Clin Rehabil:机械牵引是否可改善椎间盘突出症患者的腰痛症状?

2020-08-01 MedSci原创 MedSci原创

本研究旨在评价牵引对改善椎间盘突出患者的腰痛、功能结果和椎间盘形态的有效性。

本研究旨在评价牵引对改善椎间盘突出患者的腰痛、功能结果和椎间盘形态的有效性。

 

研究人员搜索了PubMed、Scopus、Embase和Cochrane图书馆数据库,截止至2019年7月。纳入了随机对照试验,这些试验(1)涉及经磁共振成像或计算机断层扫描证实的椎间盘突出相关的腰痛成年患者,(2)比较腰椎牵引与假牵引或不牵引,(3)提供干预前后疼痛和功能的定量测量。使用物理治疗证据数据库(PEDro)量表和Cochrane偏倚风险评估来评估方法学质量。

 

根据标题、摘要和全文综述排除后,纳入了7篇涉及403名参与者的文章进行定量分析。结果显示,与对照组相比,牵引组的参与者在短期内疼痛和功能的改善明显更大,标准平均差异分别为0.44(95%置信区间(CI):0.11-0.77)和0.42(95%CI:0.08-0.76)。标准平均差异不显著,不能支持对疼痛和功能的长期影响,也不能支持对椎间盘突出大小的影响。

 

综上所述,该研究结果表明,与假牵引或不牵引相比,腰椎牵引在短期内表现出明显更多的疼痛减轻和功能改善,但在长期内并不明显。目前没有足够的证据支持腰椎牵引对减少椎间盘突出大小的影响。

 

原始出处:

 

Yu-Hsuan ChengChih-Yang HsuYen-Nung Lin. The effect of mechanical traction on low back pain in patients with herniated intervertebral disks: a systemic review and meta-analysis. Clin Rehabil. 2020 Jan;34(1):13-22. doi: 10.1177/0269215519872528. 

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    2020-08-04 124c32bfm02暂无昵称

    短期改善症状 长期效果不好是不是没有长时间做牵引呢?

    0

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    2020-08-03 qjddjq
  4. [GetPortalCommentsPageByObjectIdResponse(id=1683790, encodeId=60aa1683e90d8, content=<a href='/topic/show?id=599862899ba' target=_blank style='color:#2F92EE;'>#椎间盘突出#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62899, encryptionId=599862899ba, topicName=椎间盘突出)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=104527995107, createdName=lfyang, createdTime=Thu Apr 29 12:58:37 CST 2021, time=2021-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=806145, encodeId=e53080614597, content=短期改善症状 长期效果不好是不是没有长时间做牵引呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b4f82513133, createdName=124c32bfm02暂无昵称, createdTime=Tue Aug 04 16:35:23 CST 2020, time=2020-08-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1521960, encodeId=2655152196051, content=<a href='/topic/show?id=f83866137f' target=_blank style='color:#2F92EE;'>#EHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6613, encryptionId=f83866137f, topicName=EHA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937d11405368, createdName=qjddjq, createdTime=Mon Aug 03 11:58:37 CST 2020, time=2020-08-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=805662, encodeId=04d1805662ee, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Sat Aug 01 21:37:49 CST 2020, time=2020-08-01, status=1, ipAttribution=)]
    2020-08-01 wxl882001

    了解一下

    0

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