分期功能锻炼在腰椎间盘突出症针灸推拿治疗中的临床效果研究  

Clinical effect of functional exercise by stages in acupuncture and massage treatment of lumbar disc herniation

作　　者：佟黎 TONG Li

机构地区：[1]广州体育学院研究生院,广东广州510500

出　　处：《中医临床研究》2022年第3期120-122,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨分期功能锻炼在腰椎间盘突出症针灸推拿的临床效果研究。方法:将2020年1月-2020年12月在进修医院康复科搜集到的90例腰椎间盘突出症患者按数字分组法随机进行分组,每组各45例,对照组常规使用针灸推拿治疗,在此基础上,观察组使用分期功能锻炼,共治疗1个月后,对比两组的临床疗效、腰部功能指标变化、腰部肌力及活动度。结果:观察组痊愈14例、显效18例、有效11例、无效2例,治疗有效率为95.56%(43/45),对照组痊愈6例、显效15例、有效14例、无效10例,有效率为77.78%(35/45),观察组明显高于对照组,差异有统计学意义(P<0.05);两组治疗前日本骨科协会评估治疗分数(Japanese Orthopaedie Association,JOA)评分、Oswestry功能障碍指数(Oswestry Disability Index,ODI)评分、疼痛视觉模拟评分量表(Visual Analogue Scale,VAS)评分相比差异无统计学意义(P>0.05),观察组治疗后JOA评分明显高于对照组,ODI评分、VAS疼痛评分明显低于对照组,差异有统计学意义(P<0.05);两组治疗前腰背肌、腹肌的肌力,腰椎活动度与对照组相比差异无统计学意义(P>0.05),观察组治疗后腰背肌、腹肌的肌力,腰椎活动度明显大于对照组,差异有统计学意义(P<0.05)。结论:针灸推拿治疗基础上进行分期功能锻炼在腰椎间盘突出症中的效果显著,充分发挥了中医治疗和康复锻炼的优势,能有效改善腰部功能,提高腰背肌力及活动度,减轻疼痛程度,增强腰背肌群对腰椎结构的稳定力,具有积极的临床意义。Objective:To explore the clinical effect of functional exercise by stages in acupuncture and massage for lumbar disc herniation.Methods:from January 2020 to December 2020,90 patients with lumbar disc herniation were randomly divided into two groups.The control group received routine acupuncture and massage.On this basis,the observation group used staged functional exercise.The clinical efficacy,changes of lumbar function indexes,lumbar muscle strength and activity of the two groups were compared.Results:the effective rate of the observation group was 95.56%(43/45),which was significantly higher than 77.78%(35/45)of the control group(P<0.05);after treatment,JOA score of the observation group was significantly higher than that of the control group,ODI score and VAS pain score of the observation group were significantly lower than those of the control group(P<0.05);after treatment,the muscle strength of lumbar dorsal muscle and abdominal muscle,lumbar mobility of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:on the basis of acupuncture and massage treatment,staged functional exercise has a significant effect in lumbar disc herniation,which can effectively improve the lumbar function,improve the muscle strength and activity of lumbar back,reduce the degree of pain,and has positive clinical significance.

关 键 词：腰椎间盘突出症 针灸推拿 分期功能锻炼 临床效果 

分 类 号：R274[医药卫生—中医骨伤科学]