来源：风湿病与关节炎,2020,9（9）:17-21.

基于解剖列车理论下康复治疗腰椎间盘突出症临床研究

（临床研究）

程亭秀，刘树强，肖丙龙，曹景文，吴殿霖，刘凯宁，程广耀，张灿成，庄茂林

　　【摘　要】目的：观察基于解剖列车理论下康复治疗腰椎间盘突出症的临床疗效。方法：将120例腰椎间盘突出症患者随机分为治疗组、对照1组和对照2组，每组40例。治疗组采用解剖列车理论指导下的相关肌肉筋膜局部按摩、深前线肌肉筋膜牵伸及浅背线肌肉筋膜训练，对照1组采用解剖列车理论指导下的相关肌肉筋膜局部按摩、深前线肌肉筋膜牵伸，对照2组采用传统中医推拿治疗，3组均治疗4周。观察3组治疗前后视觉模拟评分法（VAS）评分、Oswestry功能障碍指数（ODI）评分及日本骨科协会（JOA）评分。结果：治疗后，3组VAS评分、ODI评分及JOA评分较治疗前均有改善（P < 0.05）。治疗2周、4周及随访3个月时，治疗组VAS评分、ODI评分及JOA评分均优于对照1组和对照2组（P < 0.05）；治疗4周及随访3个月时，对照1组VAS评分、ODI评分及JOA评分均优于对照2组（P < 0.05）。结论：基于解剖列车理论下康复治疗腰椎间盘突出症操作简单，容易掌握，效果显著，安全不易复发，患者容易接受，而且不需要专业设备，值得临床推广。

　　【关键词】　腰椎间盘突出症；解剖列车；康复；临床研究

Clinical Study on Rehabilitation Treatment of Lumbar Disc Herniation Based on Anatomical Train Theory

CHENG Ting-xiu,LIU Shu-qiang,XIAO Bing-long,CAO Jing-wen,WU Dian-lin,LIU Kai-ning,CHENG Guang-yao,ZHANG Can-cheng,ZHUANG Mao-lin

　　【ABSTRACT】Objective:To observe the clinical effect of rehabilitation treatment of lumbar disc herniation based on the Anatomical Train Theory.Methods:One hundred and twenty patients with lumbar disc herniation were randomly divided into a treatment group,control group 1 and control group 2,40 cases in each.The treatment group was treated with local massage of related muscle and fascia,deep frontline muscle and fascia traction and shallow back line muscle fascia training under the guidance of the Anatomical Train Theory.Control group 1 was given local massage and deep frontline muscle and fascia traction under the guidance of the Anatomical Train Theory.Control group 2 was treated with TCM massage.All three groups were treated for 4 weeks.Visual analogue scale（VAS）,Oswestry disability index（ODI）score and Japanese Orthopaedic Association（JOA）score were used for comparison.Results:After treatment,VAS score,ODI score and JOA score of the three groups were improved compared with those before treatment（P < 0.05）.The VAS score,ODI score and JOA score of the treatment group were better than those of control group 1 and control group 2 when treated for two and four weeks and at 3-month follow-up（P < 0.05）.When treated for four weeks and at 3-month follow-up,VAS score,ODI score and JOA score of control group 1 were better than those of control group 2（P < 0.05）.Conclusion:The rehabilitation treatment of lumbar disc herniation based on the Anatomical Train Theory is simple,easy to master,markedly effective,safe,hard to relapse,easy to accept by patients,and does not need professional equipment,which is worthy of clinical promotion.

　　【Keywords】 lumbar disc herniation;anatomical train;rehabilitation;clinical study