首页|热敏灸结合放血疗法对腰椎间盘突出症患者腰椎功能及日常生活能力的影响

热敏灸结合放血疗法对腰椎间盘突出症患者腰椎功能及日常生活能力的影响

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目的:观察热敏灸结合放血疗法对腰椎间盘突出症(LDH)患者腰椎功能及日常生活能力的影响.方法:选择 2022 年 8 月—2023 年 5 月广州市中西医结合医院收治的 84 例LDH患者作为研究对象,依据随机数字表法分为两组,各 42 例.对照组给予西药治疗,观察组在对照组基础上给予热敏灸结合放血疗法治疗.比较两组临床疗效、腰椎功能、疼痛评分及日常生活能力.结果:观察组总有效率高于对照组(P<0.05);治疗后,两组Oswestry功能障碍指数(ODI)评分、视觉模拟评分法(VAS)评分均低于治疗前,且观察组均低于对照组(P<0.05);治疗后,两组日常生活活动能力(ADL)评分均高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05).结论:热敏灸结合放血疗法可缓解LDH患者腰椎疼痛,改善腰椎功能,提高日常生活能力,治疗效果较佳.
Effect of Heat-sensitive Moxibustion Combined with Bloodletting Therapy on Lumbar Function and Daily Living Ability in Patients with Lumbar Disc Herniation
Objective:To observe the effect of heat-sensitive moxibustion combined with bloodletting therapy on lumbar function and daily living ability in patients with lumbar disc herniation(LDH).Method:A total of 84 LDH patients admitted to Guangzhou Integrated Traditional Chinese and Western Medicine Hospital from August 2022 to May 2023 were selected as the study objects.According to random number table method,the patients were divided into two groups,with 42 cases in each group.The control group was treated with western medicine,and the observation group was treated with heat-sensitive moxibustion combined with bloodletting therapy on the basis of the control group.The clinical efficacy,lumbar function,pain score and daily living ability of the two groups were compared.Result:The total effective rate of the observation group was higher than that in the control group(P<0.05).After treatment,the scores of Oswestry disability index(ODI)and visual analogue scale(VAS)in two groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P<0.05).After treatment,the scores of activities of daily living(ADL)in the two groups were higher than those before treatment,and that in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Heat-sensitive moxibustion combined with bloodletting therapy can relieve lumbar pain,improve lumbar function and enhance daily living ability in LDH patients,and the therapeutic effect is better.

Lumbar disc herniationHeat-sensitive moxibustionBloodletting therapyLumbar functionDaily living ability

钟世柳、徐丽华、姜殷

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广州市中西医结合医院针灸科 广东 广州 510800

腰椎间盘突出症 热敏灸 放血疗法 腰椎功能 日常生活能力

广东省临床教学基地教学改革研究项目

2021JD173

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(23)