首页|针刺疗法对肾虚血瘀型腰椎间盘突出症患者疼痛程度、腰椎功能及生活质量的影响

针刺疗法对肾虚血瘀型腰椎间盘突出症患者疼痛程度、腰椎功能及生活质量的影响

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目的 探讨针刺疗法在肾虚血瘀型腰椎间盘突出症(LDH)中的临床效果.方法 选取 2021 年 5 月—2023年5 月同济大学附属东方医院胶州医院收治的86例肾虚血瘀型LDH患者为研究对象,按照随机数字表法将其分为对照组与观察组,各43例.对照组采用独活寄生汤治疗,观察组在对照组基础上加用针刺疗法,两组均治疗 4 周.比较两组的临床疗效、疼痛程度、腰椎功能、生活质量及不良反应发生情况.结果 观察组治疗总有效率为 95.35%,高于对照组的81.40%,差异有统计学意义(P<0.05).治疗 4周后,观察组疼痛视觉模拟评分低于对照组,日本骨科协会评估治疗分数高于对照组,组间差异有统计学意义(P<0.05);观察组世界卫生组织生活质量测定量表简表各个领域评分均高于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 针刺疗法可提高肾虚血瘀型LDH患者的治疗效果,加快疼痛消失,减轻日常活动受限,有利于改善生活质量,安全可靠.
Effect of Acupuncture Therapy on Pain Degree,Lumbar Function and Quality of Life in Patients with Kidney Deficiency and Blood Stasis Type Lumbar Disc Herniation
Objective To explore the clinical effect of acupuncture therapy on kidney deficiency and blood stasis type lumbar disc herniation(LDH).Methods A total of 86 kidney deficiency and blood stasis type LDH patients admitted to Jiaozhou Hospital Affiliated to Tongji University from May 2021 to May 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 43 cases in each group.The control group was treated with Duhuo Jisheng decoction,and the observation group was treated with acupuncture therapy on the basis of the control group,both groups were treated for 4 weeks.The clinical efficacy,pain degree,lumbar function,quality of life and occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.35%,which was higher than 81.40%of the control group,the difference was statistically significant(P<0.05).After 4 weeks of treatment,the Visual Analogue Scale score of pain in the observation group was lower than that in the control group,and the Japanese Orthopaedic Association assesses treatment score was higher than that in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of all fields of the World Health Organization Quality of Life-Brief Version in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture therapy can improve the therapeutic effect of kidney deficiency and blood stasis type LDH patients,accelerate the disappearance of pain,reduce the limitation of daily activities,improve the quality of life,and is safe and reliable.

Lumbar disc herniationAcupuncture therapyDuhuo Jisheng decoctionPain degreeQuality of life

李世鹏

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同济大学附属东方医院胶州医院康复科,山东青岛 266300

腰椎间盘突出症 针刺疗法 独活寄生汤 疼痛程度 生活质量

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(13)