摘要
目的:观察针灸推拿对腰椎间盘突出症患者疼痛、下肢功能及血流动力学的影响。方法:选取我院收治的90例腰椎间盘突出症患者作为研究对象。采用随机数字表法分为45例对照组,予药物+腰部牵引等常规治疗。45例观察组,在常规治疗的基础上采用针灸联合推拿治疗。以1个月为1疗程。系统观察指标:(1)疼痛情况;(2)下肢功能改善情况;(3)血流动力学。结果:(1)治疗1个月后,2组患者VAS评分均较治疗前均有显著统计学差异(P<0.05),观察组患者VAS评分显著低于对照组(P<0.05);(2)2组患者直腿抬高角度均较治疗前均有显著统计学差异(P<0.05),观察组患者直腿抬高角度显著改善于对照组(P<0.05);(3)2组患者患肢股总动脉、腘动脉收缩期血流速度峰值均较治疗前有所改善,观察组患者患肢血流动力学显著改善于对照组(P<0.05)。结论:针灸推拿可有效改善腰椎间盘突出症患者的疼痛、患肢血流动力,增加血液流量,利于下肢功能障碍的恢复。
Objective：To observe the effect of acupuncture and massage on pain, lower extremity function and he- modynamics in patients with lumbar disc herniation. Methods ： 90 cases of lumbar disc herniation were selected as the research object. Using random number table method is divided into 45 cases of control group ： to the drug ＋ waist trac- tion and other conventional treatment. 45 cases of observation group： in the conventional treatment based on the use of acupuncture combined with massage therapy. System observation indicators ： ① pain; ② Lower limb function improve- ment; ③ Hemodynamics.Resuhs ： ① After 1 month of treatment, the VAS scores of the two groups were significantly different from those before treatment （ P 〈0.05 ）. The VAS score of the observation group was significantly lower than that of the control group （ P 〈0.05 ） ; ② There was significant difference between the two groups （ P 〈0.05 ）. The angle of straight leg raising in the observation group was significantly improved （ P 〈0.05 ）. ③ The hemodynamics of the limb common arteries and the popliteal artery in the two groups were improved compared with those before treatment, and the hemodynamics of the limb were significantly improved in the control group （P 〈0.05 ）.Conclusion： Acupuncture and massage can effectively improve the pain of patients with lumbar disc herniation, limb hemodynamics, increase blood flow, conducive to the recovery of lower limb dysfunction.
出处
《中医药临床杂志》
2017年第9期1522-1524,共3页
Clinical Journal of Traditional Chinese Medicine
关键词
针灸推拿
腰椎间盘突出症
疼痛
下肢功能
血流动力学
Acupuncture and moxibustion
lumbar disc herniation
pain
lower limb function
hemodynamics
