ITMCTR2000003263尚未招募1 期
Study on the practice and mechanism of integrated rehabilitation program for lumbar disc herniation
适应症
试验速览
- 阶段
- 1 期
- 状态
- 尚未招募
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional study
入排标准
- 年龄范围
- 20 至 60（—）
- 性别
- All
入选标准
- •Refer to the industrial standard of traditional Chinese medicine of the people's Republic of China issued by the State Administration of traditional Chinese medicine
- •1. For patients with history of waist trauma, chronic strain or cold dampness, most of them had history of chronic lumbago before the onset of the disease.
- •2. Low back pain can be accompanied by radiation numbness of buttocks and lower limbs, and the pain will be aggravated when the abdominal pressure increases (such as cough and sneeze).
- •3. Patients with scoliosis, disappearance of physiological curvature of lumbar spine or reverse arch, tenderness beside the lesion, radiation to lower limbs, and obvious limitation of lumbar activity.
- •4. There is hypersensitivity or dullness in the innervated area of the lower extremity, and muscle atrophy may occur in the elderly. The knee and Achilles tendon reflexes were weakened or disappeared, and the muscle strength of hallux dorsiflexion or plantar flexor was weakened.
- •5. X-ray examination can show that scoliosis, lumbar lordosis disappears, the diseased disc may be narrowed, and there are osteophytes on the adjacent edge. CT examination can show the location and degree of disc herniation, and judge the stenosis of lumbar spinal canal; MRI examination can show that disc degeneration or high signal area, nucleus pulposus herniation, dural sac and nerve root compression can be seen behind the fiber ring, and they can be differentiated from tumors in the spinal canal. Image examination is helpful to clear diagnosis and select reasonable treatment.
- •6. Patients between 20-60 years old are not limited to men and women.
- •7. Patients who sign informed consent and are willing to accept rehabilitation treatment plan and whose clinical diagnosis and treatment process meets the medical ethics standards.
排除标准
- •1. Patients with spondylolysis or obvious instability of lumbar spine.
- •2. patients with obvious lumbar spinal canal stenosis, hypertrophy of ligamentum flavum or calcification.
- •3. Patients with symptoms of cauda equina injury, such as abnormal urination and defecation, numbness of sellar area, etc.
- •4. Patients with tumor, tuberculosis, hematopathy, infection and other diseases and allergic history of related drugs.
- •5. Patients with lower extremity motor ability defect, obvious muscle tension increase, tendon hyperreflexion, ankle clonus and other patients reflecting upper motor neuron or spinal cord lesions.
- •6. Patients with gait weakness, panic, sway, or ataxia and other suspected abnormalities of central, spinal or skeletal muscle lesions.
- •7. Patients with serious primary life-threatening diseases such as cardio cerebrovascular, liver and kidney, and poor control of diabetes and psychosis.
- •8. Patients with weak constitution or severe osteoporosis.
- •9. Pregnant, lactating and menstruating women.
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