摘要
目的观察针推治疗腰椎间盘突出症患者的临床疗效及对患者生活质量(QOL)的影响。方法将我院腰椎间盘突出症患者500例根据治疗方式不同分为对照组与观察组各250例。对照组采用腰痛贴、布洛芬缓释胶囊等常规治疗,观察组在对照组的基础上给予针灸推拿治疗。比较两组患者治疗前后的视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、生活质量(QOL)评分、外周血白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平,血液流变学相关指标变化,以及治疗后的临床疗效以及复发情况。结果治疗后,观察组总有效率高于对照组(P<0.05);两组患者VAS值、ODI评分、血清TNF-和IL-6、全血比低切黏度、全血比高切黏度、红细胞聚集数和血沉均降低,生理功能、心理功能、社会功能及一般QOL评分均升高(P<0.05);且观察组VAS值、ODI评分、血清TNF-α和IL-6、全血比低切黏度、全血比高切黏度、红细胞聚集数和血沉均低于对照组(P<0.05),生理功能、心理功能、社会功能及一般QOL评分均高于对照组(P<0.05),复发与缓解情况优于对照组(P<0.05)。结论针推治疗腰椎间盘突出症效果较好,能显著改善患者症状,值得临床推广。
Objective To observe the effect of acupuncture and tuina therapy on patients with lumbar disc herniation(LDH)and quality of life(QOL).Methods Five hundred patients with LDH were divided into control group and observation group according to different treatment methods,with 250 cases in each group.Control group was treated with lumbago patch and ibuprofen sustained release capsules,and observation group was treated with acupuncture and massage on the basis of control group.The Visual Analogue Scale(VAS)score,Oswestry Dysfunction Index(ODI)score,QOL score,peripheral blood interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)were compared between the two groups before and after treatment;changes in blood rheology related indicators,clinical efficacy and recurrence were compared after treatment.Results After treatment,the VAS value,ODI score,serum TNF-and IL-6,whole blood specific low shear viscosity,whole blood specific high shear viscosity,red blood cell aggregation and erythrocyte sedimentation rate were all reduced in both groups,and were lower in observation group than control group;physiological and psychological functions,social function and general QOL score were all increased in both groups(P<0.05),and were higher in observation group than control group(P<0.05);the total effective rate of observation group was higher than that of control group(P<0.05),the recurrence and remission were better than control group(P<0.05).Conclusion Acupuncture and tuina therapy is effective in treating LDH,and can significantly improve the QOL score of patients.
作者
俞丽君
李思康
丁定明
YU Li-jun;LI Si-kang;DING Ding-ming(Wuhu Hospital of TCM,Wuhu 241000)
出处
《湖北中医药大学学报》
2023年第1期95-97,共3页
Journal of Hubei University of Chinese Medicine
基金
第二届安徽省名中医传承工作室建设项目(卫办秘[2017]546号)。
关键词
腰椎间盘突出症
针灸
推拿
炎症因子
Lumbar disc herniation
Acupuncture
Tuina therapy
inflammatory factors
