摘要
目的:观察经穴位至关节突注射臭氧水配合推拿、针刺治疗关节突源性腰痛的临床效果.方法:前瞻性选取河南中医药大学第三附属医院收治的符合纳入标准的106例关节突源性腰痛患者为研究对象,依据随机数字表随机分为研究组53例和对照组53例.对照组接受推拿、针刺治疗,研究组接受经穴位至关节突注射臭氧水配合推拿、针刺治疗,均治疗3个疗程.比较两组疗效、不良反应与复发率,以及治疗不同时间点疼痛程度(VAS评分)、腰椎功能障碍评分(ODI评分)和生活质量评价量表评分(SF-36评分)差异.结果:治疗后,两组临床疗效比较差异有统计学意义(Z=2.572,P<0.05),研究组总优良率88.68%(47/53)高于对照组71.7%(38/53),复发率7.55%(4/53)低于对照组22.64%(12/53)(P<0.05).两组VAS评分和ODI评分的时点效应、组间效应、交互效应比较,差异有统计学意义(P<0.05),两组治疗1个疗程后、治疗3个疗程后VAS评分和ODI评分均低于治疗前(P<0.05),且研究组治疗1个疗程后、治疗3个疗程后VAS评分和ODI评分均低于对照组(P<0.01).治疗期间两组患者不良反应发生率比较,差异无统计学意义(P>0.05).两组治疗后生活质量评价量表(SF-36)各维度得分(躯体疼痛、社会功能、精神健康、生理职能、情感职能、生理功能、精力)均高于治疗前(P<0.05),且研究组治疗3个疗程后SF-36量表各项得分均高于对照组(P<0.05).结论:经穴位至关节突注射臭氧水配合推拿、针刺治疗关节突源性腰痛具有较好临床疗效,可有效降低复发率,改善疼痛程度与腰椎功能障碍,提高生活质量,且安全性较好.
Abstract
Objective:To observe the clinical effect of ozone water injection into facet joint through acupoints combined with massage and acupuncture in the treatment of facet joint-induced low back pain.Methods:A prospective study was conducted on 106 patients with facet joint-induced low back pain who met the inclusion criteria and were treated at The Third Affiliated Hospital of Henan University of Traditional Chinese Medicine.Patients were randomly divided into the study group(53 cases)and the control group(53 cases)based on a random number table.The control group received massage and acupuncture treatment,while the study group received ozone water injection into facet joint through acupoints combined with massage and acupuncture treatment,with all patients undergoing three treatment courses.The efficacy,adverse reactions,and recurrence rates of the two groups were compared,as well as pain severity(VAS score),lumbar dysfunction score(ODI score),and quality of life evaluation scale score(SF-36 score)at different treatment time points.Results:After treatment,there was a statistically significant difference in clinical efficacy between the two groups(Z=2.572,P<0.05).The total excellent and good rate of the study group was 88.68%(47/53),higher than that of the control group(71.7%,38/53),and the recurrence rate was 7.55%(4/53),lower than that of the control group(22.64%,12/53)(P<0.05).There were significant differences in the time point effect,group effect,and interaction effect of VAS and ODI scores between the two groups(P<0.05).The VAS and ODI scores of both groups were lower after one treatment course and three treatment courses compared to before treatment(P<0.05),and the study group's scores were lower than those of the control group after one treatment course and three treatment courses(P<0.01).The incidence of adverse reactions during treatment was not statistically significant between the two groups(P>0.05).After treatment,the scores of all dimensions of the SF-36 quality of life evaluation scale(bodily pain,social functioning,mental health,role physical,role emotional,physical functioning,vitality)were higher than before treatment in both groups(P<0.05),and the scores of the study group were higher than those of the control group after three treatment courses(P<0.05).Conclusion:Ozone water injection into facet joint through acupoints combined with massage and acupuncture is effective in treating facet joint-induced low back pain,significantly reduces the recurrence rate,alleviates pain,and improves lumbar dysfunction and quality of life,with good safety.
基金项目
河南省中医药科学研究专项课题(2021ZY2077)
国家科技期刊平台
NSTL
万方数据