首页|正骨结合针刀治疗腰椎间盘突出症的临床效果及对患者腰椎功能的影响

正骨结合针刀治疗腰椎间盘突出症的临床效果及对患者腰椎功能的影响

扫码查看
目的 研究正骨结合针刀治疗腰椎间盘突出症(LDH)的临床效果及对患者腰椎功能的影响.方法 以 2022 年 1 月-2023 年8 月景德镇市第一人民医院收治的 66 例LDH患者为研究对象,经随机数字表法分为对照组(33 例)与观察组(33 例).对照组行中医正骨治疗,观察组则采用正骨结合针刀治疗,比较两组临床效果、疼痛程度[视觉模拟评分(VAS)、Oswestry功能障碍指数问卷表(ODI)]、腰椎功能[日本骨科协会评分(JOA)]、不良事件.结果 观察组治疗有效率高于对照组(P<0.05);观察组VAS、ODI评分低于对照组,JOA评分高于对照组(P<0.05);两组不良事件发生率(骨折、脱位、出血、疼痛加剧)比较,差异无统计学意义(P>0.05).结论 正骨结合针刀治疗LDH效果肯定,可减轻患者疼痛程度,改善其腰椎功能,且具有较高安全性.
Clinical Effect of Traditional Chinese Medicine Bone-setting Combined with Akupotomye in the Treatment of Lumbar Disc Herniation and its Effect on Lumbar Function
Objective To study the clinical effect of traditional Chinese medicine bone-setting combined with akupotomye for lumbar disc herniation(LDH)and its impact on lumbar spine function.Methods During January,2022 and August,2023,66 patients with LDH admitted to the Jingdezhen First People's Hospital were collected,and grouped by random number table method,while 33 patients were enrolled in the control group and 33 patients were enrolled in the observation group.The traditional Chinese medicine bone-setting was used for treatment in the control group,while the observation group was added akupotomye on the basis of the method which was carry out in the control group.The clinical effect,pain degree[Visual Analogue Scale(VAS),Oswestry dysfunction index questionnaire(ODI)],lumbar function[Japanese Orthopaedic Association score(JOA)]and adverse events were compared.Results In comparison with the control group,the observation group was observed to have a higher effective rate(P<0.05).Compared with the patients in the control group after the treatment,the patients'VAS and ODI scores in the observation group were significantly lower,but their JOA scores were significantly higher(P<0.05).For adverse events,no statistical differences were observed between the two groups in the incidences of fracture,luxation,bleeding and increased pain(P>0.05).Conclusion Traditional Chinese medicine bone-setting combined with akupotomye is effective in the treatment of LDH,which can reduce the pain degree of patients,improve their lumbar function,and has high safety.

Lumbar disc herniationTraditional Chinese medicine bone-settingAkupotomyeLumbar spine functionPain levelAdverse event

程俊

展开 >

景德镇市第一人民医院骨伤科,江西 景德镇 333000

腰椎间盘突出症 中医正骨 针刀 腰椎功能 疼痛程度 不良事件

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(23)