临床医学研究与实践2024，Vol.9Issue(27) ：122-125.DOI:10.19347/j.cnki.2096-1413.202427031

温针灸配合推拿手法治疗寒湿瘀阻证慢性腰痛的效果及对疼痛程度、运动功能的影响

Effect of warm acupuncture and moxibustion combined with massage on chronic low back pain of cold dampness stasis syndrome and its influences on pain degree and motor function

茹延龙 黄晓云 王冰瑶 吴莉娜 王博毅 孙玲莉 闫建梅
临床医学研究与实践2024，Vol.9Issue(27) ：122-125.DOI:10.19347/j.cnki.2096-1413.202427031
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温针灸配合推拿手法治疗寒湿瘀阻证慢性腰痛的效果及对疼痛程度、运动功能的影响

Effect of warm acupuncture and moxibustion combined with massage on chronic low back pain of cold dampness stasis syndrome and its influences on pain degree and motor function

茹延龙 1黄晓云 1王冰瑶 1吴莉娜 1王博毅 1孙玲莉 1闫建梅2
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作者信息

  • 1. 陕西省中医医院,陕西 西安,710003
  • 2. 子长市人民医院,陕西 延安,717300
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摘要

目的 探讨温针灸配合推拿手法治疗寒湿瘀阻证慢性腰痛的效果及对疼痛程度、运动功能的影响.方法 选取2020 年1月至2023 年 1月收治的 90 例寒湿瘀阻证慢性腰痛患者,以随机数字表法将其分为对照组(45 例,常规治疗)和观察组(45 例,在常规治疗基础上行温针灸配合推拿手法).比较两组的治疗效果.结果 观察组的治疗总有效率高于对照组(P＜0.05).治疗后,观察组的视觉模拟评分法(VAS)评分低于对照组,日本骨科协会腰痛评估量表(JOABPEQ)评分高于对照组(P＜0.05).治疗后,观察组的腰肌等长收缩最大前屈肌力、最大后伸肌力均大于对照组,Oswestry功能障碍指数(ODI)评分低于对照组(P＜0.05).治疗后,观察组的匹兹堡睡眠质量指数(PSQI)评分低于对照组,简明健康调查量表(SF-36)评分高于对照组(P＜0.05).结论 温针灸配合推拿手法治疗寒湿瘀阻证慢性腰痛患者的效果明显,可减轻疼痛程度,改善运动功能,提高患者的睡眠质量和生活质量.

Abstract

Objective To explore the effect of warm acupuncture and moxibustion combined with massage on chronic low back pain of cold dampness stasis syndrome and its influences on pain degree and motor function.Methods A total of 90 patients with chronic low back pain of cold dampness stasis syndrome admitted from January 2020 to January 2023 were selected and divided into control group(45 cases,routine treatment)and observation group(45 cases,warm acupuncture and moxibustion combined with massage on the basis of routine treatment)by random number table method.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group,and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire(JOABPEQ)score was higher than that of the control group(P<0.05).After treatment,the maximum flexion muscle strength and maximum extension muscle strength of lumbar isometric contraction in the observation group were larger than those in the control group,and the Oswestry Disability Index(ODI)score was lower than that in the control group(P<0.05).After treatment,the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was lower than that of the control group,and the MOS 36-Item Short Form Health Survey(SF-36)score was higher than that of the control group(P<0.05).Conclusion Warm acupuncture and moxibustion combined with massage in the treatment of patients with chronic low back pain of cold dampness stasis syndrome has obvious effect,which can reduce the degree of pain,improve motor function,enhance sleep quality and quality of life of patients.

关键词

温针灸/推拿手法/慢性腰痛/寒湿瘀阻证

Key words

warm acupuncture and moxibustion/massage/chronic low back pain/cold dampness stasis syndrome

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出版年

2024
临床医学研究与实践

临床医学研究与实践

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