摘要
目的评价电针推拿联合自拟腰痹逐瘀止痛汤治疗气滞血瘀型腰椎间盘突出症(lumbar disc herniation, LDH)的疗效。方法将符合入选标准的100例气滞血瘀型LDH患者采用随机数字表法分为2组,每组50例。对照组服用自拟腰痹逐瘀止痛汤治疗,观察组在对照组基础上联合推拿电针治疗。2组均治疗4周。采用VAS量表评价患者疼痛程度,采用日本骨科协会评分(Japanese Orthopedic Association Scores, JOA)评价腰痛疗效,采用Oswestry功能障碍指数评价腰椎功能恢复情况,对治疗后患者日常生活动作的改善情况及临床疗效进行评价。结果治疗后,观察组VAS评分低于对照组、JOA评分高于对照组(t值分别为9.870、8.214,P值均<0.01)。治疗后,观察组Oswestry功能障碍指数优良率分别为34.0%(17/50)、86.0%(43/50),对照组分别为24.0%(12/50)、44.0%(22/50),2组Oswestry功能障碍指数优良率均明显高于同组治疗前(χ^2值分别为28.167、4.456,P值均<0.01),且观察组高于对照组(χ^2=19.385,P<0.001)。观察组治疗后行走、负重、长时间坐立、弯腰、洗漱、站立、睡觉翻身等日常生活动作评分均高于对照组(t值分别为3.689、1.661、3.621、3.621、3.300、1.661、1.461,P值均<0.05)。观察总有效率为94.0%(47/50)、对照组为76.0%(38/50),2组比较差异有统计学意义(χ2=6.353,P=0.012)。结论电针推拿联合自拟腰痹逐瘀止痛汤可改善气滞血瘀型LDH患者的腰椎功能,减轻腰椎疼痛程度,改善生活质量,提高临床疗效。
Objective To explore the efficacy of electroacupuncture and massage combined with Yaobi-Zhuyu-Zhitong decoction in the treatment of lumbar disc herniation (LDH). Methods A total of 100 LDH patients with qi stagnation and blood stasis type who met the inclusion criteria were randomly divided into two groups, 50 in each group. The control group was treated with Yaobi-Zhuyu-Zhitong decoction, and the observation group was treated with electroacupuncture and massage on the basis of the control group. Both groups were treated for 4 weeks. The VAS scale was used to evaluate the degree of pain. The Japanese Orthopedic Association Scores (JOA) was used to evaluate the efficacy of low back pain. The Oswestry dysfunction index was used to evaluate the recovery of lumbar function, and the improvement of daily activities of patients after treatment was evaluated. Results After treatment, the VAS score of the observation group was significantly lower than that of the control group, and the JOA score was significantly higher than that of the control group (t value were 9.870, 8.214, P<0.01). The excellent and good rates of Oswestry dysfunction index before and after treatment in the observation group were 34.0%(17/50) and 86.0%(43/50), respectively, and the control group was 24.0%(12/50) and 44.0%(22/50), respectively. The excellent rate of Oswestry dysfunction index in the two groups was significantly higher than that in the same group before treatment (χ^2 values were 28.167, 4.456, P<0.01), and the observation group was significantly higher than the control group (χ^2=19.385, P<0.001). The scores of daily activities such as walking, weight-bearing, sitting for a long time, bending over, washing, standing, sleeping and turning over in the observation group were significantly higher than those in the control group (t values were 3.689, 1.661, 3.621, 3.621, 3.300, 1.661, 1.461 respectively, all Ps<0.05). The total effective rate was 94.0%(47/50) and the control group was 76.0%(38/50). The difference between the two groups wa
作者
范思佳
刘传耀
黄兰芬
林海文
徐丽
Fan Sijia;Liu Chuanyao;Huang Lanfen;Lin Haiwen;Xu Li(Department of Rehabilitation Medicine, Shenzhen Hospital of Southern Medical University, Shenzhen 518100, China;Department of Rehabilitation Medicine, Shenzhen Baoan District People’s Hospital, Shenzhen 518100, China;Zhong Zhou Social Health, Baoan District Hospital of Traditional Chinese Medicine, Shenzhen 518100, China)
出处
《国际中医中药杂志》
2019年第3期243-247,共5页
International Journal of Traditional Chinese Medicine
基金
深圳由宝安区科技计划基础研究项目(2018JD100).
关键词
椎间盘移位
气滞血瘀
电针
推拿疗法
腰痹逐瘀止痛汤
康复日常生活活动
生活质量
Intervertebral disc displacement
Qi stagnation and blood stasis
Electroacupuncture
Tui Na therapy
Yaobi-Zhuyu-Zhitong decoction
Activities of daily living
Quality of life
