首页|调督理筋针法联合推拿治疗腰椎间盘突出症患者的效果

调督理筋针法联合推拿治疗腰椎间盘突出症患者的效果

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目的:观察调督理筋针法联合推拿治疗腰椎间盘突出症(LDH)患者的效果.方法:回顾性分析2023年1月至2024年1月该院收治的98例LDH患者的临床资料,按治疗方法不同将其分为研究组(n=49)与对照组(n=49).对照组给予推拿治疗,研究组在对照组基础上联合调督理筋针法治疗,比较两组临床疗效,治疗前后腰椎活动度、腰椎功能[下腰痛日本骨科协会评估治疗分数(JOA)、Oswestry功能障碍指数(ODI)]评分、疼痛程度[视觉模拟评分法(VAS)]评分.结果:研究组治疗总有效率为93.88%(46/49),高于对照组的79.59%(39/49),差异有统计学意义(P<0.05);两组右侧屈、左侧屈、前屈、后伸等腰椎活动度均大于治疗前,且研究组大于对照组,差异有统计学意义(P<0.05);两组JOA评分均高于治疗前,且研究组高于对照组,两组ODI评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组VAS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05).结论:调督理筋针法联合推拿治疗LDH患者可提高治疗总有效率和腰椎活动度,改善腰椎功能评分,以及降低疼痛程度评分的效果优于单纯推拿治疗.
Effects of Tiaodu Lijin acupuncture combined with massage in treatment of patients with lumbar disc herniation
Objective:To observe effects of Tiaodu Lijin acupuncture combined with massage in treatment of patients with lumbar disc herniation (LDH). Methods:The clinical data of 98 patients with LDH admitted to this hospital from January 2023 to January 2024 were retrospectively analyzed. According to different treatment methods,they were divided into study group (n=49) and control group (n=49). The control group was treated with massage,while the study group was treated with Tiaodu Lijin acupuncture on the basis of that of the control group. The clinical efficacy,the lumbar ranges of motion,the lumbar function[low back pain Japanese Orthopaedic Association score (JOA),Oswestry dysfunction index (ODI)]score,the pain degree[visual analogue scale (VAS)]score before and after the treatment were compared between the two groups. Results:The total effective rate of treatment in the study group was 93.88% (46/49),which was higher than 79.59% (39/49) in the control group,and the difference was statistically significant (P<0.05). The lumbar ranges of motion of right flexion,left flexion,flexion and extension in the two groups were biger than those before the treatment,those in the study group were biger than those in the control group,and the differences were statistically significant (P<0.05). The JOA scores of the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;the ODI scores of the two groups were lower than those before the treatment,that in the study group was lower than that in the control group,and the differences were statistically significant (P<0.05). Further,the VAS scores of the two groups were lower than those before the treatment,that in the study group was lower than that in the control group,and the differences were statistically significant (P<0.05). Conclusions:Tiaodu Lijin acupuncture combined with massage in the treatment of the LDH patients can improve the total effective rate and lumbar range of motion,improve the lumbar function scores,and reduce the pain degree scores. Moreover,it is superior to simple massage therapy.

Lumbar disc herniationTiaodu Lijin acupunctureMassageLumbar functionPain degreeLumbar range of motion

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福州市台江区后洲街道社区卫生服务中心康复科,福建 福州 350001

腰椎间盘突出症 调督理筋针法 推拿 腰椎功能 疼痛程度 腰椎活动度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(24)