摘要
目的观察调理任督法推拿对腰椎间盘突出症患者腰椎活动度及血液流变学指标的影响。方法将腰椎间盘突出症患者88例分为研究组与对照组。对照组采用给予西医常规治疗,口服双氯芬酸钠缓释片。研究组在对照组基础上联合调理任督法推拿治疗。治疗2周后对比两组的临床疗效。患者主观疼痛程度运用视觉模拟量表(VAS)进行评估。运用日本骨科协会腰椎功能量表(JOA)对患者的腰椎功能进行评估,包括主观症状、体征、膀胱功能、日常生活受限度;检测两组治疗前后全血高切黏度、血浆黏度、PAR、纤维蛋白原的水平。结果研究组总有效率高于对照组(P<0.05)。两组治疗后VAS评分显著降低(P<0.05),研究组低于对照组(P<0.05)。两组治疗后的主观症状、体征、膀胱功能、日常生活受限度评分显著升高(P<0.05),且研究组高于对照组(P<0.05)。两组治疗后的全血高切黏度、血浆黏度、PAR、纤维蛋白原显著降低(P<0.05),且研究组低于对照组(P<0.05)。结论调理任督法推拿可提高腰椎间盘突出症的疗效,改善患者腰椎功能及血液流变学水平,减轻疼痛程度。
Objective:To investigate the effect of conditioning and supervising massage on lumbar motion and hemorheology indexes in patients with lumbar disc herniation.Methods:A total of 88 patients with lumbar disc herniation were divided into the study group and control group.The control group was given conventional western medicine treatment and oral diclofenac sodium sustained-release tablets.On the basis of the control group,the study group was combined with conditioning and massage therapy.The clinical efficacy of the two groups was compared.The patient′s subjective pain level was assessed using the VAS.The JOA was used to evaluate the patient′s lumbar function,including subjective symptoms,signs,bladder function,and limitation of daily life.The levels of whole blood high shear viscosity,plasma viscosity,PAR and fibrinogen before and after treatment were detected in the two groups.Results:The total effective rate of the study group after treatment was higher than that of the control group(P<0.05).The VAS scores of the two groups decreased significantly after treatment(P<0.05);the VAS scores of the study group after treatment were lower than those of the control group,and the difference was statistically significant(P<0.05).The subjective symptoms,signs,bladder function,and daily life limitation scores of the two groups after treatment were significantly increased(P<0.05);the subjective symptoms,signs,bladder function,and daily life limitation scores of the study group after treatment were all higher than those of the control group,the difference was statistically significant(P<0.05).After treatment,the whole blood high-shear viscosity,plasma viscosity,PAR,and fibrinogen of the two groups were significantly reduced(P<0.05);the whole blood high-shear viscosity,plasma viscosity,PAR,and fibrinogen of the study group were lower than those of the control group with statistical significance(P<0.05).Conclusion:Conditioning and supervising massage can improve the curative effect of lumbar disc herniation,improve the patie
作者
宋李华
王程
李先海
Song Lihua;Wang Cheng;Li Xianhai(The Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,The Fourth Affiliated Hospital of Xinjiang Medical University,Xinjiang,Urumqi 830000,China)
出处
《中国中医急症》
2021年第10期1799-1801,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
新疆医科大学附属中医医院院级课题(ZYY201809)。
