首页|Mulligan动态关节松动配合背俞穴透刺夹脊穴对腰椎间盘突出症患者生活质量的影响

Mulligan动态关节松动配合背俞穴透刺夹脊穴对腰椎间盘突出症患者生活质量的影响

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目的 探讨Mulligan动态关节松动配合背俞穴透刺夹脊穴对腰椎间盘突出症(LDH)患者生活质量的影响.方法 选取2021年 1月至12 月在康复医学科就诊且行适宜手法治疗的 80 例LDH患者为研究对象,将其随机分为对照组和观察组,各 40例.两组均采用常规腰部推拿和干扰电疗法治疗,对照组采用背俞穴透刺夹脊穴治疗,观察组在对照组基础上配合Mulligan动态关节松动治疗.比较两组的治疗效果.结果 治疗后,两组的疼痛分级指数(PRI)、视觉模拟评分法(VAS)、现在疼痛状况(PPI)评分均低于治疗前,且观察组低于对照组(P<0.05).治疗后,两组的日本骨科协会下腰痛评分法(JOA)评分高于治疗前,中文版Oswestry功能障碍指数(CODI)评分低于治疗前,且观察组优于对照组(P<0.05).治疗后,两组的健康调查简表(SF-36)各维度评分均高于治疗前,且观察组高于对照组(P<0.05).结论 Mulligan动态关节松动配合背俞穴透刺夹脊穴可减轻LDH患者的腰部疼痛不适症状,改善腰椎功能,提高生活质量.
Effect of Mulligan dynamic joint mobilization combined with back-shu point penetration needling Jiaji point on the quality of life of patients with lumbar disc herniation
Objective To explore the effect of Mulligan dynamic joint mobilization combined with back-shu point penetration needling Jiaji point on the quality of life of patients with lumbar disc herniation(LDH).Methods A total of 80 LDH patients who were treated with appropriate manipulation in the rehabilitation medicine department from January to December 2021 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 40 cases in each group.Both groups were treated with conventional lumbar massage and interference electrotherapy,the control group was treated with back-shu point penetration needling Jiaji point,the observation group was treated with Mulligan dynamic joint mobilization on the basis of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the Pain Rating Index(PRI),Visual Analogue Scale(VAS)and Present Pain Intensity(PPI)scores of the two groups were lower than those before treatment,and those of the observation group were lower than the control group(P<0.05).After treatment,the Japanese Orthopaedic Association Scores(JOA)score of the two groups was higher than that before treatment,the Chinese Oswestry Disability Index(CODI)score was lower than that before treatment,and those of the observation group were better than the control group(P<0.05).After treatment,the scores of each dimension of the MOS 36-Item Short Form Health Survey(SF-36)in the two groups were higher than those before treatment,and those in the observation group were higher than the control group(P<0.05).Conclusion Mulligan dynamic joint mobilization combined with back-shu point penetration needling Jiaji point can alleviate the symptoms of lumbar pain and discomfort in LDH patients,improve lumbar function and elevate the quality of life.

lumbar disc herniationback-shu point penetration needling Jiaji pointMulligan dynamic joint mobilizationquality of life

孙辉、陈国强、杨朴、鲁娟娟、常永乾、孙国权

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南阳市第一人民医院康复医学科,河南 南阳,473001

腰椎间盘突出症 背俞穴透刺夹脊穴 Mulligan动态关节松动 生活质量

南阳市2020年科技发展计划项目

2020-KJGG150

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(24)