目的 观察计算机控制三维牵引联合补阳还五汤治疗腰椎间盘突出症的临床疗效和安全性.方法 选择我院经常规骨科查体结合CT片、X线平片确诊的腰椎间盘突出症患者200例,采用多中心随机对照研究,随机分为治疗组100例(A组),采用计算机控制三维牵引治疗,牵引距离50～70 mm,屈曲角度±(15°～25°),旋转角度±(8°～25°)同时给予补阳还五汤;对照组100例(B组),采用腰椎旋转复位法治疗.结果 A组中牵引1次93例,2次7例;B组中1次77例,2次23例.两组比较A组明显高于B组,差异有高度统计学意义(X2=14.84,P<0.01).两组患者治疗后腰痛、下肢放射痛、下肢麻木、翻身困难、腰部压痛、直腿抬高及加强验试验等症状体征的积分比较,A组明显高于B组,且差异有统计学意义(P<0.05).A组疗程明显短于B组(P<0.01).结论 这是一种计算机和中医正骨技术相结合的新型治疗方法,在规范化操作下,具有快速、安全、有效、实用、容易量化控制等特点.%Objective To observe the clinical efficacy and safety of three-dimensional traction controlled by computer combined with Buyang Huanwu Decoction in the treatment of prolapse of lumbar intervertebral disc. Methods 200 patients with lumbar disc herniation were selected who were diagnosed after conventional orthopaedic examination and CT film, X- ray. A multi-center randomized controlled study was carried out. 100 patients were randomly divided into treatment group (group A) using three-dimensional traction controlled by computer; draw length was from the 50 mm to 70 mm, flexion angle between ±(15°-25°), rotation between ±(8°-25°). Buyang Huanwu Decoction was applied at the same time. 100 cases in control group (group B) were used of lumbar rotation reduction treatment. Results 93 cases had got traction once, 7 cases had 2 times in group A; as well as 77 cases had got traction once, 23 cases had 2 times in group B. The difference was statistically significant (x2 = 14.84, P < 0.01). The scores of lumbago, sciatica, numbness, difficulty turning, waist tenderness, straight leg raising test and enhance test and other symptoms and signs of group A were significantly higher than those of group B and the differences were significant (P < 0.05). The course of treatment in group A was significantly shorter than that of group B (P < 0.01). Conclusion This is new treatment available of computer technology combined with Chinese bone-setting combination, it have fast, safe, effective, practical, easy to quantify control and so on if standardized operation.
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