摘要
目的:探究针灸、药疗与骨伤按摩手法结合治疗腰椎间盘突出症患者的效果.方法:选择 2020 年 9 月 1 日—2022 年 12 月 31 日南靖县中医院收治的 70 例腰椎间盘突出症患者.采用随机数表法分成两组,各 35 例.参照组单纯接受针灸治疗,试验组接受针灸、药疗与骨伤按摩手法结合治疗,比较两组中医症候积分、生活质量评分、腰椎功能、疼痛情况、日常生活能力及临床疗效.结果:试验组治疗总有效率明显高于参照组,差异有统计学意义(P<0.05).治疗后,试验组各项中医症候积分均低于参照组,差异有统计学意义(P<0.05).治疗后,试验组各项生活质量评分均高于参照组,差异有统计学意义(P<0.05).治疗后,试验组日本骨科协会腰椎功能量表(JOA)评分及Barthel指数均高于参照组,视觉模拟评分法(VAS)评分低于参照组,差异有统计学意义(P<0.05).结论:针灸、药疗与骨伤按摩手法结合治疗腰椎间盘突出症的效果显著,可有效改善患者腰椎功能,提高生活质量,减轻疼痛,有助于提升日常生活能力.
Abstract
Objective:To explore the effect of acupuncture,pharmacotherapy and bone injury massage on patients with lumbar disc herniation.Method:A total of 70 patients with lumbar disc herniation treated in Nanjing County Traditional Chinese Medicine Hospital from September 1,2020 to December 31,2022 were selected.They were divided into two groups by random number table method,with 35 cases in each group.The reference group received acupuncture alone,and the experimental group received acupuncture,pharmacotherapy and bone injury massage combined treatment.The traditional Chinese medicine syndrome score,quality of life score,lumbar function,pain,daily living ability and clinical efficacy of the two groups were compared.Result:The total effective rate of experimental group was significantly higher than that of reference group,and the difference was statistically significant(P<0.05).After treatment,the scores of traditional Chinese medicine symptoms in experimental group were lower than those in reference group,and the differences were statistically significant(P<0.05).After treatment,all quality of life scores of experimental group were higher than those of reference group,and the differences were statistically significant(P<0.05).After treatment,the Japanese Orthopaedic Association(JOA)lumbar function scale score and Barthel index of the experimental group were higher than those of the reference group,and the visual analogue scale(VAS)score was lower than that of the reference group,the differences were statistically significant(P<0.05).Conclusion:Acupuncture,pharmacotherapy and bone injury massage combined treatment of lumbar disc herniation effect is significant,can effectively improve the patient's lumbar function,improve the quality of life,reduce pain,help to improve the ability of daily life.
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