摘要
目的探讨熏蒸、针灸联合治疗老年颈肩腰腿痛对腰椎功能及肢体运动功能的影响。方法抽签法选择某院134例老年颈肩腰腿痛患者,按随机数表法分为观察组(中药熏蒸联合针灸治疗)与对照组(针灸治疗)各67例。对比两组临床疗效、中医症候积分、腰椎功能、肢体运动功能及不良反应发生率。结果观察组总有效率95.52%,高于对照组的83.58%,差异有统计学意义(P<0.05)。两组治疗前、治疗后1周、治疗后2周肿胀、疼痛、功能受限评分呈降低趋势(P<0.05)。观察组治疗后1周、治疗后2周各中医症状积分均低于对照组,差异有统计学意义(P<0.05)。两组治疗前、治疗后1周、治疗后2周日本骨科学会下腰痛(Japanese Orthopaedic Associationscores,JOA)评分、肢体运动功能评分(Fugl-Meyer)呈增高趋势(P <0.05)。观察组治疗后1周、治疗后2周JOA评分、Fugl-Meyer评分高于对照组,差异有统计学意义(P<0.05)。两组患者均未发生明显不良反应。结论与单纯针灸治疗相比,熏蒸、针灸联合治疗老年颈肩腰腿痛疗效更优,可明显改善患者临床症状、腰椎功能及肢体运动功能,安全性高,具有较好的临床应用价值。
Objective To explore the effect of fumigation combined with acupuncture on lumbar function and limb motor function in the treatment of neck and back pain among elderly patients.Methods 134 cases of elderly patients with neck and shoulder pain in a hospital were randomly divided into the observation group(herbal fumigation combined with acupuncture)and the control group(acupuncture),with 67 cases in each group.The clinical curative effect,TCM syndrome score,lumbar function,limb movement function and the incidence of adverse reaction were compared between the two groups.Results The total effective rate of the observation group(95.52%)was higher than that of the control group(83.58%)and the difference showed significant statistical significance(P<0.05).The scores of swelling,pain and function limitation before the treatment,1 week and 2 weeks after the treatment decreased in the two groups(P<0.05).The TCM syndrome scores in the observation group 1 week and 2 weeks after the treatment were lower than those in the control group and the difference was of statistical significance(P<0.05).Before the treatment,1 week and 2 weeks after the treatment,the JOA score and Fugl-Meyer score increased in the two groups(P<0.05).1 week and 2 weeks after the treatment,the JOA score and Fugl-Meyer score in the observation group were higher than those in the control group and the difference was statistically significant(P<0.05).No significant adverse reactions occurred in all two groups.Conclusion Compared with acupuncture therapy,acupuncture combined with fumigation in the treatment of elderly patients with neck and shoulder pain enjoyed better curative effect and can significantly improve the clinical symptoms,lumbar function and limb motor function of patients.It has high safety and good clinical application value.
出处
《中国疗养医学》
2019年第5期456-459,共4页
Chinese Journal of Convalescent Medicine
关键词
熏蒸
针灸
老年
颈肩腰腿痛
腰椎功能
肢体运动功能
Fumigation
Acupuncture
The elderly
Neck and shoulder pain
Lumbar function
Limb motor function
