摘要
目的:探讨针灸推拿联合牵引治疗腰椎间盘突出症的临床效果。方法:选取2019年3-12月于本院门诊及病房就诊的腰椎间盘突出症患者68例为研究对象。按随机数字表法将患者分为对照组和观察组,每组34例。对照组行牵引治疗,观察组在对照组基础上行针灸与推拿治疗。比较两组患者VAS评分、腰椎JOA评分、炎性因子水平及临床疗效。结果:对照组治疗总有效率为76.5%低于观察组的94.1%,差异有统计学意义(P<0.05)。治疗后,两组VAS评分均低于治疗前,且观察组VAS评分明显低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组JOA评分均高于治疗前,且观察组JOA评分明显高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组炎性因子TNF-α、IL-1β及hs-CRP水平均低于对照组,差异均有统计学意义(P<0.05)。结论:针灸推拿联合牵引治疗腰椎间盘突出症效果确切,患者临床症状明显改善,痛感明显减轻,生活质量明显提升,适合临床上选择应用。
Objective:To explore the clinical effect of acupuncture and massage combined with traction in the treatment of lumbar disc herniation.Method:A total of 68 patients with lumbar disc herniation who visited the outpatient department and ward of our hospital from March to December 2019 were selected as the research subjects.According to random number table method,the patients were divided into control group and observation group,34 cases in each group.The control group received traction treatment,and the observation group received acupuncture and massage treatment on the basis of the control group.VAS score,lumbar JOA score,levels of inflammatory factors and clinical efficacy were compared between two groups.Result:The total effective rate of control group was 76.5%lower than 94.1%of observation group,the difference was statistically significant(P<0.05).After treatment,VAS scores in both groups were lower than those of before treatment,and VAS scores in the observation group was significantly lower than that in the control group,the differences were statistically significant(P<0.05).After treatment,JOA scores in both groups were higher than those of before treatment,and JOA scores in the observation group was significantly higher than that in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of TNF-α,IL-1βand hs-CRP in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Acupuncture and massage combined with traction in the treatment of lumbar disc herniation has a definite effect,the clinical symptoms of patients are significantly improved,the pain is significantly reduced,the quality of life is significantly improved,and it is suitable for clinical application.
作者
于忠行
张敬中
YU Zhongxing;ZHANG Jingzhong(Beiling District,General Hospital of the Northern Theater of the Chinese People’s Liberation Army,Shenyang 110031,China;不详)
出处
《中国医学创新》
CAS
2021年第10期24-28,共5页
Medical Innovation of China
关键词
针灸推拿
牵引治疗
腰椎间盘突出症
Acupuncture and massage
Traction treatment
Lumbar disc herniation
