综合康复训练结合针灸防治腰椎间盘突出症复发的临床观察  

Clinical Observation of Comprehensive Rehabilitation Training Combined with Acupuncture on Preventing the Recurrence in Patients with Lumbar Disc Hernia

作　　者：汤治中[1] 徐应乐[1] 易进科[1] 汤勇[1] 王文科[1] 

机构地区：[1]湖北医药学院附属东风医院康复科,十堰442000

出　　处：《中国医药导刊》2012年第6期978-979,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨综合康复训练结合针灸防治腰椎间盘突出症复发的临床疗效。方法:将120例腰椎间盘突出症患者随机分入对照组与观察组,每组各60例。给予对照组患者综合康复训练,观察组患者在综合康复训练基础上给予针炙治疗,比较两组治疗总有效率,治疗后2月JOA简化评分、腰痛评分及直腿抬高试验评分,随访2年患者复发率、首次复发时间及平均复发次数。结果:观察组与对照组治疗总有效率分别为93.3%和81.7%,差别具有统计学意义(P<0.01);治疗后2月观察组IOA简化评分、腰痛评分及直腿抬高试验评分显著高于对照组(P<0.05);随访2年观察组患者复发率显著低于对照组(12.1%vs 21.1%,P<0.05),首次复发时间及平均复发次数均显著优于对照组(P<0.05)。结论:综合康复训练结合针灸治疗腰椎间盘突出症,可显著提高临床疗效,改善患者症状并减少复发。Objective：To explore the effect of comprehensive rehabilitation training combined with acupuncture on preventing the recurrence in patients with lumbar disc hernia.Methods：120 cases of lumbar disc hernia were randomly divided into control group and experience group with 60 patients each group.Comprehensive rehabilitation training was performed in control group,and experience group received acupuncture treatment based on comprehensive rehabilitation training.The effective rates,JOA simplified scores,lower back pain,score of straight leg raising test,recurrence rate,first mean recrudescent time and the average recurrent times in a follow-up of 2 years were compared between two groups.Results：The effective rates were 93.3% and 81.7% in experience group and control group respectively（P0.01）;JOA simplified scores,lower back pain and score of straight leg raising test 2 months after treatment in experience group were much higher than that in control group（P〈0.05）;Recurrence rate of follow-up 2 years in experience group was much lower than that in control group（12.1% vs 21.1%,P〈0.05）;First mean recrudescent time and the average recurrent times in experience group were superior to control group（P〈0.05）.Conclusion：Comprehensive rehabilitation training combined with acupuncture for lumbar disc hernia can improve the clinical effect and symptoms,and decrease recurrence.

关 键 词：腰椎间盘突出症 康复训练 针灸 

分 类 号：R681.53[医药卫生—骨科学]