针灸推拿联合腰部核心肌力训练在腰椎间盘突出症患者中的应用效果  

Application effect of acupuncture and massage combined with lumbar core muscle strength training on patients with lumbar intervertebral disc herniation

作　　者：赵剑峰 吴峰[1] 施鹏旭[1] 郭庆升[1] ZHAO Jianfeng;WU Feng;SHI Pengxu;GUO Qingsheng(Department of Trauma and Joint Surgery,Liaoning Provincial People′s Hospital,Shenyang110000,China)

机构地区：[1]辽宁省人民医院创伤关节外科,辽宁沈阳110000

出　　处：《中国当代医药》2022年第2期72-75,共4页China Modern Medicine

摘　　要：目的探讨针灸推拿联合腰部核心肌力训练对腰椎间盘突出症患者腰椎功能障碍指数(ODI)评分、腰背肌力及简式疼痛问卷表(MPQ)评分的影响。方法选取2017年1月至2019年8月在辽宁省人民医院骨科接受治疗的136例腰椎间盘突出症患者作为研究对象,采用随机数字表法将其分为研究组(n=68)和对照组(n=68)。对照组患者采用腰部核心肌力训练治疗的方法,研究组患者在对照组基础上采用针灸推拿治疗的方法。比较两组患者的ODI评分、腰背肌力、MPQ各项评分及总有效率。结果治疗后,两组患者的ODI评分均低于治疗前,差异有统计学意义(P<0.05),且研究组患者的ODI评分低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者的腰背肌力均优于治疗前,差异有统计学意义(P<0.05),且研究组患者的腰背肌力优于对照组,差异有统计学意义(P<0.05);治疗后,两组患者的MPQ各项评分均低于治疗前,差异有统计学意义(P<0.05),且研究组患者的MPQ各项评分低于对照组,差异有统计学意义(P<0.05);治疗后,研究组患者的总有效率高于对照组,差异有统计学意义(P<0.05)。结论针灸推拿联合腰部核心肌力训练较单独进行腰部核心肌力训练在降低腰椎间盘突出症患者ODI评分、提高腰背肌力、减轻疼痛和疗效方面更有优势。Objective To investigate the effect of acupuncture and massage combined with lumbar core muscle strength training on the Oswestry disability index(ODI)score,trunk muscle strength and short-form of McGill pain questionnaire(MPQ)score in patients with lumbar intervertebral disc herniation.Methods A total of 136 patients with lumbar intervertebral disc herniation who were treated in the Department of Orthopedics of Liaoning Provincial People′s Hospital from January 2017 to August 2019 were selected as the research objects,and they were divided into the study group(n=68)and the control group(n=68)by the random number table method.Patients in the control group were treated with lumbar core muscle strength training,and patients in the research group were treated with acupuncture and massage on the basis of the control group.The ODI scores,trunk muscle strength,MPQ scores and total effective rates were compared between the two groups.Results After treatment,the ODI scores of the two groups were lower than those before treatment,the differences were statistically significant(P<0.05),and the ODI score of study group was lower than that in the control group,the difference was statistically significant(P<0.05).After treatment,the trunk muscle strength levels of patients in the two groups were better than those before treatment,and the differences were statistically significant(P<0.05),the trunk muscle strength level of patients in the study group was better than that of patients in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of various items on MPQ in the two groups were lower than those before treatment,and the differences were statistically significant(P<0.05),the scores of various items on MPQ in the study group were lower than those in the control group,and the differences were statistically significant (P<0.05). After treatment, the total effective rate of the study group was higher than that of the control group, and the difference was statistically significa

关 键 词：腰椎间盘突出症 针灸推拿 腰部核心肌力 腰椎功能障碍指数评分 腰背肌力 简式疼痛问卷表评分 

分 类 号：R681.53[医药卫生—骨科学]