腰椎推拿配合物理因子疗法及医疗体操训练对腰椎间盘突出症疗效的影响  

The effect of lumbar massage combined with physical factor medical andgymnastics exercise on the therapeutic effect of lumbar disc herniation

作　　者：王小兰 Wang Xiaolan(Nanjing Medical University Affiliated Nanjing Hospital(Nanjing First Hospital),Nanjing,Jiangsu 210000,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院),江苏南京210000

出　　处：《首都食品与医药》2024年第15期51-54,共4页Capital Food Medicine

摘　　要：目的研究腰椎推拿配合物理因子疗法及医疗体操训练对腰椎间盘突出症患者的临床效果.方法选择南京医科大学附属南京医院在2022年1月-2023年1月期间收治的100例腰椎间盘突出症患者,按照随机数字表法分组,对照组(n=50)实施腰椎推拿治疗,观察组(n=50)在对照组基础上,配合物理因子医疗体操训练,比较两组患者治疗前后的炎性指标、疼痛评分、腰椎功能、生活质量评分、血液流变学指标、血清前列腺素E_(2)水平;腰椎活动度、JOA评分及临床总有效率.结果治疗前,两组患者的炎性指标、疼痛评分、腰椎功能、生活质量评分、血液流变学指标、血清前列腺素E_(2)水平、腰椎活动度及JOA评分比较,差异不显著(P>0.05),治疗后,观察组患者的各项治疗效果均优于对照组(P<0.05);观察组患者的临床总有效率高于对照组(P<0.05).结论腰椎间盘突出症患者通过腰椎推拿配合物理因子疗法及医疗体操训练,可有效改善患者炎症、疼痛、生活等指标,提升其临床效果,值得推广.Objective To study the clinical effect of lumbar massage combined with physical factor medical gymnastics training on patients with lumbar disc herniation.Methods 100 patients with lumbar disc herniation admitted to our hospital from January 2022 to January 2023 were randomly divided into two groups:the control group(n=50)received lumbar massage treatment,and the observation group(n=50)received physical factor medical gymnastics training in addition to the control group.The inflammatory indicators,pain scores,and lumbar spine function of the two groups of patients before and after treatment were compared;quality of life rating;hemorheological indicators and serum prostaglandin E_(2) levels;lumbar range of motion and JOA score;clinical total effective rate.Results Before treatment,the inflammatory indicators,pain scores,and lumbar spine function of the two groups of patients were evaluated,quality of life rating,hemorheological indicators and serum prostaglandin E_(2) levels,comparison of lumbar range of motion and JOA score(P>0.05)showed that after treatment,the treatment effects of the observation group were better than those of the control group(P<0.05);the total clinical effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion Patients with lumbar disc herniation can effectively improve their inflammation,pain,and daily life indicators through lumbar massage combined with physical factor medical gymnastics training,and enhance their clinical efficacy.It is worth promoting.

关 键 词：腰椎推拿 物理因子疗法 医疗体操训练 腰椎间盘突出症 临床效果 

分 类 号：R681.53[医药卫生—骨科学]