首页|呼吸训练联合整脊手法对腰椎间盘突出症患者疗效及腰椎功能影响的临床研究

呼吸训练联合整脊手法对腰椎间盘突出症患者疗效及腰椎功能影响的临床研究

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目的 探讨呼吸训练联合整脊手法对腰椎间盘突出症患者疗效及腰椎功能的影响。方法 选取2022年1月—2023年6月在本院就诊的腰椎间盘突出症患者80例为研究对象,并随机划分为实验组与对照组,每组40例。对照组接受整脊手法治疗,实验组在对照组基础上联合呼吸训练。通过对比两组患者的JOA评分、ODI评分、VAS评分、疗效评估、症状与体征积分,探讨对腰椎间盘突出症患者腰椎功能的改善和治疗效果评估。结果 两组JOA参数比较,实验组整体效果较好(P<0。05)。两组患者进行ODI评分比较,其中实验组患者治疗后ODI评分明显优于对照组,组间差异有统计学意义(P<0。05)。通过对两组患者进行治疗前后腰痛VAS比较,实验组患者治疗前腰痛VAS差异不大,实验组治疗后腰痛VAS评分<对照组,实验组效果较好(P<0。05)。通过对两组患者进行疗效评估的比较,实验组整体有效率为96。67%,相比较对照组整体效果较优(P<0。05)。在对患者治疗后的症状与体征积分的情况进行比对的基础上,实验组腰椎间盘突出患者的疼痛症状、运动障碍、活动受限以及感觉障碍均有显著改善(P<0。05),结论 对腰椎间盘突出症患者进行整脊手法联合呼吸训练治疗,患者情况明显改善,整体效果较好。
Clinical Study on the Effect of Breathing Training Combined with Spinal Manipulation on Lumbar Disc Herniation and Lumbar Function
Objective To observe the effect of spinal manipulation combined with breathing training for patients with lumbar disc herniation.Methods Through collecting 80 cases of lumbar disc herniation patients in our hospital,and randomly divided into experimental group and control group,the control group received spinal manipulation treatment,the experimental group combined breathing training on the basis of the control group.By comparing the JOA score,ODI score,VAS score,efficacy evaluation,symptom and sign score of the two groups,the improvement of lumbar function and the evaluation of treatment effect of the patients with lumbar disc herniation were discussed.Results By comparing the JOA parameters of the control group and the experimental group,the overall effect of the experimental group was better(P<0.05).The ODI score of the two groups was compared,and the ODI score of the experimental group was significantly better than that of the control group after treatment,and the overall effect was good(P<0.05).By comparing the VAS of low back pain before and after treatment of the two groups,there was no significant difference in the VAS of the experimental group before treatment,while the VAS score of the experimental group after treatment was lower than that of the control group,and the effect was better(P<0.05).By comparing the efficacy evaluation of the two groups of patients,the overall effective rate of the experimental group was compared with the control group,the overall effect was better(P<0.05).On the basis of the comparison of the scores of symptoms and signs after treatment,the pain symptoms,movement disorders,activity limitations and sensory disorders of patients with lumbar disc herniation in the experimental group were significantly improved(P<0.05).Conclusion The spinal manipulation combined with breathing training for patients with lumbar disc herniation can significantly improve the patients'conditions and the overall effect is good.

lumbar intervertebral disc herniationBreathing trainingChiropractic manipulationClinical effect

卢楚琪、陈素容、严惠欣

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佛山市高明区中医院,广东 佛山 528500

腰椎间盘突出症 呼吸训练 整脊手法 临床效果

佛山市卫生健康局医学科研课题(2022)

20220019

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(2)
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