川北医学院学报2024,Vol.39Issue(8):1080-1084,5.DOI:10.3969/j.issn.1005-3697.2024.08.018
郑氏推拿手法联合康复一体化治疗退行性腰椎滑脱的疗效研究
Therapeutic effect of integration of Zheng's massage manipulation and re-habilitation on DLS
摘要
Abstract
Objective:To explore the therapeutic effect of integration of Zheng's massage manipulation and rehabilitation on de-generative lumbar spondylolisthesis(DLS).Methods:According to treatment methods,178 patients with DLS were divided into control group(n=92,conventional lumbar traction and waist circumference immobilization)and observation group(n=86,integrated conser-vative treatment with Zheng's massage manipulation and rehabilitation).Japanese Orthopaedic Association(JOA)scores,Visual Ana-logue Scale(VAS)scores,imaging parameters and the 36-Item Short Form Health Survey(SF-36)scores of the two groups were com-pared.Results:JOA scores and SF-36 scores of observation group were higher than those of control group,and VAS scores were lower than those of control group after 3 weeks of treatment and at different time points of follow-up(P<0.05).After 12 months of treat-ment,cephalic and caudal zygapophysial joint angles,and zygapophysial-pedicle angle in observation group[(56.31±2.04),(50.47±1.37)and(101.24±2.03)]were lower than those in control group[(57.85±2.74),(51.19±2.54)and(103.38±3.58)](P<0.05).The total clinical response rate in observation group(98.84%)was higher than that in control group(91.30%)(P<0.05).Conclusion:Applying the integration of Zheng's massage manipulation and rehabilitation to treat DLS has good mid-long-term therapeutic effects,and has certain clinical promotion and application value.关键词
退行性腰椎滑脱/郑氏推拿手法/康复一体化保守治疗/日本骨科协会评分Key words
Degenerative lumbar spondylolisthesis/Zheng's massage manipulation/Conservative treatment with rehabilitation in-tegration/Japanese Orthopaedic Association score分类
医药卫生引用本文复制引用
罗晓玲,刘愉勤,李兰,司福军,毛雷,李旭雪..郑氏推拿手法联合康复一体化治疗退行性腰椎滑脱的疗效研究[J].川北医学院学报,2024,39(8):1080-1084,5.基金项目
四川省中医药管理局科学技术研究专项(2020LC0174) (2020LC0174)