推拿电针联合自拟腰痹逐瘀止痛汤治疗气滞血瘀型腰椎间盘突出症的疗效观察及对患者生活质量的影响  

Therapeutic Efficacy of Tuina and Electroacupuncture Combined with Self-made Yaobi Zhuyu Zhitong Decoction in Treatment of Qi Stagnation and Blood Stasis Type of Lumbar Intervertebral Disc Protrusion and Its Effect on Quality of Life of Patients

作　　者：吴以诚[1] 胡吴斌 陈亚锋[1] 石海平[1] WU Yicheng;HU Wubin;CHEN Yafeng;SHI Haiping(The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230031,Anhui,China)

机构地区：[1]安徽中医药大学第一附属医院推拿科,安徽合肥230031

出　　处：《辽宁中医杂志》2019年第4期825-828,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：安徽中医药大学科研项目(2017fyyb006)

摘　　要：目的:研究推拿电针联合自拟腰痹逐瘀止痛汤治疗气滞血瘀型腰椎间盘突出症的疗效观察及对患者生活质量的影响。方法:选择2015年9月—2017年3月期间在本院接受诊治的82例气滞血瘀型腰椎间盘突出症患者作为研究对象,参照随机数表法分成对照组、观察组,各41例。对照组采用推拿、电针治疗,观察组患者接受推拿、电针联合自拟腰痹逐瘀止痛汤治疗,持续治疗2周。观察并对比两组患者治疗前后疼痛程度、腰椎功能、生活质量变化及疗效。结果:观察组治疗总有效率97. 56%(40/41),高于对照组的82. 93%(34/41),差异有统计学意义(P <0. 05);治疗前,两组患者的疼痛程度VAS评分差异无统计学意义(P> 0. 05);两组患者治疗后的疼痛VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P <0. 05);治疗前,两组腰椎功能JOA评分差异无统计学意义(P> 0. 05);治疗后两组患者的腰椎功能JOA评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P <0. 05);治疗后,两组患者的身体健康、精神健康水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P <0. 05)。结论:推拿、电针联合自拟腰痹逐瘀止痛汤治疗气滞血瘀型腰椎间盘突出症效果显著,能有效减轻机体疼痛,改善腰椎功能,提高患者生活质量,值得应用推广。Objective: To study the therapeutic effect of Tuina and electroacupuncture combined with Self-made Yaobi Zhuyu Zhitong Decoction on Qi stagnation and blood stasis type of lumbar intervertebral disc protrusion and its influence on the quality of life of patients. Methods: Eighty-two cases of patients with kyphosis and lumbar disc herniation treated in our hospital from September 2015 to March 2017 were selected as research subjects. All the patients were divided into a control group and an observation group by random number table method,41 cases in each group. The patients in the control group were treated with Tuina and electroacupuncture. And the patients in the observation group were given Tuina and electroacupuncture in combination with Self-made Yaobi Zhuyu Zhitong Decoction,continued for 2 weeks. We observed and compared the pain degree,lumbar function,quality of life and curative effect before and after treatment in the two groups of patients. Results: The total effective rate of observation group was 97. 56%( 40/41),which was higher than 82. 93%( 34/41) of the control group. The difference was statistically significant( P < 0. 05). Before treatment,there was no statistically significant difference in pain scores between the two groups( P >0. 05). The VAS scores of pain after treatment in both groups were lower than those before treatment,and the observation group’s was lower than that of the control group,and the difference was statistically significant( P < 0. 05). Before treatment,there was no significant difference in JOA score between the two groups( P > 0. 05). After treatment,the JOA scores of lumbar vertebrae in both groups were higher than those before treatment and the observation group’s was higher than that in the control group. The difference was statistically significant( P < 0. 05). After treatment,the physical and mental health of both groups was higher than that before treatment,and the observation group’s was higher than that of the control group. The difference was statistically sig

关 键 词：推拿 电针 自拟腰痹逐瘀止痛汤 气滞血瘀型腰椎间盘突出症 生活质量 

分 类 号：K681.53[历史地理—历史学]