摘要
目的探讨针刺夹脊穴联合腰背肌锻炼在腰椎间盘突出症(LDH)患者中的应用效果.方法选取我院2020年8月—2022年8月收治的82例LDH患者为研究对象,按随机数字表法分为两组,每组41例.对照组进行腰背肌锻炼,观察组在此基础上采用针刺夹脊穴治疗,均持续干预8周.比较两组患者的临床疗效、腰椎功能、Oswestry功能障碍指数(ODI)评分、疼痛视觉模拟(VAS)评分、日常生活能力、炎症及疼痛因子水平.结果观察组的治疗总有效率为95.12%,高于对照组的80.49%,差异有统计学意义(P<0.05).观察组治疗后的主观症状、临床体征、日常活动受限及总分均高于对照组,组间差异有统计学意义(P<0.05).观察组治疗后的ODI评分、VAS评分均低于对照组,Barthel指数评分高于对照组,组间差异有统计学意义(P<0.05).观察组治疗后的C反应蛋白、前列腺素E_(2)、5-羟色胺水平均低于对照组,组间差异有统计学意义(P<0.05).结论采用针刺夹脊穴联合腰背肌锻炼治疗LDH的效果显著,可加快患者腰椎功能恢复,改善其日常生活能力.
Objective To explore the effect of acupuncture at Jiaji points combined with lumbar back muscle exercise in patients with lumbar disc herniation(LDH).Methods A total of 82 LDH patients admitted to our hospital from August 2020 to August 2022 were selected as the research objects and were divided into two groups according to random number table method,with 41 cases in each group.The control group received lumbar back muscle exercise,and the observation group received acupuncture at Jiaji point on this basis,the intervention lasted for 8 weeks in both groups.The clinical efficacy,lumbar function,Oswestry disability index(ODI)score,pain visual analogue scale(VAS)score,daily living ability,inflammation and pain factor levels were compared between the two groups.Results The total effective rate of the observation group was 95.12%,which was higher than 80.49%of the control group,the difference was statistically significant(P<0.05).The subjective symptoms,clinical signs,limitations in daily activities and total score after treatment in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the ODI score and VAS score of the observation group were lower than those of the control group,and the Barthel index score was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).The levels of C-reactive protein,prostaglandin E_(2)and 5-hydroxytryptamine in the observation group after treatment were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Acupuncture at Jiaji point combined with lumbar back muscle exercise is effective in the treatment of LDH,which can accelerate the recovery of lumbar function and improve the ability of daily living.
作者
贾丽君
王丽娜
蔡民
付金焕
宫娟娟
JIA Lijun;WANG Lina;CAI Min;FU Jinhuan;GONG Juanjuan(Department of Rehabilitation Medicine,The First People's Hospital of Pingyuan County,Shandong Province,Dezhou Shandong,253102,China)
出处
《反射疗法与康复医学》
2023年第4期30-33,共4页
Reflexology And Rehabilitation Medicine
关键词
腰椎间盘突出症
针刺夹脊穴
腰背肌锻炼
腰椎功能
疼痛
Lumbar disc herniation
Acupuncture at Jiaji point
Lumbar back muscle exercise
Lumbar function
Pain
作者简介
贾丽君(1985-),女,山东德州人,硕士研究生,主治医师,研究方向:针灸联合康复治疗痛症;通信作者:蔡民(1985-),男,山东德州人,硕士研究生,副主任医师,研究方向:针灸联合康复治疗痛症。
