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温灸联合推拿治疗腰椎间盘突出症的临床效果

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目的 分析温灸联合推拿治疗腰椎间盘突出症(lumber disc herniation,LDH)患者的效果。方法 选取黑龙江省中医药科学院2022年12月—2023年12月收治的70例LDH患者,按随机数字表法分为2组,各35例。对照组行推拿治疗,观察组加以温灸治疗。对比2组临床疗效、下肢神经肌电图F波变化、氧化应激反应、腰椎活动度、腰椎功能障碍程度、腰椎功能、生活质量。结果 观察组治疗总有效率为94。29%,高于对照组的77。14%(P<0。05)。治疗后,观察组腓总神经潜伏期、胫神经潜伏期短于对照组,腓总神经出现频率、胫神经出现频率高于对照组(P<0。05)。观察组丙二醛(malonaldehyde,MDA)水平低于对照组,超氧化物歧化酶(superoxide dismutase,SOD)水平高于对照组(P<0。05)。观察组前屈、后伸、左侧屈、右侧屈、左旋、右旋活动度高于对照组(P<0。05)。观察组日本骨科协会评估治疗(Japanese orthopaedic association scores,JOA)评分高于对照组,Oswestry功能障碍指数(Oswestry disability index,ODI)评分低于对照组(P<0。05)。观察组心理功能、躯体功能、社会功能、物质生活状态评分高于对照组(P<0。05)。结论 温灸联合推拿能够改善LDH患者下肢神经根机能状态,减轻氧化应激反应,缓解腰椎功能障碍,提高腰椎活动度,改善腰椎功能,有助于生活质量的提升。
Clinical Effect of Warm Moxibustion Combined With Massage in the Treatment of Lumbar Disc Herniation
Objective To analyze the effect of warm moxibustion combined with massage in the treatment of patients with lumbar disc herniation (LDH). Methods A total of 70 LDH patients admitted to Heilongjiang Academy of Chinese Medicine Sciences from December 2022 to December 2023 were selected and divided into 2 groups with 35 cases each according to random number table method. The control group received massage treatment,while the observation group received warm moxibustion treatment on this basis. The clinical efficacy,changes in lower limb electromyography F-wave,oxidative stress response,lumbar range of motion,degree of lumbar functional impairment,lumbar function,and quality of life were compared between two groups. Results The total effective rate of observation group was 94.29%,which was higher than 77.14% of control group (P<0.05). After treatment,the latency of common peroneal nerve and tibial nerve in observation group was shorter than that in control group,and the frequency of common peroneal nerve and tibial nerve were higher than that in control group (P<0.05). The malonaldehyde (MDA) level in the observation group was lower than that in the control group,and the superoxide dismutase (SOD) level was higher than that in the control group (P<0.05). The movement of anterior flexion,posterior extension,left flexion,right flexion,left rotation and right rotation in the observation group was higher than that in the control group (P<0.05). The Japanese orthopaedic association scores (JOA) score in the observation group was higher than that in the control group,and the Oswestry disability index (ODI) was lower than that in the control group (P<0.05). The scores of psychological function,physical function,social function and material life status of the observation group were higher than those of the control group (P<0.05). Conclusion Warm moxibustion combined with massage can improve the functional status of lower limb nerve roots in LDH patients,alleviate oxidative stress response,alleviate lumbar functional impairment,increase lumbar mobility,improve lumbar function,and contribute to the improvement of quality of life.

lumbar disc herniationmassagewarm moxibustionquality of lifelumbar spine functionmalondialdehydesuperoxide dismutase

尹婧、杨雪、刘星

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黑龙江省中医药科学院国医堂治未病中心,黑龙江 哈尔滨 150036

黑龙江省中医药科学院老年病科,黑龙江 哈尔滨 150036

腰椎间盘突出症 推拿 温灸 生活质量 腰椎功能 丙二醛 超氧化物歧化酶

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(20)