| Lumbar disc herniation(LDH) is a common multiple diseases, which is a syndrome manifesting low back pain and sciatica. It is due to the occurrence of lumbar intervertebral disc degeneration or external force generates the imbalance of force between the disc, causing the rupture of lumbar intervertebral disc and the extrusion of nucleus pulposus, which compressing or stimulating the spinal cord or nerve root within the spinal, blood vessels, etc. With the coming of the information-age, the change of people’s life, the decrease of exercise and the increase of social pressures, the incidence of lumbar disc herniation is increasing with each passing year and increasing younger. Therefore, to improve the clinical research of lumbar disc herniation has important practical significance, seeking to find a safe and effective therapy.ObjectiveTo observe the clinical effects before and after the treatments in LDH, and compare the overhang traction combined with microwave treatment and the horizontal traction combined with microwave in LDH. This research is to clear which postural traction is better for the clinical results, and providing a basis in the clinical treatments of LDH.MethodsThe test included60cases of LDH patients, who were randomly divided into the treatment group which received overhang traction combined with microwave, and the control group which received horizontal traction combined with microwave. Both groups included30cases. The treatment group:first they received the treatment of overhang traction with20minutes, then received the treatment of microwave irradiation with15minutes. The control group: first they receive the treatment of horizontal traction with20minutes, then received the treatment of microwave irradiation with15minutes. A course was receiving treatment daily for7consecutive days, and it taked two courses totally. The patients of two groups were scored both before and after two courses of treatments by the Owestry Disability Index (ODI), and the Pain visual analogue scale (VAS).Finally, we analyzed the clinical effect by using the statistical methods to get a comprehensive assessment of its clinical effect.ResultsIn the treatment group, clinical cure rate was85.7%and the effective rate was92.9%. In the control group, clinical cure rate was60.7%, the effective rate was89.3%. The statistics chi-square test showed that the overhang traction combined with microwave group was significantly improve the efficacy. Comparing the VAS scores between the two groups before and after treatment, it showed that both groups’VAS scores decreased after they completed the treatment. The statistics test illustrated that the differences of patients before and after treating had statistical significance. It meaned that both groups’treatment was effective. Then compareing the scores between both groups’patients after the treatment, we got that the treatment groups’ clinical effect was superior. Comparing the patients’Owestry Disability Index (ODI) scores, it showed that both groups scores decreased after treatment. The statistics test illustrated that there were significant difference before and after treatment. It means that both the groups’ treatments played effect.Finally comparing the groups’ODI scroes after treating, the results told that the treatment group was more effective than the control group in relieving the symptoms of LDH.ConclusionThe overhang traction combined microwave in treating LDH could release patients’pain in the low back, the leg, and the other symptoms quickly. The therapy is simple, and high-security. Meanwhile, it has no iatrogenic injury. In conclusion, this therapy optimizes the combination of overhang traction therapy and microwave that is worthy of clinical application. |
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