脊柱推拿联合小针刀治疗血瘀型腰椎间盘突出症患者的效果  

Effects of spinal massage combined with small needle knife in treatment of patients with blood stasis type lumbar disc herniation

作　　者：林鸿明 LIN Hongming(Department of Orthopedics and Traumatology of Traditional Chinese Medicine,Quanzhou Renai Hospital,Quanzhou City,Fujian Province,Quanzhou 362108,Fujian,China)

机构地区：[1]泉州市泉港仁爱医院中医骨伤科,福建泉州362108

出　　处：《中国民康医学》2025年第3期124-127,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察脊柱推拿联合小针刀治疗血瘀型腰椎间盘突出症患者的效果。方法:选取2019年4月至2024年4月该院收治的120例血瘀型腰椎间盘突出症患者进行前瞻性研究,按照随机数字表法将其分为对照组与观察组各60例。对照组采用小针刀治疗,观察组在对照组基础上联合脊柱推拿治疗。比较两组临床疗效,治疗前后腰椎功能[汉化Oswestry功能障碍指数(ODI)、下腰痛日本骨科协会评估治疗分数(JOA)]、疼痛程度[视觉模拟评分法(VAS)]、生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分,以及治疗期间不良反应发生率。结果:观察组治疗总有效率为96.67%(58/60),高于对照组的81.67%(49/60),差异有统计学意义(P<0.05);治疗后,两组下腰痛JOA评分均高于治疗前,且观察组高于对照组,两组ODI评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组WHOQOL-BREF评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组治疗期间不良反应发生率比较,差异无统计学意义(P>0.05)。结论:脊柱推拿联合小针刀治疗血瘀型腰椎间盘突出症患者可提高治疗总有效率、下腰痛JOA评分和生命质量评分,以及降低VAS、ODI评分,效果优于单纯小针刀治疗。Objective:To observe effects of spinal massage combined with small needle knife in treatment of patients with blood stasis type lumbar disc herniation.Methods:A prospective study was conducted on 120 patients with blood stasis type lumbar disc herniation admitted to the hospital from April 2019 to April 2024.According to the random number table method,they were divided into control group and observation group,60 cases in each group.The control group was treated with small needle knife,while the observation group was treated with spinal massage on the basis of that of the control group.The clinical efficacy,the scores of lumbar function[Chinese Oswestry disability index(ODI),Low back pain Japanese Orthopaedic Association(JOA)],pain degree[visual analogue scale(VAS)]and quality of life[World Health Organization quality of life-brief(WHOQOL-BREF)]before and after the treatment,and the incidence of adverse reactions during the treatment were compared between the two groups.Results:The total effective rate of the observation group was 96.67%(58/60),which was higher than 81.67%(49/60)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the Low back pain JOA scores of the two groups were higher than those before the treatment,and that in the observation group was higher than that in the control group;the ODI scores of the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).After the treatment,the VAS scores of the two groups were lower than those before the treatment,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the WHOQOL-BREF scores of the two groups were higher than those before the treatment,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).However,there wa

关 键 词：腰椎间盘突出症 小针刀 脊柱推拿 腰椎功能 

分 类 号：R246.9[医药卫生—针灸推拿学]