定点旋转复位法联合雷火灸治疗腰椎间盘突出患者的临床疗效及其对患者脊柱稳定性的影响  

Effects of Fixed Point Rotation Reduction Combined with Thunder Fire Moxibustion on Spinal Stability in Patients with Lumbar Disc Herniation

作　　者：郑春华 罗正 黄振杰 Zheng Chunhua;Luo Zheng;Huang Zhenjie(Department of Traditional Chinese Medicine Physiotherapy,Wuzhou Maternal and Child Health Hospital,Wuzhou 543002,China;Guangxi Wuzhou Red Cross Hospital,Wuzhou 543002,China)

机构地区：[1]广西梧州市妇幼保健院中医理疗科,梧州543002 [2]广西梧州市红十字会医院,梧州543002

出　　处：《世界中医药》2019年第5期1302-1305,共4页World Chinese Medicine

基　　金：梧州市科学研究与技术开发计划项目(201702120)

摘　　要：目的:探讨定点旋转复位法联合雷火灸治疗腰椎间盘突出患者的临床疗效及其对患者脊柱稳定性的影响。方法:选取2017年5月至2018年9月梧州市妇幼保健院收治的腰椎间盘突出患者100例作为研究对象,按照随机数字表法分为对照组和观察组,每组50例。对照组给予定点旋转复位法治疗;观察组在对照组的基础上联合雷火灸治疗,2组均治疗2周。治疗后统计2组临床疗效;比较2组治疗前后社会活动功能、脊柱稳定情况、腰痛缓解情况及直腿抬高角度。结果:治疗后观察组临床总有效率为88.00%,显著高于对照组的72.00%,差异有统计学意义(P<0.05);与治疗前比较,治疗后2组患者腰椎曲度、腰椎前凸角度、腰骨倾斜角、平均椎间隙高度、日本骨科学会腰痛评分(JOA)及直腿抬高角度(ASLR)显著升高,且观察组显著高于对照组,差异有统计学意义(P<0.05),2组Oswestry功能障碍指数(ODI)及视觉模拟评分法(VAS)评分显著降低,且观察组显著低于对照组,差异有统计学意义(P<0.05)。结论:定点旋转复位法联合雷火灸可显著缓解腰间盘突出症患者疼痛及下腰痛症状,提高其社会活动功能、直抬腿高度及脊柱稳定性,疗效显著优于单独定点旋转复位法治疗。Objective: To explore the clinical effects of fixed point rotation reduction combined with thunder fire moxibustion in treatment of lumbar disc herniation and its effects on spinal stability. Methods: A total of 100 patients with lumbar disc herniation admitted to Wuzhou Maternal and Child Health Hospital from May 2017 to September 2018 were selected and divided into a control group ( n =50) and an observation group ( n =50) according to random number table method.The control group received fixed point rotation reduction treatment,and the observation group received thunder fire moxibustion therapy on the basis of control group.After 2-week treatment,the clinical efficacy of the 2 groups was statistically analyzed.And the social activities function,spine stability situation,backache relief situation and angle of straight leg raising were compared before and after treatment in the 2 groups. Results: The clinical total effective rate in observation group after treatment was 88.00%,which was significantly higher than that 72.00% in control group ( P <0.05).The lumbar curvature,lumbar lordosis angle,lumbar inclination angle,average intervertebral height,JOA score and ASLR angle significantly increased in the 2 groups compared with before,and the observation group was significantly higher than the control group ( P <0.05).The ODI and VAS score after treatment significantly decreased in the 2 groups,and the observation group was significantly lower than the control group ( P <0.05). Conclusion: Fixed point rotation reduction combined with thunder fire moxibustion can significantly alleviate the symptoms of pain and backache in patients with lumbar disc herniation,improve their social activity function,straight leg height and spinal stability.And the curative effect is significantly superior to that of single fixed point rotation reduction.

关 键 词：腰椎间盘突出症 定点旋转复位法 雷火灸 脊柱稳定 

分 类 号：R245[医药卫生—针灸推拿学] R684[医药卫生—中医临床基础]