中医康复结合针灸治疗腰椎间盘突出症的临床疗效研究  

Study on the clinical efficacy of traditional Chinese medicine rehabilitation combined with acupuncture on lumbar disc herniation

作　　者：王细燕 严刘斐 WANG Xi-yan;YAN Liu-fei(Xiaogan Maternal and Child Health Hospital,Xiaogan 432000,China)

机构地区：[1]湖北省孝感市妇幼保健院,432000

出　　处：《中国实用医药》2025年第6期170-173,共4页China Practical Medicine

摘　　要：目的 分析腰椎间盘突出症患者采用中医康复结合针灸治疗的效果。方法 将100例腰椎间盘突出症患者作为研究对象,按照治疗方案不同分成对照组和观察组,每组50例。两组患者均接受常规治疗,对照组患者在常规治疗基础上采用针灸治疗,观察组患者在对照组基础上采用中医康复治疗。对比两组患者治疗效果、治疗满意度、腰椎功能评分、生活质量评分及疼痛评分。结果 观察组患者治疗总有效率94.00%高于对照组的80.00%,对比结果呈现差异性(P<0.05)。观察组患者满意度为98.00%,高于对照组的86.00%,对比结果呈现差异性(P<0.05)。观察组患者膀胱功能、日常活动受限度、临床体征、主观症状评分分别为(-1.13±0.38)、(11.25±3.08)、(4.93±0.73)、(7.63±1.88)分,低于对照组的(-1.75±1.22)、(9.34±1.56)、(4.11±0.58)、(6.02±1.54)分,对比结果呈现差异性(P<0.05)。治疗后,观察组患者躯体疼痛、心理健康、社会功能、生理功能、情感职能评分分别为(83.24±3.15)、(81.24±5.27)、(82.57±4.12)、(83.67±5.23)、(82.59±6.47)分,高于对照组的(72.51±5.22)、(70.08±7.83)、(71.34±5.38)、(72.06±6.49)、(70.53±9.21)分,对比结果呈现差异性(P<0.05)。治疗后,观察组患者疼痛评分为(2.19±0.37)分,低于对照组的(6.31±1.07)分,对比结果呈现差异性(P<0.05)。结论 中医康复结合针灸治疗腰椎间盘突出症可有效提升患者腰椎功能,在提高患者生活质量的同时提升治疗效果,减轻患者疼痛感,促进腰椎恢复,患者治疗满意度高,具有一定的安全性,值得临床将该种治疗措施进行推广。Objective To analyze the effect of traditional Chinese medicine rehabilitation combined with acupuncture on lumbar disc herniation.Methods 100 patients with lumbar disc herniation as study subjects were divided into control group and observation group according to different treatment plans,with 50 cases in each group.Patients in both groups received conventional treatment.On this basis,patients in the control group received acupuncture treatment,and patients in the observation group received traditional Chinese medicine rehabilitation treatment on the basis of the control group.The treatment effect,treatment satisfaction,lumbar function score,quality of life score and pain score were compared between the two groups.Results The total effective rate of the observation group was 94.00%,which was higher than 80.00% of the control group,and the comparison results showed differences(P<0.05).The patient satisfaction in the observation group was 98.00%,which was higher than 86.00% in the control group,and the comparison results showed differences(P<0.05).The scores of bladder function,limitations of daily activities,clinical signs,and subjective symptoms in the observation group were(-1.13±0.38),(11.25±3.08),(4.93±0.73) and(7.63±1.88) points,which were lower than(-1.75±1.22),(9.34±1.56),(4.11±0.58) and(6.02±1.54) points in the control group,and the comparison results showed differences(P<0.05).After treatment,the scores of physical pain,mental health,social function,physiological function and emotional function in the observation group were(83.24±3.15),(81.24±5.27),(82.57±4.12),(83.67±5.23) and(82.59±6.47) points,which were higher than(72.51±5.22),(70.08±7.83),(71.34±5.38),(72.06±6.49) and(70.53±9.21) points in the control group,and the comparison results showed differences(P<0.05).After treatment,the pain score of the observation group was(2.19±0.37) points,which was lower than(6.31±1.07) points of the control group,and the comparison results showed differences(P<0.05).Conclusion Traditional Chinese

关 键 词：中医康复 针灸 腰椎间盘突出症 

分 类 号：R274.9[医药卫生—中西医结合]