首页|针灸、推拿联合中药治疗腰椎间盘突出症的效果研究

针灸、推拿联合中药治疗腰椎间盘突出症的效果研究

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目的 对腰椎间盘突出症患者使用针灸、推拿联合中药进行治疗的效果做出分析.方法 研究对象选择腰椎间盘突出症患者 50 例,通过门诊号分为常规组、研究组,各 25 例.常规组采用单一针灸、推拿治疗,研究组采用针灸、推拿联合中药汤剂治疗.对比两组疗效、疼痛程度、功能障碍、生活质量、临床指标、治疗满意度、临床症状改善率.结果 研究组总有效率为 92.00%,高于常规组的 60.00%,差异性具有统计学价值(P<0.05).治疗后,研究组疼痛程度评分(1.62±0.14)分、功能障碍评分(30.12±9.65)分低于常规组的(2.78±1.16)、(50.24±10.24)分,差异性具有统计学价值(P<0.05).研究组社会功能、心理功能、躯体功能评分分别为(79.43±6.15)、(80.68±6.32)、(81.93±6.62)分,高于常规组的(68.10±6.75)、(69.52±6.24)、(73.60±5.32)分,差异性具有统计学价值(P<0.05).研究组药物费用(1600.34±320.12)元、住院费用(2400.24±150.23)元、其他费用(300.17±50.25)元少于常规组的(2545.00±256.12)、(4200.78±542.13)、(410.78±60.69)元,住院时间(14.41±2.08)d短于常规组的(20.12±3.78)d,差异性具有统计学价值(P<0.05).研究组疼痛缓解、行动能力、康复程度满意度评分分别为(8.57±1.34)、(8.41±1.08)、(8.37±1.18)分,高于常规组的(6.46±1.23)、(6.35±1.12)、(6.47±1.24)分,差异性具有统计学价值(P<0.05).研究组坐骨神经痛、腰背痛改善率分别为 72.00%、68.00%,高于常规组的 40.00%、36.00%,差异性具有统计学价值(P<0.05).结论 为腰椎间盘突出症患者使用针灸、推拿联合中药治疗,可以改善患者疼痛程度,能够降低患者功能障碍,疗效显著,临床应用价值较高.
Study on the effect of acupuncture and massage combined with traditional Chinese medicine in the treatment of lumbar disc herniation
Objective To analyze the effect of acupuncture and massage combined with traditional Chinese medicine in the treatment of lumbar disc herniation.Methods 50 patients with lumbar disc herniation were selected and divided into a conventional group and a study group by outpatient number,each with 25 cases.The conventional group was treated with acupuncture and massage,and the study group was treated with acupuncture and massage combined with traditional Chinese medicine decoction.The efficacy,pain intensity,dysfunction,quality of life,clinical indicators,treatment satisfaction and improvement rate of clinical symptoms were compared between the two groups.Results The total effective rate of the study group was 92.00%,which was higher than 60.00%of the conventional group,and the difference was statistically valuable(P<0.05).After treatment,the pain score in the study group was(1.62±0.14)points and the dysfunction score was(30.12±9.65)points,which were lower than(2.78±1.16)and(50.24±10.24)points in the conventional group,and the difference was statistically valuable(P<0.05).The scores of social function,psychological function and physical function in the study group were(79.43±6.15),(80.68±6.32)and(81.93±6.62)points,which were higher than(68.10±6.75),(69.52±6.24)and(73.60±5.32)points in the conventional group.The difference was statistically valuable(P<0.05).In the study group,the drug cost was(1600.34±320.12)yuan,the hospitalization cost was(2400.24±150.23)yuan and other costs was(300.17±50.25)yuan,which were lower than(2545.00±256.12),(4200.78±542.13)and(410.78±60.69)yuan in the conventional group;the study group had a shorter length of hospital stay of(14.41±2.08)d than(20.12±3.78)d in the conventional group.The difference was statistically valuable(P<0.05).The satisfaction scores of pain relief,mobility and degree of rehabilitation of the study group were(8.57±1.34),(8.41±1.08)and(8.37±1.18)points,which were higher than(6.46±1.23),(6.35±1.12)and(6.47±1.24)points of the conventional group.The difference was statistically valuable(P<0.05).The improvement rates of sciatica and low back pain in the study group were 72.00%and 68.00%,which were higher than 40.00%and 36.00%in the conventional group,and the difference was statistically valuable(P<0.05).Conclusion The use of acupuncture and massage combined with traditional Chinese medicine for patients with lumbar disc herniation can improve the pain intensity of the patients and reduce the functional disorders of the patients,with remarkable efficacy and high clinical application value.

AcupunctureMassageTraditional Chinese medicineLumbar disc herniation

杨文平

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273200 泗水县人民医院针灸推拿科

针灸 推拿 中药 腰椎间盘突出症

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(15)
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