针灸联合推拿牵引治疗腰椎间盘突出症的临床疗效与安全性  

Clinical efficacy and safety of acupuncture combined with massage and traction for lumbar disc herniation

作　　者：沈忠伟[1] 汪海东[1] 王胜[1] SHEN Zhongwei;WANG Haidong;WANG Sheng(Department of Orthopaedics, Jiaxing Traditional Chinese Medicine Hospital in Zhejiang Province, Jiaxing 314001, China)

机构地区：[1]浙江省嘉兴市中医医院骨科,浙江嘉兴314001

出　　处：《中国现代医生》2019年第3期57-60,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2014ZP012)

摘　　要：目的探讨针灸联合推拿牵引治疗腰椎间盘突出症的临床疗效与安全性。方法根据随机对照原则,将本院2016年12月～2017年11月收治入组的腰椎间盘突出症患者110例,分成对照组55例和干预组55例和对照组予以牵引联合西医药物进行治疗,干预组予以针灸联合推拿牵引进行治疗。观察分析两组患者治疗前后各项临床症状的统计结果及安全性。结果干预组有效率高达92.73%,明显高于对照组的78.18%(P<0.05);治疗后两组患者的VAS评分及主要症状体征评分均显著低于治疗前,且干预组均明显低于对照组(P<0.05)。治疗后两组患者的疼痛、单项及日常活动能力的评分和ODI的总分均低于治疗前,且干预组评分的下降幅度较对照组更显著(P<0.05);两组患者治疗后的腰椎关节活动度较治疗前显著提高,且干预组腰椎关节活动度的恢复程度较对照组更显著(P<0.05);治疗过程中两组患者中均未出现不良事件。结论以针灸联合推拿牵引的方法进行治疗的干预组各项临床症状的改善情况明显优于对照组,且安全性良好,具有临床中推广价值。Objective To investigate the clinical efficacy and safety of acupuncture combined with massage and traction in the treatment of lumbar disc herniation. Methods According to the principle of random comparison, 110 patients with lumbar disc herniation admitted in our hospital from December 2016 to November 2017 were divided into the control group (n=55) and the intervention group (n=55). The control group was treated with traction and Western medicine. The intervention group was treated with acupuncture combined with massage and traction. The statistical results of clinical symptoms and safety before and after treatment in the two groups were observed and analyzed. Results The effective rate of the intervention group was 92.73%, which was significantly higher than that of the control group(78.18%), P<0.05. The VAS score and the main symptom score of the two groups after treatment was significantly lower than that before treatment. And the score of the intervention group was significantly lower than that in the control group(P<0.05). After treatment, the scores of pain, individual and daily activity ability, and the total score of ODI were lower than those before treatment, and decrease degree of the scores in the intervention group were more significant than that in the control group(P<0.05). The lumbar joint mobility after treatment in the two groups was significantly improved compared with that before treatment. And the degree of recovery of lumbar joint activity in the intervention group was more significant than that in the control group(P<0.05). No adverse events occurred in the two groups during the treatment. Conclusion The acupuncture combined with massage and traction in the intervention group has obviously better improvement of clinical symptoms than that of the control group, which has good safety and clinical promotion value.

关 键 词：针灸 推拿 牵引 腰椎间盘突出 腰痛 

分 类 号：R246.9[医药卫生—针灸推拿学]