摘要
目的探讨温针灸联合正骨推拿手法在腰椎间盘突出症(LDH)患者中的应用效果.方法选取2020年5月—2021年11月我院收治的98例LDH患者为研究对象,按随机数字表法分为两组,各49例.对照组采用常规西医治疗,观察组在对照组基础上采用温针灸联合正骨推拿手法治疗,均持续治疗8周.对比两组腰椎功能、腰部疼痛程度以及生活质量.结果治疗前,两组腰椎日本骨科协会评估治疗评分(JOA)、疼痛视觉模拟评分(VAS)、生活质量综合评定问卷(GQOLI-74)评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组腰椎JOA中的主观症状评分(6.13±0.20)分、临床症状评分(4.62±0.38)分、日常活动受限度评分(10.53±1.57)分、膀胱功能评分(-1.48±-0.12)分及GQOLI-74中的心理功能评分(89.14±4.07)分、躯体功能评分(88.42±4.28)分、社会功能评分(86.42±5.49)分、物质生活评分(85.29±6.53)分均高于对照组的(5.73±0.32)分、(3.87±0.42)分、(8.29±1.56)分、(-3.01±-0.33)分、(81.39±5.92)分、(79.79±5.50)分、(77.39±6.91)分、(77.56±5.95)分,VAS评分(1.38±0.21)分低于对照组的(1.80±0.33)分,组间差异有统计学意义(P<0.05).结论温针灸联合正骨推拿手法治疗能够减轻LDH患者的腰部疼痛程度,改善其腰椎功能及生活质量.
Objective To investigate the application effect of warming acupuncture combined with bone-setting massage technique in patients with lumpar disc herniation(LDH).Methods 98 LDH patients admitted to the hospital from May 2020 to November 2021 were selected as the research objects,and divided into two groups according to the random number table method,with 49 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with warm acupuncture combined with bone-setting massage technique on the basis of the control group.Both groups were treated for 8 weeks.The lumbar spine function,the degree of lumbar pain and quality of life were compared between the two groups.Results Before treatment,the Japanese Orthopaedic Association scores(JOA)of the lumbar spine,pain visual analogue scale(VAS)scores,and generic quality of life inventory-74(GQOLI-74)scores were compared between the two groups,and there was no significant difference between the two groups(P>0.05);after treatment,the subjective symptoms,clinical symptoms,daily activity limitation,and bladder function scores in lumbar JOA in the observation group were(6.13±0.20)points,(4.62±0.38)points,(10.53±1.57)points,(-1.48±-0.12)points,respectively,and the scores of psychological function,physical function,social function and material life in GQOLI-74 were(89.14±4.07)points,(88.42±4.28)points,(86.42±5.49)points,(85.29±6.53)points,respectively,which were higher than(5.73±0.32)points,(3.87±0.42)points,(8.29±1.56)points,(-3.01±-0.33)points,(81.39±5.92)points,(79.79±5.50)points,(77.39±6.91)points,(77.56±5.95)points of the control group,the VAS score was(1.38±0.21)points,which was lower than(1.80±0.33)points of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Warming acupuncture combined with bone-setting massage technique can reduce the degree of lumbar pain in patients with LDH,and improve their lumbar spine function and quality of life.
作者
徐琳
薛雁
XU Lin;XUE Yan(Department of Acupuncture and Moxibustion,Jining Hospital of Traditional Chinese Medicine,Jining Shandong,272000,China)
出处
《反射疗法与康复医学》
2022年第11期14-17,共4页
Reflexology And Rehabilitation Medicine
关键词
腰椎间盘突出症
温针灸
正骨推拿手法
腰椎功能
腰部疼痛程度
生活质量
Lumbar disc herniation
Warming acupuncture
Bone-Setting massage technique
Lumbar spine function
Degree of lumbar pain
Quality of life
作者简介
徐琳(1971-),女,山东梁山人,硕士研究生,副主任医师,研究方向:针灸科临床。
