摘要
目的:观察腰腹部联合手法治疗腰椎间盘突出症的肌电图改善情况。方法:将75例患者随机分为3组,每组25例,对照组采用常规输液和卧床休息治疗;治疗1组采用传统手法治疗配合常规输液和卧床休息治疗;治疗2组采用腰腹部联合手法配合常规输液和卧床休息治疗,3组患者分别于治疗前与治疗结束后进行肌电图的测定:胫神经、腓总神经传导潜伏期及波幅变化。结果:对照组和治疗1组治疗前后患肢胫神经、腓总神经传导速度传导潜伏期及波幅变化有改善,但差异无统计学意义。治疗2组治疗后较治疗前患肢胫神经、腓总神经传导潜伏期及波幅变化有明显改善,差异有统计学意义(P<0.05)。结论:本研究中将患者进行肌电图检查,腰腹部联合手法组治疗后患者肌电图改善明显,接近正常人。神经传导潜伏期及波幅的恢复可有效缓解患者的腰腿疼痛症状,这可能是其作用机制之一。
Objective： To observe the electromyography of combined lumbo-abdominal manipulation in the treatment of lumbar intervertebral disc herniation. Methods： 75 patients were divided randomly into 3 groups,each group was 25 cases. The control group was given conventional transfusion and stay in bed. The treatment group 1 was given traditional technique combined with conventional transfusion and stay in bed. The treatment group 2 was given lumbo-abdominal manipulation combined with conventional transfusion and stay in bed. Three groups of patients,who respectively before and after treatment to determine the electromyography： tibial nerve,phil total nerve conduction incubation period and amplitude changes. Results： In the control group and treatment group 1,before and after the treatment,the limbs of tibial nerve,phil total nerve conduction velocity transmission latency and amplitude changes have improved,but there was no statistically significant difference,compared the two groups after the treatment limb tibial nerve,phil total nerve conduction incubation period and amplitude changes had improved significantly,the difference was statistically significant（ P〈0. 05）. Conclusion： Electrophysiological research result proved that the combined lumbar-abdominal manual therapy can relieve the symptom of patients and restore the nerve conducting wave amplitude,and it maybe the one of the mechanism.
出处
《中医学报》
CAS
2015年第10期1525-1527,共3页
Acta Chinese Medicine
基金
郑州市科技攻关计划项目(20110855)
关键词
腰腹部联合手法
腰椎间盘突出症
肌电图
combined lumbo-abdominal manipulation
protrusion of lumbar intervertebral disc
electromyogram
