穴位贴敷联合循经针刺对气滞血瘀型腰椎间盘突出症患者疼痛程度及腰椎功能的影响  

Effect of Acupoint Application Combined with Circulation Acupuncture on Pain Degree and Lumbar Spine Function of Patients with Lumbar Disc Herniation of Qi Stagnation and Blood Stasis Type

作　　者：徐盛 马涛 李敏 张啟航 杨碧云 XU Sheng;MA Tao;LI Min;ZHANG Qihang;YANG Biyun(Department of Acupuncture Rehabilitation,Xuancheng Hospital of Traditional Chinese Medicine,Xuancheng 242000,China;Department of Traditional Chinese Medicine,Longchuan Road Community Health Service Center,Jichuan Street,Xuanzhou District,Xuancheng City,Xuancheng 242000,China)

机构地区：[1]宣城中医院针灸康复科,安徽宣城242000 [2]宣城市宣州区济川街道龙川路社区卫生服务中心中医科,安徽宣城242000

出　　处：《反射疗法与康复医学》2024年第20期24-27,共4页Reflexology And Rehabilitation Medicine

基　　金：宣城市中医药传承创新科研项目(2024xczy012)。

摘　　要：目的探讨穴位贴敷联合循经针刺在气滞血瘀型腰椎间盘突出症(LDH)患者中的治疗效果。方法选取2022年2月—2024年2月宣城中医院收治的150例气滞血瘀型LDH患者为研究对象,按随机数字表法将其分为对照组和观察组,各75例。两组均予以患者常规治疗,在此基础上,对照组采用循经针刺治疗,观察组在对照组的基础上采用穴位贴敷治疗,两组均持续治疗4周。对比两组患者的临床疗效、中医证候积分、疼痛程度、腰椎功能及生活质量。结果观察组治疗总有效率为96.00%,高于对照组的86.67%,差异有统计学意义(P<0.05)。治疗后,中医证候积分中主症评分为(2.02±0.58)分,次症评分为(1.19±0.23)分,疼痛视觉模拟评分为(1.52±0.34)分,均低于对照组的(2.80±0.64)分、(1.61±0.37)分、(2.33±0.47)分,组间差异有统计学意义(P<0.05);腰椎日本骨科协会评估治疗分数为(24.54±1.05)分,健康调查简表中的情感职能评分为(81.35±4.88)分,社会功能评分为(69.30±5.83)分,生命活力评分为(72.04±5.66)分,总体健康评分为(78.23±4.31)分,精神健康评分为(75.47±6.75)分,生理功能评分为(60.82±6.63)分,生理职能评分为(65.16±6.88)分,躯体疼痛评分为(67.97±6.69)分,均高于对照组的(20.81±1.98)分、(73.01±5.41)分、(62.12±4.74)分、(65.45±5.06)分、(69.75±5.60)分、(68.99±5.16)分、(52.64±5.59)分、(57.13±6.24)分、(60.70±6.44)分,组间差异有统计学意义(P<0.05)。结论穴位贴敷联合循经针刺可以增强气滞血瘀型LDH患者的治疗效果,减轻患者疼痛程度及腰椎功能障碍,提高生活质量。Objective To investigate the therapeutic effect of acupoint application combined with circulation acupuncture in patients with lumbar disc herniation(LDH)of qi stagnation and blood stasis type.Methods A total of 150 patients with Qi stagnation and blood stasis type LDH admitted to Xuancheng Hospital of Traditional Chinese Medicine from February 2022 to February 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 75 cases in each group.Both groups were given routine treatment,on this basis,the control group was treated with acupuncture,and the observation group was treated with acupoint application on the basis of the control group,both groups were treated continuously for 4 weeks.The clinical efficacy,Traditional Chinese Medicine symptom score,pain degree,lumbar spine function and quality of life were compared between the two groups.Results The total effective rate of the observation group was 96.00%,which was higher than 86.67%of the control group,and the difference was statistically significant(P<0.05).After treatment,the main symptom score was(2.02±0.58)points,the secondary symptom score was(1.19±0.23)points and the pain Visual Analogue Scale score was(1.52±0.34)points,which were lower than(2.80±0.64)points,(1.61±0.37)points and(2.33±0.47)points of the control group,the differences between the groups were statistically significant(P<0.05);the Lumbar spine Japanese Orthopaedic Association score was(24.54±1.05)points,emotional function score was(81.35±4.88)points,social function score was(69.30±5.83)points,and vitality score was(72.04±5.66)points,overall health score was(78.23±4.31)points,mental health score was(75.47±6.75)points,physiological function score was(60.82±6.63)points,physiological function score was(65.16±6.88)points,physical pain score was(67.97±6.69)points,which were higher than(20.81±1.98)points,(73.01±5.41)points,(62.12±4.74)points,(65.45±5.06)points,(69.75±5.60)points,(68.99±5

关 键 词：腰椎间盘突出症 气滞血瘀型 穴位贴敷 循经针刺 临床疗效 疼痛程度 腰椎功能 

分 类 号：R681.53[医药卫生—骨科学]