中药熏蒸联合红外线治疗对老年腰肌劳损患者ODI、VAS评分及腰椎活动度影响  

Effects of Traditional Chinese Medicine Fumigation Combined with Infrared Therapy on ODI,VAS Score and Lumbar Motion in Elderly Patients with Lumbar Muscle Strain

作　　者：李洁[1] 李学敏[1] 章琦[1] 陈海芳 朱晓燕[1] LI Jie;LI Xuemin;ZHANG Qi;CHEN Haifang;ZHU Xiaoyan(Shanghai Sixth People's Hospital,Shanghai 200233,China)

机构地区：[1]上海市第六人民医院,上海200233

出　　处：《辽宁中医药大学学报》2023年第12期213-216,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：上海市第六人民医院院级科学研究基金项目(LY33.X-4279)。

摘　　要：目的探究中药熏蒸联合红外线治疗对老年腰肌劳损患者Oswestry功能障碍指数(ODI)、视觉模拟量表(VAS)评分及椎间关节活动度(ROM)的影响。方法纳入2022年9月—2023年5月上海市第六人民医院收治的102例寒湿型腰肌劳损患者为本次研究对象并进行回顾性分析,依据不同干预方式将其分为对照组及观察组,每组51例,对照组采用常规治疗加红外线辅助治疗,观察组在对照组治疗基础上加用中药熏蒸治疗,比较组间中医症状积分、VAS及ODI、腰椎活动度、治疗效果。结果治疗前,观察组与对照组压痛、疼痛、日常活动、失眠、腰部功能障碍、总分评分比较,差异无统计学意义(P>0.05),治疗后,各指标评分均降低,且观察组低于对照组,差异存在统计学意义(P<0.05);治疗前,观察组与对照组ODI、VAS评分比较,差异无统计学意义(P>0.05),治疗后2周、4周,两指标均降低,且观察组低于对照组[VAS评分:治疗2周:(3.21±0.50)分vs(4.11±0.55)分(t=8.647,P=0.000),治疗4周:(2.01±0.32)分vs(3.21±0.45)分(t=15.683,P=0.000);ODI:治疗2周:(28.79±4.57)%vs(31.69±5.52)%(t=2.890,P=0.005),治疗4周:(21.65±4.21)%vs(25.32±4.35)%(t=4.329,P=0.000)],差异有统计学意义(P<0.05);治疗前,观察组与对照组椎间ROM比较,差异无统计学意义(P>0.05),治疗后2周、4周,观察组及对照组椎间ROM均减少,且观察组小于对照组[治疗2周:(5.11±0.71)°vs(6.21±0.67)°(t=8.047,P=0.000);治疗4周:(4.15±0.56)°vs(5.21±0.62)°(t=9.061,P=0.000)],差异有统计学意义(P<0.05);观察组治疗总有效率为94.12%,对照组为80.39%,观察组高于对照组,差异存在统计学意义(P<0.05)。结论中药熏蒸联合红外线治疗老年腰肌劳损可有效纠正中医症状积分,缓解腰部功能障碍及疼痛水平,提升腰椎活动度,促进治疗效果的提升。Objective To explore the effect of traditional Chinese medicine fumigation combined with infrared ray on Oswestry disability index(ODI),visual analogue scale(VAS)score and lumbar range of motion(intervertebral ROM)in elderly patients with lumbar muscle strain.Methods A retrospective analysis was conducted on 102 patients with cold-dampness lumbar muscle strain admitted to Shanghai sixth people's hospital from September 2022 to May 2023.According to different intervention methods,they were divided into control group and observation group,with 51 patients in each group.The control group received conventional treatment+infrared ray assistance,while the observation group received control group+traditional Chinese medicine fumigation assistance,to compare between groups of TCM symptoms integral,VAS,treatment effect and ODI,lumbar spine mobility.Results Before treatment,there was no statistically significant differences in the scores of tenderness,pain,daily activities,insomnia,lumbar dysfunction,and total scores between the two groups(P>0.05).After treatment,the scores of each index were decreased,and the observation group was lower than the control group,with statistically significant difference(s P<0.05).Before treatment,there was no significant difference in VAS and ODI scores between the observation group and the control group(P>0.05).After 2 weeks and 4 weeks of treatment,both indexes were decreased,and the observation group was lower than the control group[VAS:2 weeks of treatment:(3.21±0.50)vs(4.11±0.55)points,t=8.647,P=0.000],4 weeks of treatment:(2.01±0.32)vs(3.21±0.45)points(t=15.683,P=0.000);ODI:2 weeks of treatment:(28.79±4.57)%vs(31.69±5.52)%(t=2.890,P=0.005),4 weeks of treatment:(21.65±4.21)%vs(25.32±4.35)%(t=4.329,P=0.000)],statistically significant(P<0.05);Before treatment,there was no significant difference in intervertebral ROM between the observation group and the control group(P>0.05).After 2 weeks and 4 weeks of treatment,the intervertebral ROM of the observation group and the control grou

关 键 词：中药熏蒸 红外线治疗 老年腰肌劳损 腰椎活动度 疼痛水平 

分 类 号：R274.34[医药卫生—中医骨伤科学] R247.9[医药卫生—中医学]