首页|密集型温针灸斜刺联合腰椎斜扳手法治疗腰椎间盘突出症的疗效观察

密集型温针灸斜刺联合腰椎斜扳手法治疗腰椎间盘突出症的疗效观察

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目的 观察密集型温针灸斜刺联合腰椎斜扳手法治疗腰椎间盘突出症(LDH)的临床疗效.方法 选取2022 年8 月至2023 年7 月收治的60 例LDH患者为研究对象,采用随机数字表法分为2 组,对照组30 例予常规针刺治疗,治疗组30 例予密集型温针灸斜刺联合腰椎斜扳手法治疗.比较2 组治疗前后Oswestry功能障碍指数(ODI)评分、血清C反应蛋白(CRP)、血液流变学指标[包括全血黏度(低切)、全血黏度(高切)及血浆黏度]及生活质量综合评定问卷(GQOLI-74)(包括躯体功能、心理功能及社会功能 3 个维度]评分变化情况.结果 治疗组总有效率 93.33%(28/30),对照组总有效率73.33%(22/30),治疗组总有效率高于对照组(P<0.05).与本组治疗前比较,2 组治疗后腰椎功能ODI评分均降低(P<0.05),且治疗组治疗后腰椎功能ODI评分低于对照组(P<0.05).与本组治疗前比较,2 组治疗后炎症指标血清CRP水平均降低(P<0.05),且治疗组治疗后血清CRP水平低于对照组(P<0.05).与本组治疗前比较,2 组治疗后血液流变学指标全血黏度(低切)、全血黏度(高切)及血浆黏度水平均降低(P<0.05),且治疗组治疗后血液流变学指标全血黏度(低切)、全血黏度(高切)及血浆黏度水平均低于对照组(P<0.05).与本组治疗前比较,2组治疗后生活质量GQOLI-74 躯体功能、心理功能及社会功能评分均升高(P<0.05),且治疗组治疗后GQOLI-74 躯体功能、心理功能及社会功能评分均高于对照组(P<0.05).结论 密集型温针灸斜刺联合腰椎斜扳手法治疗LDH的临床疗效确切,可有效改善患者腰椎功能,消除炎症反应,改善血液流变学指标,提高生活质量.
Clinical efficacy of oblique insertion of intensive warm acupuncture combined with lumbar oblique pulling manipulation for lumbar disc herniation
Objective To observe the clinical efficacy of oblique insertion of intensive warm acupuncture combined with lumbar oblique pulling manipulation for lumbar disc herniation(LDH).Methods From August 2022 to July 2023,sixty LDH patients were assigned to the control group(n =30)and the treatment group(n =30),in which they were treated with conven-tional acupuncture and oblique insertion of intensive warm acupuncture combined with lumbar oblique pulling manipulation,re-spectively.The aim was to compare oswestry disability index(ODI),C-reactive protein(CRP),hemorheology indexes(whole blood viscosity[WBV][low shear],WBV[high shear],plasma viscosity),Generic Quality of Life Inventory-74(GQOLI-74)(physical function,mental function,social function).Results The overall effective rate in the treatment group was better than that in the control group(93.33%[28/30]vs73.33[22/30],[P<0.05],respectively).After treatment,ODI scores in the both groups were significantly decreased(P<0.05),which were significantly lower in the treatment group than in the con-trol group(P<0.05).CRP in the both groups was significantly decreased(P<0.05),which decreased notably in the treat-ment group compared with the control group(P<0.05).WBV(low shear,high shear),plasma viscosity in the both groups was significantly decreased(P<0.05),the reduction in the treatment group was more prevalent compared with the control group(P<0.05).GQOLI-74(physical function,mental function,social function)scores in the both groups were significantly in-creased(P<0.05),the increase in the treatment group was more common than the control group(P<0.05).Conclusion For LDH patients,oblique insertion of intensive warm acupuncture combined with lumbar oblique pulling manipulation has defi-nite clinical efficacy,which can effectively improve lumbar spine function,eliminate inflammatory reactions,hemorheology inde-xes,and quality of life.

Protrusion of intervertebral discLumbar vertebraAcupuncture therapyBone-setting manipulations

项瑞瑞、郭雅雯、孟立仙、张树立、孙桂枝、武文玉

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河北省张家口市妇幼保健院中医科,河北 张家口 075000

椎间盘突出 腰椎 针灸疗法 正骨手法

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(1)
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