Effect Of Traction On The Duration And Effect Of Acute Lumbar Disc Herniation In Acute Phase

Objectives:Expounds the curative effect evaluation in the acute phase of traction treatment of lumbar intervertebral disc protrusion study:observation of foundation and traction for the treatment of whether can improve the clinical curative effect of the disease, consider whether or not the application of traction aggravate the disease of acute symptoms of nerve root type research;Provide scientific and objective clinical effects, and the evaluation report.Find the pertinence of the acute phase of lumbar disc prolapse treatment plan.To improve the disease clinical curative effect.Method:According to the health of the People’s Republic of China industry standard [1], in accordance with criteria for the diagnosis of lumbar disc prolapse ranging in age from25to70-year-old patients with lumbar disc prolapse as the research object, the patients with acute onset observational study lumbar intervertebral disc protrusion lumbocrural pain symptoms improvement within two weeks.Cases from chengdu university of traditional Chinese medicine hospital orthopedic inpatient and outpatient, asked a total of80cases of lumbar dish outstanding disorder in patients with acute stage, according to the inclusion criteria patients randomly divided into two groups: combined treatment group40cases, traction treatment group40cases.Pulling group sustained small joint basis weight pelvic traction treatment, the control shall be pure foundation treatment, treatment for3weeks, were followed up for6weeks.Using visual analog pain score (VAS), the Japanese orthopedic association low back pain disorders curative effect evaluation survey (JOA), Roland Morris dysfunction, evaluation of quality of life (SF-36) and the straight leg-raising Angle measurement and evaluation method to evaluate.Both group in2,3,6weeks when testing the above observation index.Mainly records before and after treatment in patients with the index changes of clinical symptoms and signs, lumbar function improvement and the waist pain relief time.Summarizing and evaluating the effect of traction in the acute treatment of tangibility.Results:Curative effect during the follow-up period of6weeks, according to the VAS score, traction control group3cases,21cases were markedly effective,14cases effectiveness and2cases, the total effective rate was95%;Control group control4cases,20cases were markedly effective,15cases effectiveness and1case, the total effective rate was97.5%, pulling group in improving the waist pain and there was no difference in the control group (P>0.05).According to JOA score,4cases of treatment group condition control, clinical,21cases were markedly effective, clinical effective clinical invalid4cases,12cases, the total effective rate was90%after treatment;Control condition control in4cases, clinical,20cases were markedly effective, clinical effective, clinical,13cases (3cases), the total effective rate was92.5%after treatment, the traction group on improve lumbar function and pain relief time difference with the control group (P>0.05). According to the quality of life score and the straight leg-raising Angle measurements, pulling group of herniation of endogenous long curative effect in stabilizing system and there was no difference in the control group (P>0.05).Pulling group at2weeks after treatment supervision results showed that the patients with acute lumbar intervertebral disc protrusion pain relief time and there was no difference in the control group (P>0.05).Conclusion:1. The statistical tests showed traction in the acute treatment of lumbar disc prolapse no significant advantage, from the perspective of health economics, lumbar disc disease of traction treatment response in patients with acute stage according to consider whether to use traction treatment.2. Pulling group at2weeks after treatment supervision results show that the time of pain relief in patients with acute lumbar intervertebral disc protrusion and there was no difference in the control group (P>0.05), there is no direct evidence that lumbar traction can aggravate the symptoms of nerve root type acute lumbar intervertebral disc protrusion, to extend the treatment cycle.3. Through visual analog pain rating scale, quality of life rating scale, Roland- Morris, low back pain assessment scale, the Japanese orthopedic association low back pain assessment scale evaluation, and other means of integrated application of curative effect evaluation, we observe the curative effect is the result of the above involves changes in the entire research process is similar.Changes in the Angle of the straight leg-raising and survival quality score is the most slow performance indicators, before the end of the treatment of the differences between two groups did not show Angle change, but changes in the Angle of follow-up there was statistical significance.Illustrates the JOA low back pain score, RMD waist pain score, VAS visual analogue scale three often used to evaluate the curative effect of acute lumbar intervertebral disc protrusion quantitative indicators, follow-up phase in the treatment of pain relief and quality of life improved reliability evaluation.Measuring the changes in the Angle of the straight leg-raising and quality of life scores can be used as a follow-up evaluation index.4. This study lumbar massage, acupuncture, kerotherapy, traditional Chinese medicine, Chinese medicine fumigation ion and comprehensive treatment methods, such as low back muscle functional exercise therapy without adverse reactions report, acute lumbar intervertebral disc protrusion tip comprehensive treatment method curative effect is reliable security, stability.