首页|密集温针灸联合循经取穴推拿对腰椎间盘突出症患者ODI和腰椎活动度的影响

密集温针灸联合循经取穴推拿对腰椎间盘突出症患者ODI和腰椎活动度的影响

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目的 探讨密集温针灸联合循经取穴推拿对腰椎间盘突出症(lumber disc herniation,LDH)患者Oswestry功能障碍指数(Oswestry disability index,ODI)和腰椎活动度的影响。方法 选取 2023 年 1-12 月南平市人民医院收治的 60 例LDH患者为研究对象,依据随机数字表法分为对照组与观察组,各 30 例。2 组患者均采用循经取穴推拿治疗,同时对照组基于此配合常规温针灸法治疗,观察组联合采用密集温针灸法治疗。比较 2 组患者ODI评分、腰椎活动度及疗效。结果 治疗后,观察组与对照组ODI评分分别为(13。27±2。65)分、(18。83±4。38)分,低 于 治 疗 前 的(39。37±4。17)分、(38。17±4。26)分,且观察组低于对照组,差异有统计学意义(P<0。05)。治疗后,观察组前屈活动度、后伸活动度、侧屈活动度、旋转活动度分别为(75。73±5。70)°、(30。23±5。76)°、(32。20±5。99)°、(38。10±4。06)°,大 于 对 照 组 的(68。57±8。56)°、(25。63±3。40)°、(28。77±4。88)°、(33。17±3。11)°,差异有统计学意义(P<0。05)。观察组治疗总有效率为 96。67%,高于对照组的73。33%,差异有统计学意义(P<0。05)。结论 密集温针灸联合循经取穴推拿疗法对LDH患者疗效显著,可减少腰椎功能障碍,改善患者腰椎活动度。
Effects of Intensive Warm Acupuncture and Moxibustion Combined With Acupoint Massage Along Meridians on ODI and Lumbar Mobility in Patients With Lumber Disc Herniation
Objective To explore the effect of intensive warm acupuncture and moxibustion combined with acupoint massage along meridians on the Oswestry disability index(ODI)and lumbar activity in patients with lumbar disc herniation(LDH).Methods A total of 60 LDH patients admitted to Nanping People's Hospital from January to December 2023 were selected as the study objects.They were divided into control group and observation group with 30 cases in each group according to random number table method.The two groups of patients were treated with acupoint massage along meridians.At the same time,the control group was treated with conventional warm needle moxibustion based on this,and the observation group was treated with intensive warm acupuncture and moxibustion.The ODI score,lumbar range of motion changes and curative effect were compared between the two groups.Results After treatment,the ODI scores of the observation group and the control group were(13.27±2.65)points and(18.83±4.38)points,respectively,which were lower than(39.37±4.17)points and(38.17±4.26)points before treatment,and the scores of the observation group were lower than that of the control group,the differences were statistically significant(P<0.05).After treatment,the forward flexion,backward extension,lateral flexion,and rotational activity of the observation group were(75.73±5.70)°,(30.23±5.76)°,(32.20±5.99)°,(38.10±4.06)°,which were greater than(68.57±8.56)°,(25.63±3.40)°,(28.77±4.88)°,(33.17±3.11)° of the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 96.67%,which was higher than 73.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion The intensive warm acupuncture and moxibustion combined with acupoint massage along meridians has a significant effect on patients with LDH,which can reduce lumbar dysfunction and improve the lumbar mobility of patients.

intensive warm acupuncture and moxibustionselecting acupoints along the meridianmassagelumber disc herniationlumbar range of motionOswestry disability index

何敏、王祖杰

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南平市人民医院康复科,福建 南平 353000

密集温针灸 循经取穴 推拿 腰椎间盘突出症 腰椎活动度 Oswestry功能障碍指数

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(23)