雷火灸摆阵联合耳穴贴压治疗慢性非特异性腰痛的临床疗效观察  

Clinical Effect of Thunder Fire Moxibustion Combined with Auricular Point Sticking on Chronic Non-specific Low Back Pain

作　　者：张展[1] 徐丹丹[1] 刘璐[2] ZHANG Zhan;XU Dandan;LIU Lu(Department of Traditional Chinese Medicine,Zhengzhou People's Hospital,Zhengzhou Henan 450000,China;Department of General Internal Medicine Ward 1,Zhengzhou People's Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]郑州人民医院中医科,河南郑州450000 [2]郑州人民医院综合内科一病区,河南郑州450000

出　　处：《临床研究》2022年第10期164-167,共4页Clinical Research

摘　　要：目的探讨雷火灸摆阵、耳穴贴压联合治疗对慢性非特异性腰痛(CNLBP)患者腰椎功能的影响。方法选取郑州人民医院2020年6月至2021年6月收治的78例CNLBP患者作为研究对象,根据入院顺序分为对照组(39例)和观察组(39例)。对照组采用常规护理方法,观察组在对照组基础上采用中医干预模式(雷火灸摆阵+耳穴贴压)。比较两组腰椎功能(JOA)各项评分、视觉模拟评分法(VAS)评分、日常生活自理能力(ADL)评分、生活质量综合评定卷-74(GQOL-74)评分、竖脊肌与多裂肌肌电信号[中位频率(MF)、平均功率频率(MPF)]、自护能力测定量表(ESCA)评分、匹茨堡睡眠质量量表(PSQI)评分、护理满意度。结果干预后,观察组体征、主观症状、日常活动受限评分均高于对照组,差异有统计学意义(P<0.05);观察组VAS评分低于对照组,ADL评分、GQOL-74评分均高于对照组,差异有统计学意义(P<0.05);观察组竖脊肌、多裂肌MF、MPF低于对照组,差异有统计学意义(P<0.05);观察组ESCA评分高于对照组,PSQI评分低于对照组,差异有统计学意义(P<0.05);观察组护理满意度(89.74%)高于对照组(69.23%),差异有统计学意义(P<0.05)。结论雷火灸摆阵、耳穴贴压联合治疗可有效缓解CNLBP患者腰部疼痛,增强其自理能力,改善其腰椎功能、表面肌电信号、生活质量。Objective To investigate the effect of thunder fire moxibustion and auricular point sticking on lumbar function in patients with chronic non-specific low back pain(CNLBP).Methods A total of 78 CNLBP patients admitted to Zhengzhou People's Hospital from June 2020 to June 2021 were selected as the research objects and divided into control group(39 cases)and observation group(39 cases)according to the order of admission.The control group was treated with conventional nursing methods,while the observation group was treated with traditional Chinese medicine intervention mode(thunderfire moxibustion array+auricular point sticking)on the basis of the control group.The lumbar spine function(JOA)scores,visual analogue scale(VAS)scores,daily living ability(ADL)scores,comprehensive quality of life assessment Volume 74(GQOL-74)scores,erector-spinae and multifidus EMG signals[median frequency(MF),average power frequency(MPF)]and self-care ability scale(ESCA)were compared between the two groups),Pittsburgh Sleep Quality Scale(PSQI)score,and satisfaction were compared between the two groups.Results After intervention,the scores of signs,subjective symptoms and restriction of daily activities in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The VAS score of the observation group was lower than that of the control group,and the ADL score and GQOL-74 score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).MF and MPF of erector spinae and multifidus muscle in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The ESCA score of the observation group was higher than that of the control group,and the PSQI score was lower than that of the control group,and the differences were statistically significant(P<0.05).The satisfaction of the observation group(89.74%)was higher than that of the control group(69.23%),an

关 键 词：雷火灸摆阵 耳穴贴压 慢性非特异性腰痛 

分 类 号：R47[医药卫生—护理学]