踩跷法治疗寒湿痹阻型腰椎间盘突出症的临床观察

Clinical Observation of Caiqiao Therapy in the Treatment of Lumbar Disc Herniation of Cold-Dampness Blockage Type

摘要: 目的：评估踩跷疗法对寒湿痹阻型腰椎间盘突出症(LDH)患者的临床疗效。方法：共纳入96例合格患者，随机分为治疗组和对照组。对照组接受常规治疗，包括腰椎牵引、口服双氯芬酸钠缓释片和常规针刺。治疗组在常规治疗基础上，加用曲龙教授总结的特色踩跷疗法进行治疗。主要评估指标为日本骨科协会评估治疗分数(JOA评分)、视觉模拟评分法(VAS)评分及腰椎活动度，于干预前后进行评估。结果：治疗组在JOA评分改善程度、VAS评分降低幅度以及前屈、后伸、侧屈等腰椎活动度的恢复方面均显著优于对照组(均P < 0.05)。治疗组的总有效率(95.83%)显著高于对照组(83.33%) (P < 0.05)。结论：特色踩跷疗法联合常规治疗对寒湿痹阻型LDH临床效果确切，有助于减轻疼痛、改善腰椎功能并增强活动度，可为临床保守治疗提供参考选择。

Abstract: Objective: To evaluate the clinical efficacy of Caiqiao Therapy in patients with Lumbar Disc Herniation (LDH)of cold-dampness blockage type. Methods: A total of 96 eligible patients were randomly divided into the treatment group and the control group. The control group received conventional treatment, including lumbar traction, oral diclofenac sodium sustained-release tablets and routine acupuncture. On the basis of conventional treatment, the treatment group was additionally treated with the characteristic Caiqiao Therapy summarized by Professor Qu Long. The main evaluation indicators were the Japanese Orthopaedic Association (JOA) score, Visual Analogue Scale (VAS) score and lumbar range of motion, which were assessed before and after intervention. Results: The treatment group was significantly superior to the control group in the improvement of JOA score, the reduction of VAS score, and the recovery of lumbar range of motion such as flexion, extension and lateral flexion (all P < 0.05). The total effective rate of the treatment group (95.83%) was significantly higher than that of the control group (83.33%) (P < 0.05). Conclusion: The combination of characteristic Caiqiao Therapy and conventional treatment is superior to conventional treatment alone in the clinical effect of LDH of cold-dampness blockage type, which can significantly relieve pain, improve lumbar function and enhance range of motion.