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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2015-11
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Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation

XU Bangjie;YANG Nan;BAI Weijie;XU Meizhen;ZHAO Minghua;LI Fuqing;HU Hanping;Hospital of traditional Chinese medicine of Zhongshan;  
Objective: To observe the clinical curative effects of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation( LDH). Methods: Sixty patients with LDH enrolled in the study were randomly divided into 2 groups,30 cases in each group. The patients were treated with fixed-point rotational reduction in sitting position( group A) and lumbar oblique pulling( group B)respectively for consecutive two course of treatment. The lumbar pain and lumbar function recovery were evaluated by using the visual analogue scale( VAS) and Japanese orthopaedic association( JOA) low back pain scoring systerm,furthermore,the curative effects were evaluated according to therapeutic effect evaluation standard of LDH which was extracted from Standard for diagnosis and therapeutic effectiveness evaluation of traditional Chinese medicine syndromes. Results: There was no statistical difference in low back pain VAS scores between the2 groups before the treatment( 6. 12 + /- 1. 39 vs 6. 86 + /- 1. 12 points,t = 0. 166,P = 0. 871). The low back pain VAS scores decreased in both of the 2 groups after the treatment( 2. 47 + /- 1. 58 vs 4. 26 + /- 2. 21 points) and there was a bigger decrease in group A( 4. 90 + /-1. 31 vs 1. 93 + /- 0. 18 points,t = 2. 626,P = 0. 010). There was no statistical difference in JOA scores between the 2 groups before the treatment( 16. 24 + /- 5. 34 vs 15. 67 + /- 6. 19 points,t = 0. 760,P = 0. 087). The JOA scores increased in both of the 2 groups after the treatment( 24. 25 + /- 4. 05 vs 19. 38 + /- 5. 85 points) and there was a bigger increase in group A( 8. 92 + /- 4. 05 vs 5. 12 + /- 4. 91 points,t = 4. 706,P = 0. 032). Sixteen patients obtained an excellent result,12 good and 2 poor in group A; while 11 patients obtained an excellent result,13 good and 6 poor in group B. The group A surpassed the group B in the total curative effect( Group A: 95% CI( 0. 09,0. 84),R =0. 28; Group B: 95% CI( 0. 24,0. 70),R = 0. 41). Conclusion: Fixed-point rotational reduction in sitting position,which is easy operated,can effectively relieve low back pain and promote the lumbar function recovery,so it can improve the quality of live of patients with LDH.
【Fund】: 广东省中山市卫生局2013年计划项目(2013A020338)
【CateGory Index】: R274.9
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