibustion combined with lumbodorsal muscle function exercise on pulpiform nucleus reabsorption and recurrence rate of patients with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type. Methods Twenty-four cases with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type which had achieved the clinical cure effect after routine conservative treatment were randomly divided into treatment group and control group,with 12 cases in each. The control group was given lumbodorsal muscle function exercise;while the treatment group was given flipping moxibustion on the basis of lumbodorsal muscle function exercise,flipping moxibustion once a week,30 min per time.Follow-up 1 year after 6 months of treatment,the pulpiform nucleus reabsorption rate and recurrence rate of the 2 groups were compared.Results The pulpiform nucleus reabsorption rate of the treatment group was 41.67%,that of the control group was 16.67%,there was statistically significant difference between the two groups(P<0.05).After 1 year of follow-up,the recurrence rate of the treatment group was 25.00%,that of the control group was 50.00%,there was statistically significant difference between the two groups(P<0.05).In the treatment group,the recurrence rate of patients with pulpiform nucleus reabsorption was 20.00%,and that of patients without pulpiform nucleus reabsorption was 28.57%,there was statistically significant difference(P<0.05).Conclusion Combined flipping moxibustion on the basis of lumbodorsal muscle function exercise can promote the pulpiform nucleus reabsorption of patients with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type,and then reduce the recurrence rate of prolapse of lumbar intervertebral disc,which deserves clinical promotion.

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备注/Memo

备注/Memo:
收稿日期:2018-07-16。
基金项目:国家自然科学基金地区基金项目(81760905);宁夏医科大学优势学科群建设科研项目(XY201622);第三批宁夏回族自治区老中医药专家学术经验继承项目(201659);宁夏高等教育科学研究项目(NGY2017094);宁夏卫生计生适宜技术推广项目(201709)。
作者简介:孙博文(1994-),男,在读硕士研究生。研究方向:民族医药和针灸推拿治疗退行性脊柱关节病的临床及基础研究。
通信作者:许建峰(1980-),男,副主任医师,医学博士,
更新日期/Last Update: 1900-01-01