火龙罐综合灸联合循经取穴推拿干预对腰椎间盘突出症患者改善效果研究  

Study on the improvement effect of comprehensive Huolongguan moxibustion combined with meridian-based acupoint massage intervention in patients with lumbar disc herniation

作　　者：柳燕 刘点点 何文砚 LIU Yan;LIU Diandian;HE Wenyan(Shangyou County Traditional Chinese Medicine Hospital,Ganzhou,Jiangxi 341000,China)

机构地区：[1]上犹县中医院,江西赣州341000

出　　处：《现代医药卫生》2024年第24期4261-4265,共5页Journal of Modern Medicine & Health

摘　　要：目的探讨火龙罐综合灸联合循经取穴推拿干预在腰椎间盘突出症(LDH)患者中的应用效果。方法选取该院2021年10月至2023年12月收治的64例LDH患者,按随机数字表1∶1分为对照组(32例)与观察组(32例)。对照组患者行常规西医治疗方案,观察组患者加用火龙罐综合灸配合循经取穴推拿干预。2组均持续干预4周。比较2组患者临床疗效、腰痛程度[视觉模拟评分法(VSA)]、Oswestry功能障碍指数(ODI)评分、腰椎功能[日本骨科协会评估治疗分数(JOA)]、腰椎活动度(腰椎屈伸、侧屈及旋转活动度)及生活质量[世卫组织生活简易量表(WHOQOL-BREF)]。结果观察组患者总有效率(93.75%)高于对照组(75.00%),差异有统计学意义(P<0.05)。观察组患者干预后VAS、ODI评分分别为(1.53±0.23)、(12.42±1.23)分,低于对照组的(1.87±0.26)、(16.74±1.42)分;干预后JOA各维度及总分分别为(7.45±1.13)、(4.94±0.52)、(12.13±1.12)、(24.52±2.14)分,高于对照组的(6.02±1.04)、(3.87±0.43)、(10.41±1.05)、(20.30±2.11)分;干预后腰椎屈伸、侧屈及旋转活动度分别为(71.52±5.49)°、(52.14±5.32)°、(42.58±4.32)°,高于对照组的(62.39±5.24)°、(46.35±4.53)°、(37.58±3.51)°;干预后WHOQOL-BREF各维度评分分别为(87.26±5.45)、(86.17±5.35)、(89.68±5.22)、(90.52±4.36)分,高于对照组的(81.54±5.33)、(80.22±5.24)、(82.34±5.11)、(83.64±4.32)分,差异均有统计学意义(P<0.05)。结论火龙罐综合灸联合循经取穴推拿可更好地改善LDH患者腰椎功能,减轻腰痛程度,降低活动障碍对其生活的影响。Objective To explore the application effect of comprehensive Huolongguan moxibustion combined with meridian-based acupoint massage intervention in patients with lumbar disc herniation(LDH).Methods A total of 64 LDH patients admitted to the hospital from October 2021 to December 2023 were randomly divided into a control group(32 patients)and an observation group(32 patients)using a 1∶1 ratio based on a random number table.The control group received conventional Western medical treatment,while the observation group received additional comprehensive Huolongguan moxibustion combined with meridian-based acupoint massage intervention.Both groups were intervened for 4 weeks.Clinical efficacy,the degree of low back pain[assessed using the Visual Analog Scale(VAS)],Oswestry Disability Index(ODI)scores,lumbar function[assessed using the Japanese Orthopaedic Association Scores(JOA)],lumbar range of motion(flexion,extension,lateral bending,and rotation),and quality of life[assessed using the World Health Organization Quality of Life-BREF(WHOQOL-BREF)]were compared between the two groups.Results The total effective rate in the observation group(93.75%)was higher than that in the control group(75.00%),with a statistically significant difference(P<0.05).After intervention,the VAS and ODI scores in the observation group were(1.53±0.23)and(12.42±1.23),respectively,which were lower than the(1.87±0.26)and(16.74±1.42)in the control group.After intervention,the JOA scores for each dimension and the total score in the observation group were(7.45±1.13),(4.94±0.52),(12.13±1.12),and(24.52±2.14),respectively,which were higher than the(6.02±1.04),(3.87±0.43),(10.41±1.05),and(20.30±2.11)in the control group.After intervention,the lumbar flexion,extension,lateral bending,and rotation range of motion in the observation group were(71.52±5.49)°,(52.14±5.32)°,(42.58±4.32)°,respectively,which were higher than the(62.39±5.24)°,(46.35±4.53)°,(37.58±3.51)°in the control group.After intervention,the scores for each dimension

关 键 词：腰椎间盘突出症 火龙罐综合灸 循经取穴推拿 腰椎功能 腰痛程度 中医护理 

分 类 号：R248[医药卫生—中医临床基础]