腹针治疗腰椎间盘突出症的临床疗效及对患者生存质量的影响  

Clinical Effect of Abdominal Acupuncture on Lumbar Disc Herniation and its Effect on Quality of Life

作　　者：张艳[1] 李伟[1] 苟芳芳[1] Zhang Yan;Li Wei;Gou Fangfang(First People′s Hospital of Xinjiang Aksu Regional,Aksu 843000,China)

机构地区：[1]新疆阿克苏地区第一人民医院,新疆阿克苏843000

出　　处：《哈尔滨医药》2018年第5期478-480,共3页Harbin Medical Journal

基　　金：阿地党组传(2015)106号

摘　　要：目的探讨腰椎间盘突出症(LDH)患者采用腹针治疗的效果及对患者生存质量的影响。方法将64例确诊为LDH的患者随机分为观察组和对照组,每组各32例。观察组采用腹针疗法治疗,对照组采用电针疗法治疗。统计两组患者治疗前、治疗1周、2周、3周的JOA评分、VAS、WHOQOL-BREF评分,并记录两组治疗过程中不良反应发生情况。结果两组治疗1周、2周和3周的主观症状评分、日常生活生活评分、体征评分以及JOA总评分均较治疗前显著增加,且观察组高于对照组(P<0.05);两组治疗1周、2周和3周的VAS评分均较治疗前显著下降(P<0.01),且观察组低于对照组(P<0.01);观察组治疗1周、2周和3周的社会领域、生理领域、心理领域和生存质量总评分均较对照组显著提高(P<0.05),两组环境领域评分无显著差异(P>0.05);观察组治疗过程中的不良反应发生率为9.38%,较对照组的28.13%显著降低(P<0.01)。结论对于LDH患者,给予腹针治疗效果确切,可显著改善患者临床症状,减少患者疼痛,提高患者生存质量,且不良反应少,值得临床推广和使用。Objective To investigate the effect of abdominal needle treatment and the quality of life of patients with lumbar disc herniation（LDH）.Methods 64 patients diagnosed with LDH were randomly divided into observation group and control group,each group of 32 cases.observation group was treated with abdominal acupuncture therapy,and the control group was treated with electroacupuncture.5 days for a course of treatment,rest between treatment for 2 days,treatment of 3 courses.statistics of two groups of clinical efficacy,two groups of patients were followed up for 1 week,2 weeks of treatment and 3 weeks of the Japanese Bone Injury Society（JOA） lower waist pain score,visual analogue scale（VAS）,World Health Organization Quality of Life Scale WHOQOL-BREF） score record the incidence of adverse reactions during the two groups of treatment.Results The total effective rate of the observation group was significantly higher than that of the control group（96.88% vs84.38%）,P〈0.01;Compared with before treatment,the subjective symptom scores,daily life score,symptom score and JOA score were significantly improved in the two groups at 1 week,2 weeks and 3 weeks,and the observation group was higher than the control group（P〈0.05）;the VAS scores of the two groups were significantly lower than those before treatment（P〈0.01） at 1 week,2 weeks and 3 weeks,and the observation group was lower than the control group（P〈0.01）;total score of social field,physiology field,psychological field and quality of life were significantly higher in the observation group than in the control group（P〈0.05） at 1 week,2 weeks and 3 weeks,there were no significant differences in the scores of the two groups（P〉0.05）.incidence of adverse reactions in the observation group was 9.38%,which was significantly lower than that in the control group（P〈0.01）.Conclusion For LDH patients,given abdominal needle treatment is accurate,can significantly improve the clinical symptoms of patients,reduce patient pain,improve

关 键 词：腹针 生存质量 腰椎间盘突出症 临床疗效 

分 类 号：R493[医药卫生—康复医学]