摘要
目的 研究分析对慢性腰腿疼痛患者联合采用针灸与推拿复位治疗的效果及对其疼痛程度、腰屈曲活动度及生存质量的影响。方法 随机选择济宁市中西医结合医院在2020年8月—2022年1月收治的慢性腰腿疼痛患者90例,以随机分配的原则进行分组,对照组(n=45)予常规西药进行治疗,研究组(n=45)在对照组用药基础之上联合针灸与推拿复位进行治疗,采用视觉模拟评分法(VAS)评估两组治疗前后的疼痛程度,并测定其治疗前后的腰屈曲活动度(腰屈曲范围、腰椎曲度),最后再采用健康状况调查简表(SF-36)评估其预后生存质量。结果 治疗后研究组VAS评分为(3.05±0.32)分小于对照组,差异有统计学意义(t=27.503,P<0.05)。治疗后,研究组腰屈曲范围、腰椎曲度为(65.28±6.58)cm、(18.04±1.85)mm,均大于对照组,差异有统计学意义(t=9.382、9.113,P<0.05)。治疗后,研究组躯体疼痛、生理职能、生理功能、心理功能、情感职能、精力、社会功能和整体健康评分为(68.37±6.71)分、(65.72±6.48)分、(73.17±7.15)分、(65.96±6.67)分、(67.47±6.81)分、(59.61±5.92)分、(65.62±6.62)分、(68.14±6.87)分,均大于对照组,差异有统计学意义(t=6.105、6.234、6.713、6.988、6.800、7.252、7.671、6.763,P<0.05)。结论 对慢性腰腿疼痛患者联合采用针灸与推拿复位治疗的效果更为有效,不仅可减轻患者疼痛程度,还可改善其腰屈曲活动度,进而利于患者预后生存质量的提升。
Objective To study and analyze the effect of combined acupuncture and massage reduction treatment on patients with chronic low back pain,and its impact on pain degree,lumbar flexion range of motion and quality of life.Methods A total of 90 patients with chronic low back and leg pain admitted to Jining Hospital of Integrated Traditional Chinese and Western Medicine from August 2020 to January 2022 were randomly selected and grouped according to the principle of random allocation.The control group(n=45)was treated with conventional western medicine,and the study group(n=45)was treated with acupuncture and massage and reset on the basis of the control group's medication.The Visual Analogue Scale(VAS)was used to evaluate the pain degree of the two groups before and after treatment.The range of lumbar flexion(lumbar flexion range,lumbar curvature)before and after treatment was measured.Finally,the MOS Item Short From Health Survey(SF-36)was used to evaluate the prognostic quality of life.Results After treatment,the VAS score of the study group was(3.05±0.32)points,which was lower than that of the control group,the difference was statistically significant(t=27.503,P<0.05).After treatment,the range of lumbar flexion and lumbar curvature in the study group were(65.28±6.58)cm and(18.04±1.85)mm,respectively,which were greater than those in the control group,the difference was statistically significant(t=9.382,9.113,P<0.05).And the physical pain,physiological function,physiological function,psychological function,emotional function,energy,social function and overall health scores of the study group after treatment were(68.37±6.71)points,(65.72±6.48)points,(73.17±7.15)points,(65.96±6.67)points,(67.47±6.81)points,(59.61±5.92)points,(65.62±6.62)points,(68.14±6.87)points,were greater than those in the control group,the difference was statistically significant(t=6.105,6.234,6.713,6.988,6.800,7.252,7.671,6.763,P<0.05).Conclusion The combination of acupuncture and massage reduction is more effective for patients with ch
作者
刘会亭
LIU Huiting(Department of Acupuncture,Moxibustion and Tuina,Jining Hospital of Integrated Traditional Chinese and Western Medicine,Jining,Shandong Province,272100 China)
出处
《中外医疗》
2023年第5期185-189,共5页
China & Foreign Medical Treatment
关键词
慢性腰腿疼痛
针灸
推拿复位
疼痛程度
腰屈曲活动度
生存质量
Chronic low back pain
Acupuncture
Massage reduction
Pain degree
Lumbar flexion range of motion
Quality of life
