《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (02): 166-167.

• 临床研究 • 上一篇    下一篇

仰卧牵引时屈髋、伸髋位对腰椎间盘突出症治疗效果的影响

华启海1;倪朝民2;闫兴洲1;李震宇1;江勇1   

  1. 1. 蚌埠医学院第一附属医院康复医学科，安徽蚌埠市 233004;2. 安徽省立医院康复医学科，安徽合肥市 230001
  • 收稿日期:2008-08-14 出版日期:2009-02-01 发布日期:2009-02-01

Effects of Hip Flection and Extension in Supine Position on Lumbar Traction for Prolapse of Lumbar Intervertebral Disc

HUA Qi-hai, NI Chao-min, YAN Xing-zhou, et al   

  1. The Department of Rehabilitation Medicine, the First Hospital Affiliated to Bengbu Medical College, Bengbu 233004, Anhui, China
  • Received:2008-08-14 Published:2009-02-01 Online:2009-02-01

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摘要： 目的 探讨屈髋位和伸髋位在腰椎间盘突出症牵引时的疗效差异。方法 84例腰椎间盘突出症患者全部采用仰卧位牵引，屈髋组与伸髋组各42例，治疗前后对两组患者采用Fairbank JC“腰痛病情计分表”和疼痛视觉模拟评分法(VAS)进行症状体征及疼痛评定。结果 屈髋组在病情、体征及疼痛改善等方面均显著优于伸髋组（P<0.001）。结论 腰椎间盘突出症仰卧牵引治疗时，屈髋位更有利于改善和缓解病情。

关键词: 腰椎间盘突出症, 牵引, 屈髋, 伸髋

Abstract: Objective To compare the curative effects of lumbar traction in supine position with hip flection and extension for prolapse of lumbar intervertebral disc (PLID).Methods 84 PLID patients were all treated by lumbar traction in supine position. But, group A (42 cases) with hip flection and group B (42 cases) with hip extension. Before and after three weeks therapy, all patients were assessed by Fairbank JC index and Visual Analogue Scales (VAS) to observe the symptom and pain condition.Results The scores of Fairbank JC index and VAS scale of the patients in group A were significantly lower than those in the group B (P<0.001).Conclusion Lumbar traction in supine position with hip flection for the PLID can obviously promote the curative effects.

Key words: prolapse of lumbar intervertebral disc, traction, hip flection, hip extension