首页|屈脊钟摆式锻炼联合温针灸治疗退行性腰椎滑脱下腰痛的临床研究

屈脊钟摆式锻炼联合温针灸治疗退行性腰椎滑脱下腰痛的临床研究

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目的 探究屈脊钟摆式锻炼联合温针灸治疗退行性腰椎滑脱下腰痛的临床效果.方法 选择 2021年8月—2023 年 7 月淄博市中医医院收治的 79 例退行性腰椎滑脱下腰痛患者为研究对象,按治疗方式不同将其分为对照组和观察组.对照组(n=39)采用温针灸联合塞来昔布胶囊治疗,观察组(n=40)在对照组基础上进行屈脊钟摆式锻炼.对比两组的疼痛程度、腰椎神经功能、腰椎矢状曲度、活动度及治疗效果.结果 治疗 4 周后,观察组的疼痛数字评价量表评分、Oswestry功能障碍指数评分均低于对照组,组间差异有统计学意义(P<0.05).治疗 4 周后,观察组的腰椎矢状曲度小于对照组,活动度大于对照组,组间差异有统计学意义(P<0.05).观察组的治疗总有效率为 95.00%,高于对照组的76.92%,差异有统计学意义(P<0.05).结论 退行性腰椎滑脱下腰痛患者采用屈脊钟摆式锻炼联合温针灸治疗,能有效降低疼痛程度和神经功能障碍程度,改善腰部活动度,提升治疗效果.
Clinical Study on the Treatment of Degenerative Lumbar Spondylolisthesis and Low Back Pain with Bending Spine Bell Pendulum Exercise Combined with Warm Acupuncture and Moxibustion
Objective To explore the clinical effect of bending spine bell pendulum exercise combined with warm acupuncture and moxibustion on degenerative lumbar spondylolisthesis and low back pain.Methods A total of 79 patients with degenerative lumbar spondylolisthesis and low back pain treated in Zibo City Hospital of Traditional Chinese Medicine from August 2021 to July 2023 were selected as the research objects and were divided into a control group and an observation group according to different treatment methods.The control group(n=39)was treated with warm acupuncture and moxibustion combined with celecoxib capsule,and the observation group(n=40)was treated with bending spine bell pendulum exercise on the basis of the control group.The pain degree,lumbar nerve function,lumbar sagittal curvature,range of motion and treatment effect were compared between the two groups.Results After 4 weeks of treatment,the scores of Numerical Rating Scale and Oswestry Disability Index in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).After 4 weeks of treatment,the lumbar sagittal curvature in the observation group was less than that in the control group,and the range of motion was greater than that in the control group,the differences between the groups were statistically significant(P<0.05).The total effective rate of the observation group was 95.00%,higher than 76.92%of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with degenerative lumbar spondylolisthesis and low back pain,bending spine bell pendulum exercise combined with warm acupuncture and moxibustion can effectively reduce the degree of pain and nerve dysfunction,improve the degree of lumbar motion and the therapeutic effect.

Degenerative lumbar spondylolisthesisLow back painBending spine bell pendulum exerciseWarm acupuncture and moxibustion

刘向阳

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淄博市中医医院针灸科,山东淄博 255300

退行性腰椎滑脱 下腰痛 屈脊钟摆式锻炼 温针灸

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)
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